What anesthesia to choose for caesarean section

What anesthesia to choose for caesarean section

Today, the expectant mother is given the opportunity to decide for herself what method of anesthesia to use for planned caesarean section. The most common are general anesthesia and epidural anesthesia. To make the choice conscious, you need to understand how one differs from the other.

GENERAL ANESTHESIA

General anesthesia is most often used in emergency cases, since it takes much less time to conduct it. Throughout the entire cesarean operation, the woman sleeps and feels nothing at all.

How is general anesthesia performed?First, intravenous "preliminary anesthesia". A tube is installed in the trachea through which a mixture of oxygen and anesthetic gas flows. Introduces a drug that relaxes all the muscles of the body, including the uterus. Only after this operation begins.

SIDE EFFECTS OF GENERAL DRUGS

There are practically no contraindications for general anesthesia, however there are a number of side effects and complications:

  • most often there is a cough and sore throat due to irritation with a tube, there may be injuries to the lips, teeth and tongue to sit down - these are the consequences of a wrong procedure and the gross actions of the anesthesiologist;
  • headache, dizziness, confusion, nausea and muscle pain;
  • Allergic reactions, respiratory infections, pneumonia, and anesthetic drugs that inhibit the brain are dangerous.

General anesthesia for caesarean conduct with:

  • emergency caesarean section;
  • the presence of contraindications for epidural anesthesia;
  • oblique or transverse position of the fetus;
  • cord prolapse.

Read also:Caesarean section: pros and cons

HOW DOES A GENERAL NARCOSIS INFLUENCE A CHILD

General anesthesia affects the baby’s condition much more than epidural anesthesia. Among the side effects can be identified:

  • toxic effects on the brain and the development of perinatal encephalopathy;
  • lethargy, drowsiness of the child;
  • respiratory failure.

EPIDURAL ANASTESTIA

With epidural anesthesia, an anesthetic agent is injected into the spinal canal.As a result, the sensitivity of only the lower part of the body disappears: the legs are not felt, they cannot be moved. But the mind remains clear. The mother can communicate with the doctor or her husband, if he is present at the birth, to see and hear everything that is happening around.

Most often, epidural anesthesia is used for planned cesarean section, when the doctor has enough time to prepare it. Such a procedure is difficult to conduct in case of emergency.

How is epidural anesthesia performed.Half an hour before the operation, preparation begins. Above the spinal column at the level of the waist, a puncture of the skin is made with a sterile needle and a catheter is inserted. It is extended and taken along the back to the level of the shoulders, so that the doctor can at any time introduce the necessary amount of medication for the analgesic effect.

If for some reason you can not make a puncture and put the catheter, you have to resort to general anesthesia.

Contraindications to epidural anesthesia:

  • acute infectious diseases;
  • inflammation of the skin and pustules in the area where the puncture should be done;
  • bleeding disorders;
  • allergy or intolerance to anesthesia drugs;
  • spinal disorders;
  • narrow pelvis and a large weight of the child;
  • oblique or transverse position of the fetus in the uterus;
  • scar on the uterus (in some cases).

Types of anesthesia for caesarean section

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SIDE EFFECTS OF EPIDURAL ANESTHESIA

For caesarean section, much larger doses of medication are needed than for pain relief during vaginal delivery, and often narcotic drugs are also used. Therefore, with caesarean section with epidural anesthesia, side effects and complications are more common and more pronounced than with childbirth.

The presence or absence of complications depends largely on the skills of the anesthesiologist. Most often can occur:

  • headache;
  • back pain;
  • trembling in the legs.
  • As a rule, these unpleasant feelings disappear in a few hours. In some cases, the headache may last for several days.

Among the rare complications:

  • allergic reactions (eliminated in the operating room);
  • urination disorders (disappear after a few days);
  • spinal cord or nerve injury (very rarely and only in difficult cases).

Read also:I'm not a coward, but I'm afraid: 5 myths about caesarean section

HOW EPIDURAL ANESTHESIA INFLUENCES A CHILD

Painkillers can get from the mother's bloodstream through the placenta to the baby, so the side effects depend on the drugs that are used during anesthesia. Among the side effects of epidural anesthesia are:

  • decrease in heart rate of the child;
  • hypoxia;
  • respiratory impairment after birth (sometimes ventilation is carried out).

A competent pediatrician neonatologist quickly cope with all these complications.
In general, epidural anesthesia is more harmless to the baby than general anesthesia. In addition, during epidural anesthesia, the mother can see the appearance of her baby into the world.

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  • What anesthesia to choose for caesarean section

    What anesthesia to choose for caesarean section

    What anesthesia to choose for caesarean section

    What anesthesia to choose for caesarean section

    What anesthesia to choose for caesarean section

    What anesthesia to choose for caesarean section

    What anesthesia to choose for caesarean section

    What anesthesia to choose for caesarean section

    What anesthesia to choose for caesarean section

    What anesthesia to choose for caesarean section

    What anesthesia to choose for caesarean section

    What anesthesia to choose for caesarean section

    What anesthesia to choose for caesarean section

    What anesthesia to choose for caesarean section

    What anesthesia to choose for caesarean section

    What anesthesia to choose for caesarean section

    What anesthesia to choose for caesarean section

    What anesthesia to choose for caesarean section

    What anesthesia to choose for caesarean section

    What anesthesia to choose for caesarean section