The best medicine is something that neither I nor my child took, many women consider. And all experts agree with this. Your safety and the health of the newborn are a paramount task for doctors. That's why you have every right to get all the information about the medicines that are going to be used in childbirth. The doctor must tell you which medication options are applicable in your situation, based on the state of health, the course of pregnancy and the most generic process. From the proposed list, you can choose any drug, as well as the way it is introduced. Do not consult with you can only in the event that there is a real threat to your life and the life of the baby. In this case, your main task is to find a good specialist and fully trust him. Be calm, without the need and important testimony, no appointments will be made to you.
Without pain
Of course, you have enough inner strength to go through the whole process of the baby's appearance. However, even the most courageous woman may need help from the outside. There are several groups of pain medications that are used in different phases of childbirth. It is worth knowing what is the best painkiller for delivery.
1. Preparatory stage
If you give birth for the first time, this stage can drag on for many hours. Contractions at this time, as a rule, are rare, but more often very painful. If they do not lead to the opening of the cervix, you can be offered intramuscular anesthesia - it will allow you to sink into a light slumber and sleep a few painful hours, which will certainly save your strength for the upcoming birth. Such anesthesia is effective within 3-4 hours.
Effects
Intramuscular anesthesia can cause drowsiness of the fetus on the cardiotocogram, which is recorded in childbirth. But after the cessation of the drug, the results immediately come back to normal.
2. Active phase of labor
During this period, you can use both intramuscular anesthesia and epidural anesthesia. In the first case it is important to make an injection 30-40 minutes before the appearance of the baby, otherwise the baby may be born sleepy and sluggish. Do not worry, very soon he will find his inherent activity.
With epidural anesthesia, medications are introduced into the epidural space in the lumbar region (the lower body is deprived of sensitivity). This kind of anesthesia does not have a toxic effect and does not enter the blood of either mother or baby. However, such an anesthesia is not suitable for everyone. Contraindications to it are obesity or surgical operations on the spine. Another important condition is the establishment of regular fights (with a periodicity of 2-3 minutes). If you carry out anesthesia before, the birth can subside.
Effects
Intramuscular anesthesia does not have a negative effect. After 3-4 hours, the anesthetics completely disintegrate and are not found in the blood.
If spinal anesthesia is used in a caesarean section, headaches are possible. They are easily removed by special manipulations. Neuralgic lesions in this case are rare. The space at the level of which the injection is made does not contain a vertebral canal, it is almost impossible to get into the outgoing nerves. The technique of conducting such anesthesia has been worked out very clearly.
Do you need antibiotics?
women are carriers of Group B Streptococcus, which significantly increases the risk of contracting this disease for a newborn baby. Plus, streptococcus, having a negative effect on the placenta, can cause fetal hypoxia. That is why, at the 36th week of pregnancy, all future mothers are recommended to make a smear (from the external genital organs) to determine the presence of streptococcus. If it is found, antibiotics (such as penicillin) are used in childbirth. Sometimes antibiotics are prescribed for women with a prophylactic goal. For example, if the pregnant woman i8 hours ago has left the water, and the birth activity has not yet begun.
Add speeds
Just so hurry the crumbs no one will. But if suddenly there is a situation where procrastination can affect the baby's condition and the mother's well-being, doctors can stimulate labor activity. For example, if a woman comes to the maternity home with irregular contractions, the Vedas have departed 5 hours ago, or in especially difficult cases, when it is necessary that the labor falls on the daytime.
1. Preparatory stage
In the preparatory phase of labor, a special preparation is used in the form of a gel, which is introduced into the vagina. It consists of analogues of the natural rhodostimulators of prostaglandins, which prepare the cervix for the forthcoming delivery - shorten it, make it milder, provide for the opening.
2. Active phase of labor
In the active phase of labor, if the contractions are not strong enough and frequent, the cervix of the uterus does not open or the labor activity that began violently suddenly abruptly stops, use oxytocin, which increases the frequency of uterine contractions. Such rodovozbuzhdenie is often carried out together with anesthesia. Oxytocin is administered with the help of a dropper until the beginning of regular contractions and the opening of the cervix. The time of its use is strictly individual - for someone 7 hours, for someone 16. If after that the stimulation had no effect, it is stopped, and the labor ends with a cesarean section. The information that oxytocin severely narrows blood vessels and is therefore the cause of increased blood pressure in a future mother and a lack of oxygen (hypoxia) in a baby is hopelessly outdated. The effect on the vessels of synthetic analogues of this natural hormone produced by the placenta is minimized.
Effects
It is very important to use oxytocin, only after waiting, when the cervix has become soft, mature. Excessive haste of doctors who prescribe this stimulation in the preparatory phase of labor (the cervix is elongated, dense) often leads to a cesarean section.
Fact
The use of nosps and papaverine in labor is scientifically not justified. Often these drugs are prescribed in order to relax the cervix and speed up the code process. However, they can only remove muscle spasm, while the cervix is a connective tissue. In this situation, their use is meaningless.
Deep dive
Abroad, general anesthesia is rarely used in childbirth. For example, in the US, only 5-7% of cesarean sections. Whereas in our country the frequency of its use is close to 70%! Initially, an intravenous injection is given to the mother, the woman is immersed in sleep, after which narcotic gases are introduced through the special tube, supporting it in this state throughout the operation.
Allergic reaction to narcotic drugs occurs in only 1 woman per million. The main risks for mom and baby are related to the experience and teamwork of the team of doctors. In order for used drugs to get into the blood of the baby in the least amount, you need to remove it from the uterus as quickly as possible.
In addition, it is very important that the baby immediately fell into the hands of a neonatologist. He may experience drowsiness and weakening of the respiratory musculature. If the crust swallows amniotic fluid, it is necessary that someone help him clear his throat. A specialist assesses the condition of the baby. If he does not show any signs of hypoxia (lack of oxygen), he will be with other babies, only under closer supervision. If any, an incubation using an oxygen mask may be required. In any case, all the consequences of using general anesthesia for the baby are eliminable in the first days of his life.
Women who are absolutely opposed to the use of any medication can sign a special document before giving birth. It indicates that with any outcome of the generic process, they assume all responsibility.
In some cases, when a woman has very painful contractions that do not lead to the opening of the cervix, it is enough to replenish the body's fluid reserves. In this case, the smooth muscles of the uterus relaxes, and the contractions become effective
The first anesthesia in labor during cesarean section was applied in 1847 by obstetrician J. Simpson. It was chloroform.
Reasonable precaution
In many maternity hospitals all future mothers without exception put a dropper with saline. What for? To be able to immediately respond to any emergency circumstances and immediately eliminate them. Childbirth is an expected, but extremely unpredictable, process. That is why we need to have permanent access to the vein, so that in urgent cases through the catheter you can quickly enter the necessary medications. Sometimes future mothers are prescribed a drop of saline with glucose. This is especially important for those who have not eaten before giving birth. In this case, glucose will be an excellent source of energy, which, undoubtedly, will be useful for mother in childbirth and after them, when she can first press her long-awaited baby. Physiological saline and glucose are absolutely safe for both mother and baby.