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I am Dr. Virul Shrivastava. My daughter is 4-month-old and I underwent a caesarian section because of 2 tight loops of cord around the neck and also because my baby’s weight was 3.5 kg.
Had everything been in my favour, I would have chosen epidural delivery. I have performed 100 epidural deliveries for my patients and trust me it is really worth it. I will not go into statistics as data is easily available on the internet but I will try to explain why people should consider it.
The process of childbirth is one of the most sacred events in a woman’s life. This, however, is a rather painful process. The pain experienced by a woman during childbirth is often underrated by society. The introduction of epidural or regional anaesthesia meets the objective of providing relief from the suffering and the pain of labour and delivery.
Many women have concerns about the pain they will encounter and the methods of pain relief that are available during labour. A woman’s lack of appropriate knowledge about the risks and benefits of various methods of pain relief increases anxiety in her. Epidural analgesia is the only effective method that provides relief from labour pain. This method has recently undergone substantial improvements to address the concerns of both parturients and obstetric care providers. But the controversies continue regarding the effect of epidural analgesia on the mode of delivery and outcomes of labour.
This is what happens to relieve labour pain.
PROCEDURE – A complete relevant history of the patient is obtained and a thorough clinical examination is done by the team of obstetricians and anaesthetists. Written consent is taken from parturient and her relatives who are willing for epidural analgesia. The entire procedure is explained to them including its advantages and disadvantages.
After fixing the catheter, the patient is made to lie down with a wedge placed on her right side to avoid aortocaval compression. After negative aspiration for blood and CSF (cerebrospinal fluid), a test dose of 3ml 2% lignocaine with adrenaline is given to confirm the epidural placement of the catheter as indicated by non-development of tingling and numbness. At 0 min, 10 ml solution of ropivacaine, 0.2% with 2microgram/cc of fentanyl is given. Top up doses are given every 60-90 minutes after confirming two-segment regression of sensory level or on patient request, until delivery of the baby.
I hope this blog will help pregnant women understand how painless delivery can help and why they should opt for it.
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