cause paralysis? Dr. From Kattan
The article was written and prepared by Dr. “Maan Kattan”, a consultant in anesthesiology and chronic pain management, Canadian Fellowship
Many have questions about the back needle for childbirth pain. In the following article, I will explain some things about it:
What is the injection of labor epidural analgesia back needles for birth pain?
It is considered one of the most important and best ways to relieve labor pain and natural childbirth. More than 80% of women in normal deliveries in North America get them to help relieve labor pain. It is usually performed by the anesthesiologist after making sure that the labor is regular and the neck is more than 4 cm wide.
Who gets the epidural injection. And when?
Her work requires highly experienced and skilled specialists and consultants. The catheter takes about 10 minutes to be placed and takes effect another 10 minutes.
How is the injection of the back needle epidural?
The needle is placed after placing the local anesthetic, and it is just to a catheter around the dura-veil, before the nerves, and the needle itself does not remain.
It is also placed below the level of the spinal cord. The catheter remains fixed throughout the period of childbirth, and local anesthetic is injected through the catheter until the placenta comes out and the delivery is completed.
What is the purpose of the back injection?
Its purpose is to relieve labor while maintaining the pressure of the uterine contractions (labor). To give the possibility of the mother pushing the fetus.
Local anesthesia is used in a light focus so that the mother can move with help to and from the bed, to go to the bathroom, for example.
What are the benefits of an epidural back injection?
One of the most important benefits of it is that it is the best way to relieve labor pain, which facilitates the access of oxygen during labor
And also the possibility of using it later to anesthetize the patient in case, God forbid, she needs a caesarean section.
It is rumored that the back injection may cause paralysis if injected in the wrong way. Is this true?
this is not true. As its side effects are as follows
In 15% of cases, the needle fails to relieve pain in the desired way, and there are several solutions to this issue, which we will explain later.
Headache, the incidence rate of less than 1%, and usually, God forbid, is occasional and fades within days.
Symptoms such as persistent bleeding, nerve damage, or bacterial infection are so rare, thank God, that a car accident is much more than their occurrence.
So why is a rumor that it causes paralysis?
The idea is that any damage to the nerve, even if temporary for months, is considered paralysis in patients! Even this temporary damage is still rare, but some consider it paralysis for hours, and this is not true at all.
Are there any contraindications for using a back injection?
There are several contraindications that the anesthesiologist cannot use the needle with the patient, including:
The presence of an infection in the blood or the site where the needle will be placed
Or having an allergy to the local anesthetic used
Or the patient refused her from the ground up
It is important to discuss with the anesthesiologist before her operation.
Is it true that the epidural back needle causes chronic back pain?
this is not true. As obstructed labor, loose ligaments between the uterus and back, and muscle strain during childbirth may be the main cause!
Is it true that the back needle Epidural prolongs labor and childbirth?
It is also a misconception that it prolongs labor and childbirth by several hours. This is not true as studies have shown at the maximum that labor and childbirth may increase for only 45 minutes.
In general, what I wanted to deliver is that the back needle to relieve childbirth pain is one of the best and safest methods available
