Types of anesthesia for caesarean section

Types of anesthesia for caesarean section

How to determine the correct anesthesia during labor?

With a caesarean section, one of the most important points is the right choice of anesthesia. To make it easier for you to make a decision, we suggest that you familiarize yourself with each method of anesthesia (there are only 2), their main advantages and disadvantages, as well as indications and contraindications.

Read also:Caesarean section: necessity or desire?

So, for caesarean section is used eithercommoneitherregionalanesthesia.

General anesthesia(the mother is not aware of what is happening)

Pros:

  • With proper anesthesia, it gives complete anesthesia.
  • Anesthesia acts quickly and allows you to start the operation immediately (as the condition of the child sometimes requires).
  • Full relaxation of the muscles with loss of consciousness - this ensures more favorable conditions for the operation.
  • The stable state of the cardiovascular system - often her condition is disturbed if the mother is conscious during a cesarean section.

Minuses:

  • There is a risk of hypoxia (lack of oxygen) in both the mother and the child.
  • Depression of the central nervous system of a child due to the ingestion of drugs.
  • The risk of the contents of the stomach getting into the mother’s lungs, which in turn can lead to pneumonia and acute respiratory failure.
  • In this situation, with general anesthesia, there may be complications with the intubation of the mother.

Read also:What moms say: caesarean section

Indications for general anesthesia:

  • Obesity mom.
  • Undergone cesarean section or other abdominal operations.
  • Premature pregnancy.
  • The condition of the child carries a risk to his life.
  • Open bleeding in the parturient woman.
  • Suffered spinal surgery.
  • Severe pathology in a child.

Also, the mother herself can refuse from the so-called regional anesthesia and ask for general anesthesia, this is her right, according to the law.

Types of anesthesia for caesarean section - image №1

Read also:Caesarean section: how to prepare and what you need to know

Regional anesthesiadivided byepiduralandspinal.

Epidural- the introduction of anesthetic in the epidural space between the vertebrae of a woman in the lumbar region. The woman is conscious, but the sensitivity is lost.

Pros:

  • Mom is conscious and see with her own eyes how her baby is born.
  • Anesthesia works gradually and this ensures the stability of the cardiovascular system of the mother, and therefore the child.
  • There is no risk to the respiratory system of the woman.
  • If there are complications during childbirth, the duration of the procedure with epidural anesthesia can be easily extended.
  • Epidural anesthesia also provides pain relief after surgery.

Minuses:

The main disadvantages of epidural anesthesia are associated with inappropriate administration of the drug when the dose is exceeded or the injection itself is done incorrectly. In this case, there may be various complications, both on the skeletal system and the spine of a woman, and on her central nervous system. Often, after epidural anesthesia, a woman has back pain and back problems that did not exist before. This indicates poor quality work of the anesthesiologist during the operation.

Read also:Caesarean section and its consequences

Indications:

  • Bronchial asthma in the parturient woman.
  • Risk of blood pressure changes.

Types of anesthesia for caesarean section - image №2

Spinal anesthesia- The principle is the same as that of the epidural, but the injection is made in the more superficial membranes of the lumbar spinal cord (the procedure is actually similar to the “blockage” of the spine).

Pros:

  • Very good analgesic effect.
  • Quick action The interval between the introduction of anesthetic and the beginning of the operation is minimal.
  • Easy way to administer anesthesia.

Minuses:

  • Limited anesthetic action - on average 2 hours.
  • Anesthetic acts sharply, which contributes to a sharp decrease in blood pressure.
  • Complications in the form of headaches. Headaches, depending on the individual characteristics of the patient, can last from 1-3 days to several months.

Contraindications- placental abruption, as well as the above indications for general or epidural anesthesia.

Read also:Caesarean: spinal anesthesia or general anesthesia?

Mom forumchankaUAUA.info under the name svetliashok says:“I was warned about complications in the form of a headache, so I was ready. My head ached for about a week after childbirth, but, on the whole, it is tolerable. Apparently, a good anesthesiologist got caught, with a light hand. ”

Expert adviceAnna Petrovna Vlasenko, obstetrician-gynecologist with 20 years of experience:"It can be argued that precisely spinal anesthesia isthe most common and safestfor caesarean section, where the risk for mom and baby is minimal ”.

Listen to the recommendations of the doctor who leads your pregnancy.

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  • Types of anesthesia for caesarean section

    Types of anesthesia for caesarean section

    Types of anesthesia for caesarean section

    Types of anesthesia for caesarean section

    Types of anesthesia for caesarean section

    Types of anesthesia for caesarean section

    Types of anesthesia for caesarean section

    Types of anesthesia for caesarean section

    Types of anesthesia for caesarean section

    Types of anesthesia for caesarean section

    Types of anesthesia for caesarean section

    Types of anesthesia for caesarean section

    Types of anesthesia for caesarean section

    Types of anesthesia for caesarean section

    Types of anesthesia for caesarean section

    Types of anesthesia for caesarean section

    Types of anesthesia for caesarean section

    Types of anesthesia for caesarean section

    Types of anesthesia for caesarean section

    Types of anesthesia for caesarean section

    Types of anesthesia for caesarean section

    Types of anesthesia for caesarean section

    Types of anesthesia for caesarean section

    Types of anesthesia for caesarean section

    Types of anesthesia for caesarean section

    Types of anesthesia for caesarean section

    Types of anesthesia for caesarean section

    Types of anesthesia for caesarean section

    Types of anesthesia for caesarean section

    Types of anesthesia for caesarean section

    Types of anesthesia for caesarean section

    Types of anesthesia for caesarean section

    Types of anesthesia for caesarean section

    Types of anesthesia for caesarean section

    Types of anesthesia for caesarean section

    Types of anesthesia for caesarean section

    Types of anesthesia for caesarean section

    Types of anesthesia for caesarean section

    Types of anesthesia for caesarean section

    Types of anesthesia for caesarean section

    Types of anesthesia for caesarean section

    Types of anesthesia for caesarean section

    Types of anesthesia for caesarean section

    Types of anesthesia for caesarean section

    Types of anesthesia for caesarean section

    Types of anesthesia for caesarean section