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BEST TREATMENT SPECIALIST FOR PAINLESS DELIVERY

ODISHA CENTRE FOR L.I.F.E

(LAPAROSCOPY, INFERTILITY, FIBROIDS & ENDOMETRIOSIS)

Painless delivery refers to the use of an epidural injection for pain relief during labor. An anesthesiologist gives an injection in the lower back and places a plastic tube through which drugs are released around your spinal cord

Labor pain has been described by most as the most painful experience a woman can have in her lifetime. Efforts have been taken for centuries to remove this labor pain. But it has never been easy in the past as in the present. Despite of this entire negative attitude by many 85% women prefers some methods like epidural for labor pain management.

  • Analgesics (pain killer)- Morphine group of drugs are only effective but used mainly in earlier stages when the pain is not so intense. It has serious side effects on baby, so used rarely.
  • Oxygen and nitrous oxide mixture- this mixture is inhaled to get rid of pain. It is very safe to both mother and baby, but not very effective, good amount of pain persists.
  • Other methods (TENS etc.): not so effective.
  • Epidural analgesia and anaesthesia- It is the most effective, most safe for both mother and baby and so, most widely used in western country. More than 85% of expected mother prefers this method at present days in western countries and available since 1960s. A fine catheter (tube) is introduced in the back between two lumber vertebrae in a space called epidural space, which lies immediately outside the outermost layer of the spinal cord (There are three layers or membranes which cover and protect spinal cord.). Whenever there is pain, a liquid (diluted anaesthetic drug mixed with other drugs) is introduced via the indwelling catheter and there is almost instant pain relieve. Some ambulatory pump introduces the drugs contineuously. Here only the pain sensation of abdomen and lower limb goes away. The patient is fully conscious, can move her legs and all other sensations are present.
  • Analgesics (pain killer)- Morphine group of drugs are only effective but used mainly in earlier stages when the pain is not so intense. It has serious side effects on baby, so used rarely.
  • Oxygen and nitrous oxide mixture- this mixture is inhaled to get rid of pain. It is very safe to both mother and baby, but not very effective, good amount of pain persists.
  • Other methods (TENS etc.): not so effective.
  • Epidural analgesia and anaesthesia- It is the most effective, most safe for both mother and baby and so, most widely used in western country. More than 85% of expected mother prefers this method at present days in western countries and available since 1960s. A fine catheter (tube) is introduced in the back between two lumber vertebrae in a space called epidural space, which lies immediately outside the outermost layer of the spinal cord (There are three layers or membranes which cover and protect spinal cord.). Whenever there is pain, a liquid (diluted anaesthetic drug mixed with other drugs) is introduced via the indwelling catheter and there is almost instant pain relieve. Some ambulatory pump introduces the drugs contineuously. Here only the pain sensation of abdomen and lower limb goes away. The patient is fully conscious, can move her legs and all other sensations are present.

The anesthetic medications which are deposited in the epidural space act by two mechanisms. The nerves that are leaving the spinal column are blocked by these medicines hence the nerve conduction is blocked and hence analgesia or anesthesia is achieved depending upon the dosage of the medicine.

There are opioid receptors in the spinal column that are blocked by these opioid medicines, which then results in pain relief or anaesthesia.

The concentration of the medicine determines whether the medication is an analgesic or anesthetic in nature. When higher concentration of a medicine is used it will block all the sensations carried by that nerve and lead to anesthesia. If the same medicine is used in lower concentration it will block only the pain fibers and will cause analgesia which means only the pain relief without causing muscle weakness.

This mechanism is used in giving labour analgesia or what is commonly called as painless labour. Here the nerves that carry pain sensation — caused by strong uterine contractions — is blocked at the spinal level and not allowed to reach the brain; where normally humans feel pain. Therefore, the pregnant woman can deliver the child with very little or no pain.

There are two main techniques to administer an epidural, they are:

Single shot epidural: The epidural space is usually injected with opiod medication, by injecting it into the epidural space. This usually involves the doctor administering an injection on the patient’s back (in the cervical, thoracic or lumbar region).

Epidural catheter technique: Alternatively a fine bore tube can be passed into the epidural space and the medication can be deposited into the epidural space continuously or intermittently.

So, if you are really interested for a normal delivery but minus the pain,then we are there to help you at APOLLO.My team is available round the clock to help you in your pursuit for motherhood, and most importantly PAINLESS….

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