Answers to Frequently Asked Questions about Labor Analgesia

1.Will painless labor hurt the baby? The implementation of painless delivery is to maintain the safety of the mother and the fetus as the highest principle, the concentration and dose of drugs used is far lower than the anesthesia of cesarean section, through the placenta of the drug is minimal, so there is no adverse effect on the fetus. 2.Will painless labor hurt the spinal nerve? Painless delivery is operated by experienced anesthesiologists; the puncture method is exactly the same as that of cesarean anesthesia; and the indications for labor analgesia are strictly selected, so the incidence of neurological injury is extremely low. 3.Is painless labor really painless? Nowadays, the painless labor and delivery technique of intrathecal block can be completely painless; however, the best effect is to keep the slight pain sensation, and you can push at any time when you need to; therefore, keeping the slight uterine contraction sensation is the best painless labor and delivery method. 4. Is it possible to have a cesarean section during painless labor? The need for cesarean section is not necessarily related to painless delivery; it depends on whether the fetal cephalopelvic proportion, fetal distress and other obstetric factors; if the anesthesia for cesarean section, the process of re-puncture is eliminated, which buys time for the operation. 5.What is the difference between labor analgesia and cesarean anesthesia? Labor analgesia technology is only analgesia, not anesthesia; labor analgesia anesthesia dosage is cesarean section anesthesia dosage of 1/10 or smaller drug concentration, no effect on the fetus; labor analgesia only block the pain sensation, the motor behavior (such as walking on the ground, contractions, breath holding and excretion, etc.) has no blockage; and cesarean section anesthesia, the two lower limbs can not be lifted at all. 6.Will painless labor prolong the time of labor? In the past, the concentration of local anesthetics used in the implementation of painless delivery was higher, which would indeed prolong the labor process. In recent years, obstetric anesthesia has been using very low concentration of anesthetics, and it has been found that the chances of prolonging the labor process due to anesthesia factors have been greatly reduced. 7.Will painless labor affect the exertion of the mother? Originally, when the concentration of the drug is large, there is a certain effect, but now the dose of the drug is reduced, and the drug is stopped when the uterine opening is complete, so the effect is very small. However, if the fetus is bigger than 4000 grams, even if it is “painless”, it can affect the exertion and cause prolonged labor. 8.Why is painless labor only carried out now? Painless labor technology is still in its infancy in China, and most hospitals have not yet implemented it routinely for various reasons. There is also the traditional concept of not caring enough about pregnant women, and they think that labor should be painful. Nowadays, with the improvement of living standard, people’s demand for quality of life is also improved, which puts forward higher requirements to our doctors and hospitals, that is, the strong market demand is the driving force to carry out painless labor and delivery. Painless labor and delivery technology is becoming more and more mature in our country, our hospital started to carry out in 2010, has accumulated a lot of mature experience, and to achieve 24-hour service, very few side effects, mother and baby are all safe, and significantly reduce the rate of cesarean section, about 30% to 45% of the mothers did painless labor and delivery, mothers and their families are satisfied. At present, the painless delivery technology is being popularized under our efforts to solve a big problem for the majority of mothers. 9.How much does painless labor cost? In our hospital, the total cost of labor analgesia, including anesthesiology techniques, disposable puncture kits, obstetrics-related costs, is about 900 yuan. 10.Is it true that if I have painless labor and delivery, I can definitely have a natural delivery without a cesarean section? Painless labor can relieve the pain during labor and reduce the rate of cesarean section, but it is impossible to avoid it completely. In case of fetal distress, cloudy amniotic fluid, abnormal prenatal bleeding and other abnormalities, an emergency cesarean section is required. However, it is no longer necessary to carry out back puncture, only through the epidural catheter directly injected according to the surgical needs of anesthesia drugs and dosage can be, shortening the anesthesia time, is conducive to the rescue of mothers and infants. Postoperative analgesia is also available after the surgery. 11.Does painless labor affect postpartum urination? There is a certain effect, and urinary retention is easy to occur after delivery. At present, after the drug concentration is reduced, the effect is very little. The problem of post-partum urination is not only a problem of anesthesia. During the process of labor and delivery, women are encouraged to urinate more often to avoid congestion and edema of the bladder caused by the pressure of the fetal head on the bladder, and after the delivery, women are encouraged to get down to the ground and urinate as early as possible.