In recent years, the rate of cesarean section in China has increased significantly, generally more than 30%. Improving surgical outcome, ensuring maternal and child safety, and reducing surgical trauma and postoperative complications are the principles that obstetric anesthesia should focus on.

Most of the obstetric surgeries are of emergency nature, therefore, anesthesiologists should understand the maternal condition in detail in a short period of time and make a comprehensive assessment of the maternal and fetal conditions, the choice of anesthesia methods should be based on the maternal and fetal conditions, equipment conditions and the technical mastery of the anesthesiologist, the specific modalities are: local infiltration anesthesia, spinal anesthesia and epidural block, epidural block, and general anesthesia, which are explained separately below.

First, local infiltration anesthesia, especially suitable for women with a full stomach, has the characteristics of simple operation, less medication, relatively few side effects, but can not be completely painless, muscle relaxation is not enough, affecting the surgical operation, the most serious complicationsAn overdose of local anesthetic can cause possible maternal and fetal toxicity, especially in hypertensive women.

Second, spinal anesthesia and epidural block, commonly used in cesarean section surgery anesthesia, spinal anesthesia with less medication, short latency, the effect is accurate and other advantages, continuous epidural can be done postoperative analgesia, lumbar anesthesia needle is very small, reducing the damage of epidural puncture, so the incidence of headache after spinal anesthesia is greatly reduced, is the more satisfactory anesthesia in obstetrics at present.

Thirdly, epidural block is also a common anesthesia for cesarean section, which is effective in pain relief and does not inhibit fetal respiratory circulation. Complications include hypotension, tachycardia, collapse and syncope, and the incidence of bleeding from epidural puncture is about 6.4%.

Fourth, general anesthesia, can eliminate maternal tension and fear, rapid induction of anesthesia, low incidence of hypotension, maintain good ventilation, suitable for highly nervous, or combined with mental disorders, lumbar spine disease or infection (can not be punctured) of the mother, the biggest drawback is easy to vomit or reflux to the misinhalation, or even death. In addition, general anesthesia operation and management is complex, requiring anesthesiologists to have a more general anesthesia technology and equipment conditions, anesthesia can lead to deep neonatal respiratory and circulatory inhibition, it is difficult to ensure the safety of mothers and children, post anesthesia complications also teach epidural block more, therefore, general anesthesia in obstetrics only in the epidural or local infiltration contraindications are only used.

Spinal anesthesia and epidural combined block, epidural block has a common feature, that is, must be performed epidural puncture tube, and intralesional puncture there may be a series of complications, headache after spinal anesthesia is a common complication, the incidence rate of 3-30%, 85% within 5 days of spontaneous healing, the individual longer; nausea and vomiting, the incidence of a high rate of 13% to 42%; back pain, a serious but rare complication, and puncture process Complications, such as bleeding, puncture injury, subarachnoid hemorrhage, chemical or bacterial contamination, spinal cord ischemia, anterior spinal artery embolism, spinal cord compression, cauda equina syndrome; local anesthetic toxicity, abnormally extensive block, nerve injury, and more.

Any form of anesthesia has its advantages and disadvantages, and there are different degrees of immediate and long-term complications. As an anesthesiologist, you should always have the fear of life and make the most reasonable choice of anesthesia according to the patient's condition. However, as you can see, all the anesthesia methods related to obstetrics described above have different degrees of side effects, some with low incidence and some with high; some are mild and some are serious; some seem to be scary and even fatal; some can be avoided, and some are difficult to avoid completely. As an anesthesiologist, every day is like walking on thin ice walking on the edge of the tightrope, do our best to give patients a relatively comfortable, safe anesthesia, then, we also hope that the public can understand this is not easy to trust the doctor, the doctor can rest assured that the risk of the case to the patient to make the most reasonable choice, the only trust, the doctor can be no worries, even if they risk a lot of risk, but also Only with trust can doctors have no worries, even at great risk, but also willingly, because your understanding and trust is to give doctors the greatest support!

Hello, I am a clinician who has been practicing for many years. Every time I think of a family in Yulin City, Shaanxi Province, the in-laws for the so-called "child safety", do not allow mothers to choose their own painless delivery, the mother aggravated and argued and finally jumped to her death with the child in her belly case is very heartbreaking. Because medicine has a high degree of professionalism, many people are half-knowledge, and then combined with their own experience of a little bit of insight here and there, so many people in society will mistakenly believe that anesthesia is very bad for the body, there will be a variety of complications. In fact, these statements are not objective, today I will focus on the choice of anesthesia for cesarean section, anesthesia on the mother and the fetus in all aspects of the impact to do a simple scientific explanation.

Pros and cons of having a baby and general anesthesia!

On a broad scale, general anesthesia can be divided into general anesthesia (i.e., general anesthesia, including small general anesthesia and large general anesthesia. Small general anesthesia is simply explained as short sedation, short pain, no muscle relaxation, while the general anesthesia is full sedation, full analgesia, complete muscle relaxation) and half anesthesia (including epidural anesthesia, subarachnoid anesthesia, lumbar and hard anesthesia, which we collectively call half anesthesia or lumbar anesthesia).

What anesthesia options are available for cesarean delivery? In fact, each has its own clinical indications and contraindications. If general anesthesia is used, then the mechanism of action of drugs such as propofol, opioids, muscle relaxants, etc. will pass through the placental barrier of the mother. This may have a direct or indirect effect on the fetus. But what exactly is the effect? How big is the effect? In fact, there is no clear statement. A professional study in the U.S. followed up on 5,320 children born between 1976 and 1982, of whom 497 were delivered by cesarean section (193 cases under general anesthesia and 304 cases under local anesthesia).

● The results show that at the age of 19 years, there is no difference in the prevalence of learned cognitive impairment in adulthood in newborns delivered after receiving general or regional anesthesia in cesarean section compared to natural delivery. So, as far as experience goes, anesthesia in general has very little effect on a baby's neurological development, and does not appear to supposedly make babies dumber, e.g., there is no clear evidence to confirm this in terms of infant development, intelligence, and so on. But then again, such as the relevant drug instructions, such as "propofol" it is clearly stated that pregnant women are prohibited, so for ordinary pregnant women, careful boat, we choose "half-anesthesia" can be.

However, it should be noted that general anesthesia also has the indications for general anesthesia, such as this type of anesthesia for the mother's circulatory system is more stable, and the mother in the birth process is more comfortable, painless; and some women who are not suitable for the use of semi-anesthesia, such as suffering from vertebral deformity (can not be positioned), coagulation abnormalities (resulting in hematomas), emergency cesarean section (too late for the application of semi-anesthesia), allergic to local anesthetic, etc., then you can only settle for the second best! Choose general anesthesia.

Pros and cons of having a baby and analyzing the pros and cons of half-marijuana!

In fact, the so-called half anesthesia is simply understood as "intrathecal anesthesia", which is also the most common anesthesia for cesarean section, the operation is the kind of injection in your waist. However, the specific breakdown includes lumbar anesthesia, epidural anesthesia and combined lumbar and epidural anesthesia. Anatomically, our spinal cord is a cylinder, which is wrapped by the subarachnoid space, which is a fluid-filled cavity, and the subarachnoid space is wrapped by the epidural space. The lumbar anesthesia, is a long needle into the subarachnoid space, to temporarily block part of the spinal nerve conduction function, so that your brain will not receive the "pain" message. This type of anesthesia works quickly and in small doses.

Epidural anesthesia is similar to lumbar anesthesia in that it anesthetizes the spinal cord in the lower half of your body, but the needle doesn't go in as deep, it's in the epidural space. However, it uses diffusion to conduct the anesthetic, which has a slower onset of action and a higher dosage, but the effect of the anesthesia can be controlled relatively flexibly. During the anesthesia, the doctor will direct you to go from lying flat to lying on your side, curl both thighs as close to your belly as possible, chin your head as close to your chest as possible, and keep your hands on your knees as much as possible, like a shrimp. This exposes the entire spine and the space between the vertebrae is open for puncture.

In the case of semi-anesthesia, the mother is awake throughout the entire procedure, and she has a sense of touch, warmth, and especially pain. Although anesthesia is used, the anesthesiologist will not be able to completely eliminate pain due to the individual differences of the mother. Some may say that it is better to have more than less? In fact, it is not, because a large dose of anesthetics will inhibit the mother's uterine contractions, making cesarean delivery difficult, but also not conducive to the mother's postoperative recovery, so the principle of giving anesthetics is rather less than more.

With this type of anesthesia, the mother is awake the whole time, and can see her baby for the first time, and hear the baby's cries from her own body, and experience the feeling of motherhood, which is an important "meaning of life" for some mothers, and also has a very ceremonial feeling. Therefore, the anesthesia for cesarean section is routinely "intrathecal anesthesia", either epidural or lumbar epidural can achieve very good results, and after the baby is out, additional intravenous drugs can also be used. Intrathecal anesthesia avoids the fetal problems associated with the use of general anesthesia, which is why it has become the usual anesthesia.

Feedback point!

The so-called aftereffects of anesthesia are from two perspectives: the present and the baby, and many people will be looking for "anesthesia" if their memory deteriorates or their child's mental development slows down in the future. We do not know, in fact, women conceive a baby to give birth to a baby is a trip from the ghost gate. During pregnancy and postpartum body will undergo a variety of changes to many people often talk about the "postpartum lumbar pain" as an example, such as endocrine, pelvic ligament laxity, uterine reset, weight gain during pregnancy, lumbar burden increases, lack of energy, postpartum breastfeeding with the baby, did not properly relax the lumbar muscles, and so on, may lead to lumbar pain.

Moreover, anesthesia in general has very little effect on a baby's neurological development and does not make the baby stupid. There are many factors that can affect a child's neurological development and intelligence from birth to adulthood, such as genes, family factors, social environment and education. Why should we blame "anesthesia"? In some emergencies, such as placenta previa and umbilical cord prolapse, although half anesthesia is good, there is not enough time to perform a spinal block, so we should be rational in choosing anesthesia, and the doctor will choose the appropriate anesthesia according to your actual situation.

Aggregate summary

Medicine is an unknown discipline, full of uncertainties. Besides, "pregnancy" is a devastating experience for the body, which is why a mother's love is the greatest in the world. I salute all the mothers in the world. This answer does not constitute medical treatment advice, nor does it constitute medical guidance, but is only for the purpose of health science. It is not added to the column, gratuitous and free for everyone to read. Wish to those who are misled by rumors, no medical knowledge, health care concepts group to help!. Headline is an open platform, everyone can learn from each other, discuss with each other, if there are different points of view can be comment area to talk about their own views. If you feel that you have learned to help, do not be stingy, offer a love, point a praise, forward to help more people, thanks for the support.

With the improvement of medical technology, cesarean section is becoming more and more common in clinical practice. What many women in labor worry about is whether the body will be left with any sequelae after the anesthetic treatment of cesarean section.

Local infiltration anesthesia is one of the anesthesia methods, which is more suitable for women with a full stomach, and has the advantages of using less drugs, simple operation and relatively few side effects. It is worth noting that this kind of anesthesia can not make the mother feel painless, and it is often easy to affect the operation, and if the situation is serious, it may cause poisoning of the mother and the fetus, especially if the mother suffers from high blood pressure, which is more likely to occur.

Epidural block is in fact a commonly used anesthesia for cesarean section, which has a more accurate pain relief effect and no inhibition of fetal respiratory circulation. In clinical practice, the common complications are hypotension, collapse, tachycardia and syncope.

In contrast, general anesthesia can eliminate the mother's fear and nervousness, the induction of anesthesia is often more rapid, and the incidence of hypotension is lower. Therefore, it is generally suitable for highly nervous women, or women with mental or lumbar spine diseases or infections (unable to be punctured). However, general anesthesia is prone to vomiting or reflux, which may lead to aspiration, and in serious cases, death may even occur.

Instructor: Wang Jiashuang, National Second Class Professor, Chief Physician, Top Ten Famous Doctors of Guangzhou. Former Vice Chairman of Pain Society of Chinese Medical Association, Chief Expert of Pain Department of Jinshazhou Hospital of Guangzhou University of Traditional Chinese Medicine, Honorary Lifetime Professor of Pain Department of Guangzhou Red Cross Hospital, Medical College of Jinan University.

Specialty: Specializing in the treatment of nerve pain, especially post-herpetic neuralgia and cervical and lumbar disc herniation pain diagnosis and treatment.

If you find this article useful, please feel free to like or recommend it to your friends and follow [Medlink Media].

A cesarean section is a surgical procedure that involves cutting through the abdominal wall and uterus to remove the fetus directly. Because it is a surgical procedure, C-sections require anesthesia, usually local anesthesia. Anesthesia includes lumbar anesthesia and epidural anesthesia. Anesthesia can delay the surgical stress response, reduce pain, decrease intraoperative bleeding, and reduce the incidence of postoperative thromboembolism. But there are also many people will worry about the sequelae of anesthesia, today we will take you to understand what are the sequelae of anesthesia during cesarean section: the sequelae of anesthesia for cesarean section are commonly the following:

1. Lower back pain, physical discomfort: after having a cesarean section, you will experience lower back pain or pain in the pinpoint area, and you may also experience fatigue, which can mostly be relieved on your own. After the anesthesia disappears after the operation, the maternal wound will be more painful, pay attention not to sleep flat, if you take flat lying, the uterus contraction pain is the most sensitive, also not conducive to wound healing, after cesarean section you should lie on the side, it is best to let the body and the bed to form an angle of 20-30 degrees, will be the quilt or blankets padded on the back, so as to allow the wound to heal more quickly.

2. Memory loss: After anesthesia, there will be a short period of memory loss or unconsciousness, which will usually be recovered in a few hours. When the anesthetic is broken down and discharged within a certain period of time, the memory will gradually recover.

3. Decrease in blood pressure, bradycardia and respiratory dyskinesia. This kind of situation is usually rare, usually seen in the case of improper anesthesia, anesthesia drug dosage is too large and so on, which will lead to the patient's severe hypotension, can cause the respiratory center ischemia and hypoxia, resulting in respiratory depression. These cases must be resuscitated with epinephrine and oxygen.

After the cesarean section, the mother also needs to pay attention to the operation after the recovery of consciousness, should be carried out physical activities, 24 hours after the operation should be practiced to turn over, sit up, slowly carry out some physical activities, can not be bedridden, can prevent intestinal adhesions and thrombosis caused by other parts of the embolism. Also need to pay attention to avoid cold and flu, avoid allergic odor stimulation, so as to avoid coughing. Because coughing will affect the wound healing, violent coughing can even cause incision tearing, affecting the recovery.

I am a person after two cesarean section, two cesarean section after anesthesia are not the same aftereffects, into the operating room anesthesiologist to help hit the anesthesia, the side bends the knee with both hands as much as possible to hold tight to the two knees, anesthesiologists will be able to find the location of the anesthesia needle into the inside of the lumbar vertebrae, hit at the time there is no feeling like mosquito bites, after a few minutes, the anesthesiologist will touch your stomach and ask you if there are After a few minutes, the anesthesiologist will touch your stomach and ask you if you can feel it. The anesthesiologist will be with you all the time during the operation, the process of the cesarean section can not feel the pain, only hear the sound of pumping amniotic fluid out of the baby, until the baby out of the arms, the doctor will report the gender of the child, but I did not hear it clearly [cover your face] [cover your face]. After the baby was taken out, I felt very sleepy and went to bed. I woke up in the general ward, from the operating room out not long after the doctor will come to pressure the incision, to help discharge the malodorous, pressure once the tears fell down once, the next day the doctor asked to get out of bed to walk around, to help reply to the time, I know that playing anesthesia left behind the aftermath of. Can not move, do up to half a day, take a step to take a long time, anesthesia are running to the heel like, legs simply do not listen to the command, wounds and pain, and anesthesia after the anesthesia position will be very sore sore, so it is important to do a good job of warmth sitting in the month!

Effects of caesarean section on the mother

According to WHOwomen who opted for a caesarean section when it was not medically necessaryThe risk of serious post-partum complications, such as excessive bleeding, delayed lactation, and reoperation for pelvic adhesions, is more than three times higher than for those who give birth naturally. Postpartum hemorrhage and the need for intensive care are even 10 times more likely. Other maternal risks associated with cesarean sections include infection, bladder injury, bowel injury, uterine incision tears, venous thrombosis, endometriosis, etc.

Problems that babies born by cesarean section are prone to

1、Easy allergy

Studies have shown an elevated incidence of sensitization or allergy in the first year of life for infants born by cesarean section. During natural childbirth, infants are exposed to bacteria from the mother's birth canal and intestinal tract, and the colonization rate of beneficial intestinal flora is higher, which is conducive to the development of the infant's immune system. Every child born by cesarean section is directly exposed to the bacteria from nurses, doctors, and the operating room, which is not conducive to the establishment of a normal bacterial flora.

2. Prone to pediatric hyperactivity disorder

In a survey of the ADHD population in children, children born by cesarean section accounted for 80% of the cases, much higher than those born normal. This is because the alteration of the birth canal disrupts the neural contacts, etc., that the child would have experienced.

3. High chance of "wet lung disease"

"Wet lung disease" can cause breathing problems in children. A study by the Li Ka Shing Faculty of Medicine of the University of Hong Kong found that 70% of the babies with severe wet lung disease were born by Caesarean section. The British study also found that children born by Caesarean section were more likely to develop asthma than those born normal.

4. Danger of obesity

Children born by cesarean section have an 83% higher risk of becoming overweight by the age of I l compared to children born naturally. This is because children who are born naturally are exposed to birth canal bacteria that help their metabolism, whereas children born by cesarean section take longer to acquire the necessary beneficial bacteria.

5. Susceptibility to sensory disorders.

Sensory Integration Disorder is a condition in which a child's mind often fails to constrain behavior. Research has found that the normal birth process of a fetus is the first opportunity for the brain and body to coordinate with each other, and C-section deprives the child of the first opportunity to work on sensory integration. After children with sensory integration disorder go to school, most of them can return to normal with later training.

6. Poor adaptive capacity

The skin is an organ of tactile learning, and children have to recognize themselves and their environment through the skin. Children born by caesarean section, due to congenital poor tactile learning, are not able to adapt to the various kinds of information that the skin comes into contact with in infancy, such as bathing and changing clothes, and may also show emotionality, crying, and poor sleep.

Many pregnant mothers may not know much about cesarean anesthesia, and a lot of things about cesarean anesthesia are heard from others. In fact, cesarean anesthesia is not terrible, and there will be no sequelae, so you may not believe it, but cesarean anesthesia does not have sequelae, but there will be complications or risks. Dr. Xiaohua will tell you more about those things about cesarean anesthesia!

What is the anesthesia for a cesarean section?

1. In general.The primary mode of anesthesia for cesarean delivery is intrathecal, and most intrathecal anesthesia is based on combined lumbar and rigid anesthesiaIntravertebral anesthesia is anesthesia from behind the waist. Intravertebral anesthesia is anesthesia from behind the waist, commonly known as "hemianesthesia".A puncture is made between the two spinal spaces of the pregnant woman, and drugs are injected into the subarachnoid or epidural space of the pregnant woman, so that the anesthesia drugs act on the nerve roots in a certain area of the spinal cord of the pregnant woman and do not enter the blood circulation of the pregnant woman, that is to say, this anesthesia not only can play a good analgesic effect, but also can minimize the effect on the fetus.In the case of hemianesthesia, the mother is conscious and able to breathe even after the anesthesia, but she only loses sensation and movement in the lower half of her body.

2、In the case of emergency cesarean section when it is too late to perform intrathecal anesthesia or when there are contraindications to intrathecal anesthesia we will perform general anesthesia.General anesthesia is the injection of an anesthetic agent through the veins of the pregnant woman, which generally acts on the entire body of the mother.. Simply put, when general anesthesia is administered, the mother will be in a state as if she is asleep and will not be conscious. You will wake up when the surgery is done.

What are the risks and complications associated with cesarean anesthesia?

• Intravertebral anesthesia is the most effective form of anesthesia for cesarean delivery and the least dangerous one. However, after anesthesia and during surgery in cesarean section patients, pregnant women are likely to experiencesupine hypotension syndromeThis is mainly due to the fact that the mother is in a lying down position. This is mainly due to the fact that the mother is in the lying down position, and after the anesthesia is administered, the abdomen of the pregnant woman is in a state of relaxation, and the relaxed abdomen and enlarged uterus will cause some pressure on the large blood vessels of the pregnant woman such as the inferior vena cava, which will lead to the obstruction of the blood reflux, and the phenomena of decreased blood pressure and increased heart rate will occur. However, you should not worry, the anesthesiologist will take some measures to maintain your blood pressure and will not put your life in danger.
• Nausea and vomiting are also common complications of intrathecal anesthesiaThe procedure is done in a way to avoid nausea, vomiting, or regurgitation. So in order to avoid nausea, vomiting, or reflux aspiration due to vomiting, we need to abstain from food and drink for 8 hours prior to the surgery; and of course we will pre-emptively use antiemetic medication.

• Because intralesional anesthesia is administered in the low back, theYou may experience discomfort in the lower back after surgery, such as a feeling of soreness or back pain.But it usually subsides within a week and there is no need to worry too much.
• Cesarean sections are performed with a urinary catheter, and after intrathecal anesthesia, the inability to move both lower extremities may result in aurine retentionSo it is more likely that a urinary catheter will be inserted. So after surgery many women will not be able to urinate or find the urinary catheter uncomfortable.
• In general anesthesia, the anesthetic drug enters the bloodstream of the mother, therefore, general anesthesia is likely to have certain effects on the fetus. The main effect is on the fetal respiratory circulation. However, at this stage of development, the continuous development of science and technology, medical technology is also constantly improving, so the risk of general anesthesia is also decreasing, basically will not have too much effect on the fetus.

No matter what type of anesthesia is used, there are pros and cons, but as anesthesiologists, we make sure to pick the best anesthesia and minimize the risks of anesthesia. The complications described above are the most common ones and are not really that scary. As a patient, you should trust your doctor and tell him/her about your feelings and discomfort in a timely manner, and cooperating with him/her is the most responsible thing you can do!

I've been through 2 c-sections and to be honest the effects of the anesthesia are quite noticeable.

I'm a midwife myself, but I got pregnant just a year into my career, and I was pregnant with a doctor in the OB unit, who was 36 years old, the perfect age to get pregnant, while I was 25, the perfect age to get pregnant.

My pelvis was in good condition for a normal delivery. But why did you choose a c-section for your first child?

The reason is that I didn't pay attention to my diet during my pregnancy, I had a special love for sweets and chocolates, which caused me to develop gestational diabetes, and by the second trimester, my whole body was bulging like a balloon, and my fetus reached the standard of a huge baby.

Seeing that I was going to suffer a lot with a normal labor, I gave in to the idea. Thinking that a cesarean section would be quicker and shorter, I volunteered to have a caesarean section.

The pregnant doctor at the OB was kind enough to tell me, "It's better to go through with it. It hurts for a while, but it's better than the after-effects later."

I was young and didn't listen to her, and even more afraid of the pain of a normal labor, I ended up having a c-section.

The anesthesia for C-section is intraspinal anesthesia, in which the anesthesiologist will puncture your lumbar spine with a steel needle 1.8 mm thick and about 10 cm long, and then inject anesthesia into the intraspinal spinal canal's, reversibly blocking or attenuating the conduction function of the corresponding spinal nerves.

Note that anesthesia is to block the conduction function of the spinal nerves, it will make you lose the pain during the cesarean section, but will not be completely senseless, which the feeling of the skin tearing and the feeling of the pressure of the internal organs will be there. The most unbearable is the soreness of the puncture needle inserted into the lumbar sacrococcygeal spine, you will feel your back being compressed to the limit, and you can't move it.

After the anesthesia is also the most difficult, 8 hours can only go to the pillow lying down, slowly the anesthesia drug effect is over, the pain of the abdominal wound will come back in waves, more and more pain, as if there is no end.

I also vomited because of the anesthesia, and just lay there on the bed, choking vomit out of my mouth, and couldn't drink water because it would cause a choking cough because of the effects of the anesthesia.

If all of this can be overcome slowly, the back pain is difficult to cure on its own. Before the operation, my back was so good that I never knew what it was like to have back pain.

But after the anesthesia, my back became very sensitive, and when I put a little force on it, it would immediately become too sore to lift. Especially around the time of a change of weather, that was more punctual than the weather forecast, as long as the back pain kicked in at night, the next day was either cloudy or rainy.

In addition, there is a significant decline in memory. In the past, my memory was particularly good, especially during the morning shift handover every day, when the shift report was visually inspected once, I was able to accurately recite the bed number of the patient who needed to be handed over, his name, diagnosis, what kind of surgery and what kind of treatment he had undergone, and how much he owed in fees. Even our director praised me for being the fastest and clearest nurse she had ever seen in reciting shift handover.

But it was this same advantage that was lost after having had a rupture anesthesia. With the shift report in hand, my brain was so muddled that I read the back of it and forgot the front, not to mention reciting it like I used to do.

My own bedside patients have been admitted for several days and I can't even remember their names or bed numbers, which would never have happened before.

That said, the pregnant senior doctor in our OB unit, she just delivered her baby with a smooth labor. Not only did she get out of bed the same day after delivery, but she was also able to hold her little baby and breastfeed and diaper herself like a normal person.

I was still there screaming in pain when she strutted through the door with baby Lay Ward in her arms, not to mention holding down my own pups.

Anesthesia for the 2nd rupture was even worse.

The same dosage failed on me, others were pain free soon after anesthesia, but I was always sensitive, the anesthesiologist didn't believe me and poked me in the belly with a needle, I could tell him the exact location awake. The anesthesiologist had no choice but to increase the dosage and told me to bear it if it hurt any more!

I dizzy! This time the anesthesia is really unsuccessful, the operation 🀄️ really hurts, although it is not as exaggerated as being vivisected, but the nails snapped the palms of the hands are bloody is also a fact.

After the surgery my doctor said it was caused by me becoming resistant to the anesthesia and not being sensitive to it. It was down to the after effects of the last anesthesia.

I would like to advise my female friends in the headlines that it's better to have a baby than to just let it ripen and go with the flow!

summarize

Intravertebral anesthesia includes subarachnoid block and epidural block, the latter also includes sacral anesthesia a method of anesthesia in which drugs (local anesthetics, opioids) are injected into a space in the vertebral canal, reversibly blocking spinal nerve conduction or weakening its excitability. Including: subarachnoid block (also known as lumbar anesthesia, Subarachnoidblock) and epidural block (also known as epidural anesthesia, Epiduralblock). Numerous clinical studies have shown that lumbar anesthesia and epidural anesthesia can delay the surgical stress response, reduce intraoperative bleeding, reduce the incidence of postoperative thromboembolism, and thus reduce the incidence of postoperative complications in high-risk patients. In addition, epidural block can also be used for postoperative analgesia, which is currently used for postoperative thoracic and abdominal surgery andMain analgesic methods of labor analgesia。

Indications and contraindications

1. Indications:Surgery of the lower abdomen, lower limbs and perineum and anus.

2. The following conditions are prohibited:

(1) Diseases of the central nervous system, such as meningitis, grey and white matter inflammation of the anterior horn of the spinal cord, tuberculosis and tumors.

(2) Puncture site infection or sepsis.

(3) Cardiovascular insufficiency, such as severe anemia, shock, heart failure, hypertension, and coronary heart disease.

(4) Ascites or large tumors in the abdominal cavity.

(5) Coagulation disorders.

Complications of both types of anesthesia

1. Extensive spinal nerve block: Due to extensive sympathetic and motor nerve block, blood pressure drop, bradycardia and respiratory movement disorder can occur respectively. Severe hypotension can cause ischemia and hypoxia in the respiratory center, resulting in respiratory depression. If sedatives or narcotic analgesics are used, respiratory depression or respiratory arrest is more likely to occur. If respiratory depression is not detected in time, prolonged hypoxia or carbon dioxide storage can cause respiratory arrest and cardiac arrest.

2、Headache after lumbar anesthesia: It usually occurs within 72 hours after lumbar anesthesia. Characterized by headache is more intense when raising the head and sitting up, and reduced or disappeared when lying down. It is mainly related to the decrease of intracranial pressure caused by the leakage of cerebrospinal fluid from the puncture needle. Preventive measures include active fluid rehydration during the operation and making the patient lie down for 6 hours after the operation. Treatment includes symptomatic analgesia, and if ineffective, the original puncture site can be filled with epidural injection of intermediate molecular dextran or autologous blood.

3, urinary retention: when sacral 2 ~ 4 issued by the bladder innervating parasympathetic nerve is blocked, inhibit the contraction of the bladder muscle and the relaxation of the bladder sphincter, resulting in urinary difficulties. Voiding function usually recovers as soon as the block is removed. Catheterization may be necessary.

4. Injury: improper puncture operation can damage the spinal nerve roots or spinal cord, causing abnormal sensation in the lower limbs, abnormal tendon reflexes, or urinary and fecal incontinence.

5. Rare complications include central nervous system infections and cranial nerve palsies.