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Labour analgesia, including epidural anaesthesia /analgesia treatment in Hebbal, Bangalore

Labour analgesia, including epidural anaesthesia /analgesia

Labour analgesia, including epidural anaesthesia /analgesia treatment in Hebbal, Bangalore

Labour analgesia treatment in Hebbal, Bangalore alleviates or manages pain during labour with the help of an epidural and/or anaesthetic. Labour pain has been regarded as women's worst pain , and medicinal science has made an ongoing effort in this discipline to find a better way to ease labour discomfort. Since the historical use of ether for labour analgesia, other pharmacological and nonpharmacological treatments for labour analgesia have evolved, each with its advantages and disadvantages.

Labour pain results from numerous complex physiological and psychological interactions, excitatory and inhibitory. Pain during the early stage of labour is caused by enlargement of the lower uterine segment, mechanical dilatation of the cervix, and, finally, stretching of excitatory nociceptive afferents caused by uterine muscle contraction.

The severity of pain is proportional to the duration and strength of the contraction.

Process for delivering labour analgesia

For women, pain relief during labour is an important aspect.  There are various pharmacological methods for pain relief, such as breathing in nitrous oxide, opioid injection, and local analgesia along with epidural to perform central nerve block. There is wide use of epidurals for labour-related pain relief. It involves an injection of a local anaesthetic into the backbone’s lower region in the proximity of the pain-transmitting nerves. An epidural solution is administered via bolus injection, a large, rapid injection, or via a continuous infusion, or by using a patient-controlled pump. When a lower concentration of local anaesthetic is delivered along with an opiate, women can move around during labour and participate actively in the birthing process. A combined spinal epidural comprises one injection of a local opiate or anaesthetic directly into the cerebral spinal fluid for quick pain relief, along with an epidural catheter to ensure continuing relief from pain. 

Circumstances appropriate for employing labour epidurals

  • Anticipated airway difficulty or risk of using a general anaesthetic

  • Assisted vaginal delivery is at high risk due to factors like multiple gestation or breech

  • Body Mass Index (BMI) is high

  • Maternal cerebrovascular, respiratory or cardiovascular disease

  • Pre-eclampsia (where thrombocytopenia or coagulopathy are found not to be severe)

  • Spinal disorders where urgent neuraxial anaesthesia  placement could become problematic, such as scoliosis

  • When trying labour, post a previous caesarean section.

Advantages of various neuraxial techniques

Epidural

  • Provides continual analgesia

  • Provides the ability to convert from analgesia to anaesthesia  if operative delivery is to be performed

Combined Spinal - Epidural

  • Provides rapid analgesia 

  • Provides benefits of spinal as well as epidural

  • Provides continuous analgesia

  • Provides the ability to convert from analgesia to anaesthesia  if operative delivery is to be performed

  • Provides increased likelihood of functional epidural catheter

Spinal

  • Provides rapid analgesia

  • It has a fast insertion time

  • Has a lower risk of epidural haematoma compared to epidural

Book an appointment at Manipal Hospitals to know more about treatment with the help of best anaesthesiology doctors in Hebbal, Bangalore. 

Experience world-class healthcare at Manipal Hospitals. Our expert team of doctors and state-of-the-art facilities ensure personalized and advanced treatments. Take the first step towards wellness. Book an appointment today.

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