analgesia in childbirth Childbirth. All pregnant women are eagerly awaiting them to meet their long-awaited babies. But simultaneously with expectation, almost all women feel fear - someone does not hesitate to talk about it, but someone keeps their fear in themselves. However, the fact remains - fear of childbirth is an integral part of the life of a pregnant woman. And analgesia during childbirth testimonials causes the most different. In particular, many people say that anesthesia does not work. And future mothers again begin to worry. And it is quite natural, because all people are afraid of pain without exception. And pain can not be avoided in childbirth. And future moms are well aware of this. And, in addition, this panic fear is very much "heated" from the outside - pregnant women almost every day have to listen to various terrible stories about inhumane pains in childbirth. Quite frankly, these stories greatly exaggerate and frighten the real picture of childbirth. As a result, the future mother adjusts herself to pain, is psychologically clamped, does not hear the advice and instructions of doctors - gynecologists and midwives. As a result, pain pains not only increase, but the process of normal natural delivery is at risk. How to be in this situation? First of all, you need to calm down and remember that modern medicine offers anesthesia during childbirth. It is also necessary to understand what generic pain is and what it is caused by - this will help to some extent relieve the psychological strain of the future mother, which is very, very important.

Causes of birth pain

So, birth pain - what are the reasons for itoccurrence? The most important prerequisite for the emergence of strong pain in the period of labor is the contraction of the muscles of the uterus, which is necessary for the cervix to open. In addition, the pain is caused by the tension of the ligaments supporting the uterus. These painful sensations are strong enough and deliver many unpleasant minutes and hours to the giving birth to a woman. In the same period, when the cervix is ​​already open and the baby starts to move along the birth canal, acute painful sensations are caused by the strongest pressure of the head on the soft tissues of the pelvis, its bones and perineum. By the way, in the event that the woman's nervous system is sufficiently trained, there is no pain at all in attempts - there is only a strong feeling of pressure. However, it is unlikely that the majority of women giving birth in the past were engaged in such exotic training of the nervous system as walking barefoot on glasses or coals - so the pain in the tense period is almost inevitable.

Types of pain

Medical workers distinguish three types of pain, based on the nature of its occurrence and intensity:

  • False painful sensations.

Strong psychological stress, fearbefore the birth pain, anxiety for the child's condition and the outcome of childbirth leads to the appearance of pain. In addition, in the event that a woman does not know how to manage her body's reactions, relax, listen and hear doctors' instructions, the intensity of pain can increase many times.

  • True pain.

True pain sensations arise as a consequencealready described natural events, accompanying any natural birth process - fights and lingering period. This type of pain is physiological and shows only that the process of labor is normal. The fact of how intensely these pain sensations are expressed depends on many factors and, first of all, on the individual characteristics of the organism of each particular woman in labor.

  • Pathological painful sensations.

This type of pain occurs in theIf, for any reason, the natural physiological course of labor is disrupted. Pathological pain sensations are a formidable symptom and require immediate help, in order to avoid problems for both mother and child.

Physiological types of anesthesia

In the event that the pain becomestoo strong and deprive the woman of the opportunity to reason and control her behavior, doctors decide to resort to anesthesia of the ancestral process. All types of anesthesia are divided into two groups - non-pharmacological anesthesia of labor and pharmacological anesthesia. As a rule, in the event that there are no complications of the normal course of labor, and the degree of pain is not too strong, doctors recommend a natural anesthetic of childbirth. anesthesia at birth

Psychological relaxation

How strange it would seem, butpsychological stress and constriction during childbirth can lead to the emergence of quite real strong pain sensations. In order to avoid this, a pregnant woman should apply all the knowledge and skills she received in the preparation for childbirth classes. Remember the right breathing, relaxation techniques. Do not also forget about your mood - a lot depends on the psychological mood of the mother. You must be sure that the birth will end safely. And they will not last forever - a very short time will pass, and you will finally see your crumb, whom you've been waiting for nine long months. Do not get hung up on your pain - think about what the kid is like right now, what colossal work he has to do now to be born. Instead of screaming in pain and fear, talk to your baby, tell him how much you love him and wait. Think about the fact that your cry scares the baby very much - after all, it very clearly catches all the changes in your emotional state. Do not frighten him even more, because he is already frightened by what is happening. Talking with the baby will help to calm not only you, but also your child.

  • Positions of the body.

In the event that your pregnancy was leakingnormal, without any complications, to ease your pain you can try to change the position of your body, taking the most convenient position for you. Most women note the very high efficiency of the following poses:

  • Squat and spread your knees widely. Be careful and do not lose balance - sit or near the wall, or ask a partner to support you if you give birth not alone.
  • Sit down on your knees, tentatively widening them as far as possible. Such a posture very effectively relieves pain in the coccyx.
  • Stand on all fours, holding your highpelvis. Such a pose must be taken only on a hard surface - do not do this on a soft bed. And watch your health - at the first occurrence of dizziness, change the pose, so as not to lose consciousness.
  • Hang on anything: on the back of the bed, on the neck of her husband, on the door jamb. This position greatly reduces the pressure, respectively. The intensity of pain is significantly reduced.
  • Once again, it is necessary to recall the increased caution - avoid falling.

    • Massage

    Also do not forget about this methodanesthesia, like a massage. Properly made massage can remove pain during labor is much more effective than many medications. Your attention is offered several massage techniques that will help ease the condition of a woman during childbirth. Lie on your back, relax as much as possible and put both hands on the bottom of the abdomen, in the pubic area. Your fingertips should touch. During each contraction, with your fingertips, gently massage the side surfaces of the tummy very gently in circular motions, approximately 10 to 15 movements per fight. If you are uncomfortable or hurt lying on your back, as happens in many pregnant women, try the following method. Lay down on the right or left side, with your free hand, with a light effort, stroke the sacro-lumbar region, increasing pressure at the peak of the fights. As a rule, a large number of women giving birth to such a measure helps to hold out without taking painkillers almost throughout all births. At a time when the intensity of bouts becomes especially strong and the usual massage loses its effectiveness, you can try the following method. Feel the most sensitive to touch points located on the pubic area. And with each fight, when the pain becomes especially severe, press them with maximum force. This will reduce the intensity of pain by about 40%.

    • Acupuncture.

    Acupuncture is called acupuncture. The points of anesthesia during childbirth are used the same, which are also used during the massage. However, with acupuncture, a deeper stimulation is achieved, giving a more pronounced and lasting effect. Recently, a growing number of maternity hospitals have started using this method of anesthesia. But, despite its effectiveness, acupuncture has several rather annoying disadvantages. Firstly, not in every maternity hospital, especially in small towns, there are specialists in acupuncture. In addition, not every woman will feel comfortable enough, being spiked with needles, like a hedgehog. And during interventions, acupuncture is not particularly effective.

    • Transcutaneous electroneurostimulation.

    This type of anesthesia - abbreviated as TENSdoctors is characterized as very effective and completely safe, for both mother and child. Its essence lies in the following - two electrodes are fixed on both sides of the spinal column, and the other - in the region of the sacrum. The doctor, on the basis of the sensations of the patient, selects the frequency and intensity of the electron charge. After that, the woman herself can turn on the device when she needs it - at the peak of the fights, when the pain becomes particularly unbearable. However, unfortunately, this method has two main drawbacks. First, the woman is forced to spend the entire period of bouts in a prone position, which is very hard for some. And electromagnetic radiation from the apparatus makes it difficult to conduct an electrical monitoring of the fetal heart activity. This is due to the fact that the work of the apparatus of CTG is interfered with by electromagnetic fields.

    Eternal glory to the water!

    Water can significantly alleviate birth pain. For example, an ordinary warm bath can completely replace medicinal preparations for anesthesia during the birth process. Before the start of each fight squat so that the stomach was completely covered with water. Do not lie on your back - this will greatly complicate the opening of the cervix. However, a woman should take a bath only under the constant supervision of medical personnel, since there is a risk of the child's birth in the water. Of course, a warm bath is an ideal option for pain anesthesia. However, unfortunately, not all maternity hospitals have special pools or baths. However, despair is not necessary - for anesthesia, you can also use an ordinary warm shower. Strictly watch the temperature of the water - it should not be higher than the temperature of your body. You can just get under the shower and direct a stream of water to your stomach, or you can stand on all fours and direct the flow of water to the sacrum. Experiment - and you will definitely find the position in which you will feel most comfortable. Pay attention, it is very important: if you have already run out of water, the only possible method of water anesthesia for you is a shower !!! In no case is the bath. anesthesia during labor

    Pharmacological means for analgesia at delivery

    In the event that the doctor finds that you are superfluoustired, your nerves are at their limit, and it becomes impossible for you to endure pain, and all of the above methods have not helped you, he can prescribe you one of those medicines that are used in obstetric practice. In modern medicine for these purposes, several groups of pharmacological drugs are used, depending on what kinds of anesthesia during childbirth are used:

    • Tranquilizers.

    The main task of tranquilizers iscalming effect on the nervous system of a woman giving birth. They eliminate panic, anxiety, dull the acute perception of pain. A woman can even sleep in breaks between fights, which will allow her to gain strength before the most responsible and energy-consuming stage of labor - before attempts. This is the so-called obstetric dream.

    • Relaxants.

    Relaxants have a slightly different effecton the organism of a woman giving birth. They cause a strong and persistent relaxation of all muscles, which allows the cervix to open more efficiently and quickly.

    • Means for anesthesia.

    These pharmacological drugs havethe woman's body has a profound complex effect: muscle relaxation, inhibition of pain receptors, depression of consciousness. These drugs are used to introduce a woman into anesthesia in the event that something goes wrong during the birth process.

    • Narcotic analgesics.

    They are used as a last resort, since they exert the strongest influence not only on the mother's body, but also on the fetus.

    Methods of anesthesia during childbirth

    Obstetricians - gynecologists use several types of anesthesia:

    • Local anesthesia

    With local anesthesia, an anestheticis introduced into the soft tissues at the entrance to the vagina. As a rule, it is used before dissection of the perineum or as anesthesia after childbirth - with subsequent stitching. The main contraindication is the individual intolerance of the drug - analgesic.

    • Spinal anesthesia.

    Spinal, or, as it is also called, epiduralAnesthesia in recent years is becoming increasingly popular, both among women in labor, and the doctors themselves - gynecologists. With this type of anesthesia, a special nerve is blocked by special preparations. As a result, there is a complete loss of sensitivity of the vagina, except for the external genitalia. In addition, anesthesia is divided into several subspecies, depending on the site of administration of the drug:

    • Transmedic anesthesia - the medicine is injected through the perineum.
    • Transvaginal anesthesia - the medicine is injectedthrough the perineum. As a rule, it is used in the second period of uncomplicated birth. And sometimes when applying forceps. This type of anesthesia can cause complications such as infection or toxic shock if the medicine enters a blood vessel.

    Regional spinal anesthesia is a completeanesthesia of the entire lower part of the trunk. As a rule, it is used if the delivery takes a prolonged course, or as a good alternative to ordinary general anesthesia. There are a number of direct indications for conducting such anesthesia:

    • Gestosis - toxicosis of the second half of pregnancy, accompanied by increased pressure and swelling.
    • Nephropathy is a serious pathology of the kidneys.
    • Heart defects are both congenital and acquired.
    • Myopia and other damage to the retina.
    • Incorrect presentation of the fetus.
    • Premature birth.

    General anesthesia during childbirth

    General anesthesia is necessary to ensure thatto lull the woman in childbirth, completely disconnecting her consciousness. It is used only to perform surgical delivery, and if epidural anesthesia is not possible. In any case, the main thing that doctors are guided by when choosing the type of anesthesia is maximum safety, both for the child and for the mothers. After all, all the medications that are injected into the body of the mother, whatever methods of anesthesia delivery are not used, immediately fall into the blood of the child. But in any case, the most important pledge of successful delivery is your positive attitude and strong confidence in the safe outcome of labor. There is very little time left - and you can hold your crumb to yourself! We advise you to read: