| Pregnancy is a dream come
true of all couples. The first time mothers are filled with apprehension and innumerable
questions. They get their queries solved by consulting their elders and peers
and now newsgroups. They develop misconceptions and fears regarding pregnancy
and labor.
The perception of pain during labor and delivery varies between
individuals. Specially, the first-time mothers need a proper antenatal counselling
regarding good nutritious diet, antenatal exercises and physiology of labor pains.
Here we shall only be dealing with labor & delivery.
Epidural anaesthesia
is an advance in pain management during labor, which ensures that a pregnant woman
has a comfortable labor. It is a regional anaesthesia in which an anaesthetic
drug is injected near the spinal cord in the spinal canal.
Areas affected
It numbs the body below the waist, but the movements are not impaired.
Time of anaesthesia
It is administered when the patient is in active
labor.
It can be given as a single injection or in multiple doses through
a special epidural catheter by a skilled anaesthetist.
Advantages
- Almost complete relief from pain with the patient being mobile
- No postpartum
headache as in spinal anaesthesia
- Mother is conscious and alert throughout
the labor
- An instrumental delivery can be performed under the same anaesthesia,
if need arises
- If the patient has to be taken for caesarean section, the
effect can be topped up through the epidural catheter.
Disadvantages
- Sudden drop in the blood pressure
- Because of pelvic floor relaxation,
baby's head may not rotate and forceps application may be required.
- Slight
increased rate of instrumental and caesarean deliveries.
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