Which mothers are suitable for painless delivery?

　　More and more expectant mothers are choosing painless delivery, but are all expectant mothers suitable for painless delivery? Are painless childbirth dangerous?

　　Obstetrical phenomenon: More and more women are choosing painless delivery! In Haidian District women and children In the health center, among the 600 women who give birth every day, in addition to cesarean section, the proportion of women who choose painless delivery is increasing. Hospital Dr. Zhang told reporters that because the pain of natural childbirth is unbearable for many people, and knowledge about the dangers of cesarean section is becoming more and more popular, the proportion of women choosing painless delivery is gradually increasing. “Painless delivery” is actually called “labor analgesia” in medicine.

　　It is to use various methods to reduce or even disappear the pain during childbirth. Hospitals generally use anesthetics or analgesics to achieve analgesic effects. clinical Commonly used methods are epidural analgesia (anesthetic injection) and so on. Painless delivery can reduce the fear and fear of mothers during childbirth Postpartum The tiredness allows the mother to "recuperate" during the first stage of labor when she needs the most rest and is the longest, and she will be more powerful at the final moment of delivery.

　　Does painless delivery mean that it is not painless at all? Does it mean that as long as the "painless delivery" technology is used, expectant mothers will not feel any pain during the process of giving birth to the baby? Dr. Zhang emphasized, “Painless delivery does not mean completely painless, and it is difficult to achieve absolutely painless delivery no matter what method is used. ” The painlessness of painless delivery is only relative, because the amount of anesthetic used during delivery is very small, so the mother can still feel the presence of uterine contractions. Painless childbirth is simply trying to make the pain more bearable. In fact, if the mental state of the expectant mother is tense, fearful, anxious, or lacking in confidence, it will also increase her sensitivity to pain. Therefore, it is also a good way for the expectant mother to be mentally prepared to reduce the pain.

　　Painless delivery can only be done in large hospitals, because the effect of painless delivery is related to factors such as the mother's sensitivity to anesthetic drugs, previous surgical history, the proficiency of the anesthesiologist, the time of anesthesia, and the method of anesthesia. That is to say, the anesthesiologist's technical requirements are very high, and the anesthesiologist is required to be on call 24 hours a day. Therefore, currently only large hospitals such as Beijing Hospital carry out this technology, such as Peking University Hospital, China-Japan Friendship Hospital, Air Force General Hospital, 304 Hospital, Beijing Obstetrics and Gynecology Hospital, Haidian Maternal and Child Health Hospital, etc. Doctors answer questions: Painless delivery has no adverse effects on the baby. Dr. Zhang told reporters that some expectant mothers who choose painless delivery almost always ask a question, "Does this method of delivery have a bad impact on the baby?" ”Because children born by cesarean section are physically weaker than children born naturally, many mothers are also worried that injections during the birth process will be bad for the child.

　　“Painless delivery has no adverse effects on the child. ”Dr. Zhang emphasized that epidural analgesia and anesthesia are very important for pregnant women and fetus is safe. The dosage of medicine used during painless delivery is extremely low, only 1/20 to 1/10 of that of cesarean section. Therefore, the chance of entering the mother's blood and passing through the placenta is very small, and it will not have any impact on the fetus. When the human body feels severe pain, it releases a substance called catecholamines, which has adverse effects on both the mother and the fetus. The blood and oxygen supply of the newborn may be affected. Therefore, painless delivery can also reduce the risk of fetal hypoxia.

　　Doctors warn that painless delivery has risks for mothers. Although painless delivery does not have any adverse effects on the baby, it does require certain risks for the expectant mother. Dr. Zhang explained that painless delivery is risky. Common complications of painless delivery include hypotension and mild headaches, but serious life-threatening complications are relatively rare. Common adverse reactions are mainly manifested in the impact on labor and placental blood supply. Therefore, the entire delivery process requires obstetricians and gynecologists and anesthesiologists to jointly monitor the maternal condition.

　　Although painless delivery is an application of anesthesia technology, the mother has to bear certain anesthesia risks. However, the anesthetic dose of painless delivery is only 1/10 or less of the anesthetic dose of cesarean section, so its risk is smaller than that of cesarean section. Suitable crowd: Not all mothers are suitable for painless delivery, and not all expectant mothers are suitable. Although painless delivery is suitable for a wide range of people, it still requires careful examination by an obstetrician, gynecologist and anesthesiologist to know whether this method of delivery can be adopted. Dr. Zhang hereby reminds that mothers who have pregnancy complications such as heart disease, drug allergies, or a history of waist trauma should consult a doctor, who will decide whether painless delivery is possible. And if the mother's blood pressure is particularly high, or she cannot tolerate natural delivery at all, she will definitely not be able to have a painless delivery. In addition, before painless delivery, the intrauterine condition of the fetus must be objectively evaluated. If the fetus is hypoxic, it is definitely not suitable for painless delivery, or there is infection in the uterine cavity. If the fetus is in an infected environment, painless delivery cannot be performed. Therefore, before having a painless delivery, you need to do some fetal monitoring to find out whether it can tolerate the labor process, and then decide whether to have a painless delivery.