Epidural by alicejenny


									   Regional anesthesia that prevents pain in certain parts
    of the body
   The goal of having an epidural is to have some pain
    relief instead of loosing feeling in your whole body
   You loose feeling in the lower half of your body starting
    at your lower spine down to your feet
 There are two main types of epidurals
 1. Regular Epidural (used by most women)
    › Pumped or injected into your lower spine through a catheter
    › Combination of narcotics and anesthetics (given with the epidural
       to decrease the required dose of local anesthetic)
    2. Combined Spinal-Epidural (CSE) “walking epidural”
    - Inserted into the intrathecal area through a catheter
    - Can be either a narcotic or anesthetic or both at once
    - Allows you to move more freely (walk around)
    - Allows pain relief for 4-8 hours
   Provides pain relief while your still conscious
   Before the mother receives epidural she receives 1-2 liters of IV
    fluid throughout labor
   For a regular epidural they lie the mother curled up on her side and
    the anesthesiologist cleans your back and injecting a numbing
    medicine into the spinal column (where the needle is inserted).
   Then they insert the needle in the lower part of the spine through a
   Throughout labor more of the epidural is periodically given after the
    catheter is in place
   http://video.about.com/pregnancy/During-an-
 Allows you to rest
 Allows you to control the pain by adjusting the amount
 Still conscious
 Helps the recovery process
 Once you have an epidural it can also be used to
  provide anesthesia for a C-section or any other
  complication during birth
   It can cause blood pressure to drop (if this happens you
    will need to be treated with IV fluids, medication and
   Leaking of spinal fluid may cause severe headaches
   In rare occasions, permanent nerve damage may result
    in the area where the catheter is inserted
 Shivering
 Ringing of ears
 Back aches
 Soreness when needle is inserted
 Nausea
 Low blood pressure
 A bleeding disorder
 A blood infection
 Skin infection on lower back
 Any allergies to local anesthetics
 If you take specific blood thinning
 Low platelet counts
 If you are not at least 4 cm dialated
   Does getting an epidural hurt?
     Some women would say you would feel discomfort and
      pressure where the back is numb and when the catheter is
    When will an epidural be placed?
     Usually they are placed when the cervix is dilated 4-5 cm
      (active labor).
    How will an epidural effect the labor?
     It causes the labor to slow down and it weakens the
      contractions. If your labor does slow down Pitocin will speed
      labor up.
   How will I feel after the epidural?
     After the initial dose the nerves of the uterus will begin to
      numb after a couple of minutes. After 10-20 minutes you
      will feel completely numb. If labor prolongs for more than
      a few hours, a urinary catheter will need to be inserted
      because your abdomen will be numb. As the medication
      wears off some women will experience a burning feeling
      around the birth canal.
 "Epidurals and Labor - What Happens During an Epidural Video." How-to
  Videos: How-to and DIY Videos - About.com Videos. Web. 03 Mar. 2010.
 "Epidural Anesthesia : American Pregnancy Association." Promoting
  Pregnancy Wellness : American Pregnancy Association. Web. 03 Mar.
  2010. <http://www.americanpregnancy.org/labornbirth/epidural.html>.
 "Epidural Pain Relief for Labor | BabyCenter." BabyCenter | Homepage -
  Pregnancy, Baby, Toddler, Kids. Web. 03 Mar. 2010.

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