Anesthesia with such an operation in our time there are three types: general anesthesia, epidural and spinal. The last two doctors are still referred to as regional anesthesia. So, briefly about each kind.
General anesthesia at an elective caesarean section is rare today. But if there is a need for an unscheduled operation under force-majeure circumstances, then it is his. The essence of general anesthesia is the introduction of a maternity drug, which immerses it in a state of deep sleep. Next, a tube is inserted into the trachea, which supplies oxygen with anesthetic gas. At this type of anesthesia the future mummy is in an unconscious state. Advantages of general anesthesia can be called:
- Its rapid impact with an unscheduled operation.
- Low risk of falling blood pressure.
- Stability of the cardiovascular system.
- The opportunity for a woman not to see what is happening.
- Absolute relaxation of the maternity's muscles.
As for & bdquo; minuses & rdquo; general anesthesia, it is, above all, the possible effect of anesthetic drugs on the fetus, which manifests itself in the inhibition of its muscular and respiratory systems. Also a disadvantage is the severe withdrawal of the parturient woman from the state of anesthesia.
But it is also necessary to take into account the fact that medicine improves the drugs used for this type of anesthesia, which every day minimizes the risks of negative impact on the mother and child. The goal of regional anesthesia, including spinal and epidural, - local anesthesia. The essence of these two types of anesthesia is identical and consists in the puncture of the lumbar spine and the feeding of anesthetics into the body. That is, the similarity of the spinal and epidural procedures is that their result is anesthesia of only the lower body area of ??a woman who is in a conscious state. The main difference between the types of regional anesthesia is the dose of pain medication and the depth of the puncture for their administration.
So, spinal (it is called still spinal) anesthesia is carried out both planned and unplanned, provided that the team has at least 10 minutes of time for the team. Anesthesia with this kind of anesthesia is very fast, the woman giving birth does not feel pain. The advantage of this type of anesthesia is the complete elimination of the risk of adverse effects of drugs on the baby. The woman is in a conscious state, which eliminates breathing problems. She hears the child's first cry. But the disadvantages of this type of anesthesia can be called a high risk of a woman's falling blood pressure, a short action of drugs and a sufficiently high degree of risk in her neurological complications.
Epidural anesthesia differs from the previous species in the mechanism of drug administration, which lasts for 20 minutes.
& bdquo; Pros & rdquo; This kind of anesthesia is the presence of the parturient woman in the mind and the opportunity to see the child immediately after birth. It is also a gradual decrease in pressure, which minimizes the risk of its fall in the mother. An important advantage of this type of anesthesia is that the effect of injected drugs can be prolonged.
The disadvantages of epidural anesthesia is that sometimes it does not work or works partially, anesthetizing only one half of a woman's body.
Such an anesthesia is complicated enough in carrying out. He needs a certain level of professionalism of an anesthesiologist. Also, its disadvantage is the possibility of a so-called spinal block, if the puncture for anesthesia is incorrectly done. If you inject a too large dose of pain medication, you can stop breathing and heart. It is worth noting the risk of the effect of drugs on the future baby.
There are a number of contraindications for conducting regional anesthesia. Among them, trauma to the spine and bleeding in a woman, hypotension, intrauterine hypoxia of the baby.