Painless cesarean section | Anesthesia

cesarean section

Is it really painless to have a cesarean section?

In the 1970s and 1980s, the cesarean section rate was less than 20%, but in recent years the cesarean section rate has risen rapidly, and the cesarean section rate in some places can even reach about 70%.

The World Health Organization's requirement for the cesarean section rate is less than 15% of the total delivery rate. In other words, many expectant mothers blindly choose a cesarean section.

In addition to medical reasons, many misunderstandings of cesarean section by expectant mothers are also important reasons for the increase in the rate of cesarean section. Many expectant mothers choose a cesarean section to escape the long-term labor pains during childbirth. They think that a cesarean section can use anesthetics, which does not seem to be painful. Is it true?

Cesarean anesthesia requires the cooperation of expectant mothers:
Many expectant mothers think, after the cesarean section is anesthetized, I don’t know anything anymore, as if I slept, and when I wake up, the baby will lie next to me. In fact, it is not the case. At present, intraspinal anesthesia is mostly used for cesarean sections. Its biggest advantage is that it keeps people awake and the risk of aiming at mother and baby is minimal.

Intraspinal anesthesia, commonly known as half-body anesthesia. Before anesthesia, the parturient should take the left side-lying position, bend her leg and bend the waist, cooperate with the anesthesiologist to perform a lumbar puncture, and indwell an anesthesia catheter. During the operation, the anesthesiologist will gradually inject anesthetics through the catheter to achieve surgical analgesia and postoperative analgesia.

It is simple to say, in fact, it is very difficult for anesthesiologists to find the lumbar spine space. Only the mother-to-be can find the space in the right position. If this space is not found or the position of the medicine injection space is wrong, it may affect the anesthesia effect. Therefore, expectant mothers should follow the guidance of the anesthesiologist during anesthesia, and cooperate with the doctor as much as possible.

After the anesthesia, the parturient's abdomen and lower limbs will feel numb and unable to apply force, but she is conscious, can hear the doctor's words and the clash of the knife during the operation, and can hear the baby's cry for the first time Voice. These are things that general anesthesia cannot do.

Knowledge of anesthesia to be understood:

1. Anesthesia is an invasive medical treatment and requires a local anesthetic injection. It feels like a usual intramuscular injection, and it is not very painful.

2. After the anesthesia needle is placed, the anesthesiologist will use a small needle to probe the skin to determine the level of the anesthesia. The expectant mother will feel that the acupuncture sensation of the skin around the incision is different from that of the chest skin, and the pain is also different. At this time, the anesthesiologist should clearly tell the anesthesiologist the feeling of this part and the difference with the surrounding area to help the anesthesiologist judge the effect of anesthesia.

3. Intraspinal anesthesia only anesthetizes the area around the surgical incision. The mother-to-be is awake and knows everything, but does not feel pain during the operation.

4. 4. Despite the fact that sedation is given, the specialist actually needs to apply a specific measure of tension on the fundus of the uterus when the child's head is removed from the uterus. The expectant mother will still feel some discomfort in the upper abdomen.

5. After the baby is taken out, the mother can still feel the pain of the uterine contraction, because the anesthetic drugs cannot suppress the pain caused by the uterine contraction.

Postoperative analgesia:
The parturient will not feel too painful during the cesarean section, and the wound will feel pain after the anesthesia effect is over. At this time, analgesics can relieve the pain of the wound. This is "postoperative analgesia". However, as mentioned earlier, analgesics have no effect on uterine contraction pain, and in order to prevent postpartum hemorrhage after surgery, it is necessary to strengthen uterine contractions. Therefore, postoperative analgesia can maintain the wound analgesic effect for about 24 hours, but the parturient still feels uterine contraction pain.

What the doctors want to say:
With the improvement of modern anesthesia technology, the anesthesia effect during cesarean section is generally very good, most women feel nothing during the operation, and analgesia can be continued after the operation. Because of this, more and more expectant mothers now misunderstand that it is a quick way to help childbirth, and they no longer want to endure such a long period of pain to give birth to a baby according to the rules left by the "ancestors", and they all take the initiative It is required to choose the method of cesarean section to assist delivery. This kind of negative effect was unexpected at the beginning.

In fact, cesarean section is not a normal way of delivery, surgery will inevitably produce certain injuries and sequelae. If the choice of cesarean section is only to reduce the short-term pain during childbirth, at the expense of damaging the health of the woman and the baby, it is not worth it. Therefore, as doctors, in consideration of the long-term health of mothers and babies, we never advocate cesarean section as the preferred delivery method for expectant mothers.

The "Selfless Infinite Theory" of Pregnant Women's Iron Deficiency Vs "The Unselfish Infinite Theory"
The mother is selfless, and the mother can give everything for the child. Therefore, some people think that the iron and calcium deficiency of pregnant mothers will not affect the growth of the baby, because the mother will try to give the child good things. Does this view really make sense?

For a long time, it has been believed that only severe iron deficiency in pregnant mothers will lead to iron deficiency in newborns because pregnant mothers will give the baby in the belly and unlimited priority to increase iron reserves. This is the so-called "unselfish infinity" theory.

However, recent research results do not support this theory:
A mother with mild iron deficiency in the middle and late stages of pregnancy will have iron deficiency in about 2/3 of her baby at 4 to 5 months. These studies show that pregnant mothers give priority to fetus iron and other nutrients are also limited, and can not fully meet the fetus's reserve needs, this is the "selfless limited" theory. The study also found that the iron reserves and anemia of the fetus and newborns are closely related to the iron reserves of pregnant women. The earlier the pregnant mothers with iron deficiency, the lower the iron reserves of their newborns.

Although the hemoglobin of babies born to mothers with anemia (or iron deficiency) is normal at birth, due to insufficient iron reserves, the detection rate of iron deficiency anemia in these babies is the rapid growth and development period shortly after birth, especially 1 to 2 years after birth. It is higher than normal children, increasing the risk of long-term or permanent damage to these children. The prevalence of iron deficiency anemia in infants and young children in my country remains high, and iron deficiency in pregnant women during pregnancy is one of the important risk factors. Because within 1 to 2 years after birth, 40% to 70% of the iron in the body is taken from the mother during the fetal period. In other words, whether the "iron ore" content in the baby's body is abundant is closely related to the iron supply in the mother during pregnancy.

Iron deficiency in mothers during pregnancy will not only affect the next generation but may also affect the second generation, forming a bad iron deficiency cycle in the family:

Iron deficiency in pregnant womeniron deficiency in infants and young childreniron deficiency in girlsiron deficiency in pregnant women. Therefore, three generations of anemia in a family are often seen clinically: grandmother, mother, and baby. Therefore, to block the adverse iron-deficiency cycle between mother and baby, adequate iron intake during pregnancy is the key.

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