|
Jele -> RE: Epiduralna DA ili NE (3.8.2010 13:00:59)
|
Izvor: Americanpregnancy.org (link: http://www.americanpregnancy.org/labornbirth/epidural.html)
Common Questions About Epidurals: Does the placement of epidural anesthesia hurt? This depends on who you ask. Some women describe an epidural placement as feeling a bit of discomfort in the area where the back was numbed and then feeling pressure as the small tube or catheter was placed. When will my epidural be placed? Typically epidurals are placed when the cervix is dilated to 4-5 centimeters and you are in true active labor. How can my epidural affect labor? Your epidural can cause your labor to slow down and also make your contractions weaker. If this happens you may be given the medicine Pitocin to help speed up labor. How can an epidural affect my baby? As stated above, research on the effects of epidurals on newborn health is somewhat ambiguous and many factors may be contributing to newborn health at the time of birth. How much of an effect these medications will have is difficult to judge and could vary based on dosage, how long labor continues and individual babies. Dosages and medications vary, so concrete information from research is lacking. Studies reveal that some babies may initially have trouble "latching on" among other difficulties with breastfeeding. While in-utero, they may become lethargic and have trouble getting into position for delivery. These medications have been known to cause respiratory depression, and decreased fetal heart rate in newborns. Though the medication may not harm the baby, the baby may experience subtle effects like those mentioned above. How will I feel after the placement of epidural? The nerves of the uterus should begin to numb within a few minutes after the initial dose. You will probably feel the entire numbing effect after 10-20 minutes. As the anesthetic dose begins to wear off, more doses will be given usually every one to two hours. Depending on the type and dosage of epidural you receive, you may be confined to your bed and not allowed to get up and move around. If labor continues for more than a few hours you will probably need urinary catheterization because your abdomen will be numb, making urinating difficult. After your baby is born, the catheter is removed and the effects of the anesthesia will usually wear off completely in one or two hours. Some women experience an uncomfortable burning feeling around the birth canal as the medication wears off. Will I be able to push? You may not feel that you are having a contraction because of your epidural anesthesia. If you can not feel contractions then pushing may be difficult to control. For this reason your baby may need additional help coming down the birth canal. It may be necessary to apply pressure on your abdomen at the top of your uterus and/or use forceps to pull the baby out. Does an epidural always work? For the most part, epidurals are effective in relieving pain during labor. There are some women who complain of being able to feel pain and/or feeling that the drug worked better on one side of the body than the other.
Što bi rekli daje se kada si otvorena 4-5 cm i kada si u aktivnoj fazi porođaja.
|
|
|
|