Painless delivery ten cognitive misunderstandings

What people usually call "painless delivery", medicine known as "childbirth analgesic", and many pregnant women who have experienced excessive childbirth analgesia call it "the light of the maternal".In simple terms, childbirth analgesic is to reduce the pain of the mother during childbirth through analgesic technology, reduce the fear of maternal delivery and postpartum fatigue during delivery, reduce the rate of cesarean section, and achieve "painless" baby.

With the strong support of the National Health and Health Commission, my country’s childbirth analgesic rate has increased from less than 10%in 2018 to about 20%.Although it has made great progress, only a few pregnant women can enjoy childbirth analgesic technology.

Why is the use rate of giving birth so low?One of the important reasons is that many people have many misunderstandings about painless delivery.At present, the main methods of childbirth analgesic include inhalation and analgesic, non -medicinal analgesic, analgesic internal internal spinal canal, and analgesia for general opioids.Among these analgesic methods, the analgesic internal internal spinal canal is recognized as the "gold standard" of childbirth analgesic. It is most widely used in clinical practice and is also a prerequisite for discussion in this article.

Misunderstanding 1: Painless delivery will affect fetal intelligence

Will painless delivery affect the fetal intelligence and health?If you want to know the answer to this question, you need to understand how painless delivery is operated -anesthesia drugs injected the spinal canal of the maternal lumbar spine through the catheter to block the nerve conduction, thereby lifting the pain of childbirth.Therefore, the anesthesia does not enter the mother’s blood circulation, and it will not be secreted through the placenta or milk. The fetus does not have the opportunity to contact the anesthetic, and it will not affect intelligence and health.

If no painless delivery is done, long -term severe pain will increase the maneuverazoline substances in the maternal body, leading to increased blood pressure and accelerating heart rate, which will increase the risk of fetal hypoxia and acid poisoning.

Misunderstanding 2: Painless delivery will fall back pain

Many mothers have back pain after giving birth, and the analgesic of childbirth often becomes a "back pot man".In fact, there are many reasons for postpartum back pain–

The amount of uterus during pregnancy increases, the weight of the uterus gradually increases and compresses the bottom of the pelvis for a long time, which can easily cause back pain;

Pregnant women have increased calcium loss during pregnancy, coupled with blood dilution and other reasons, physiological low calcium or bone reduction often occurs, which may lead to low back pain;

It is very hard to bring a baby after giving birth. If the mother often stands for a long time, squats for a long time, or feeds and changing diapers in incorrect postures, it can easily cause lumbar muscle strain and cause back pain;

Some women’s dew was discharged smoothly, and the blood stasis of the uterine cavity can easily cause back pain;


In fact, the vast majority of postpartum back pain is caused by muscle or other soft tissue problems, and has no causal relationship with childbirth analgesics.Generally speaking, postpartum pain will be relieved by itself after a few months. If it continues or pain is more serious, it is recommended to go to a regular hospital to try postpartum recovery, neuromuscular electro -electrical stimulus therapy, exercise therapy, etc.

Misunderstanding 3: Painless delivery is greater than the side effects of the cesarean clinic production

Children’s analgesic can reduce unnecessary cesarean section and increase the proportion of smooth delivery.Shipping is a normal and healthy physiological process. In the process of natural delivery, the regular contraction of the uterus can exercise the fetal lungs. The expansion of the alveolar promotes the maturity of the fetal lungs, which is conducive to the baby’s quickly establish normal breathing and reduce the baby’s baby’s.Respiratory system problem.

In addition, the birth can also promote postpartum exposure excretion, uterine recovery, reduce postpartum bleeding, and recover faster postpartum.After the delivery, the maternal milk time will be nearly 10 hours earlier than the cesarean section, which can allow the baby to drink breast milk earlier.

If you are afraid of doing unnecessary cesarean section because of fear of pain, the oxytocin is relatively slow in the mother’s body. In addition, the cesarean section is divorced on the uterine muscle layer, which may cause major bleeding during the operation and postoperative.Weak, maternal recovery is slower.Clicter section will also increase the risk of dangerous uterine diverticulum, unclean menstruation, and dangerous pre -placenta, placental implantation and uterine rupture when you are pregnant again.

Misunderstanding 4: Painless delivery technology is not mature

As early as 160 years ago, Queen Victoria in the United Kingdom tried to give birth analgesics.The birth of analgesic analgesic has opened a new era of giving birth analgesics.Child and analgesic is a mature technology. It is the basic operation that every anesthesiologist must be proficient in. The safety and effectiveness have been repeatedly verified by a large number of practice.At present, the penetration rate of giving birth in the United States and most European countries has exceeded 85%.

Misunderstanding 5: Painless delivery will extend the output time

Many pregnant women are worried that the analgesic of childbirth will affect the birth process.The latest domestic expert consensus and American obstetrics and gynecologists believe that the analgesic of extraterritable extraction of the duro has no effect on the first outbuilding, and the second output may be slightly extended, about ten minutes.This extension has no effect on the ending of the newborn.With the reduction of the concentration of the anesthesia of the analgesic bureau of the childbirth, this impact is even more minimal.The pain of childbirth only blocks sensory nerves and does not block the motor nerves. That is to say, while the mother does not feel the pain, the uterine contraction also exists.In an analgesic state, the pelvic floor muscles are relaxed, which is conducive to the decline of the fetal head and the opening of the palace.

Misunderstanding 6: It can be painless at all after painless

Different people have different feelings of pain and tolerance.In order to avoid the toxic effect of anesthesia and try not to affect the maternal activities, anesthesia doctors generally use lower concentration doses to reduce the pain of mothers and reduce the contraction. Therefore, some mothers may also feel mild pain.Of course, once the analgesic effect is weakened, the anesthesiologist will adjust the dosage of the anesthesia at any time so that the mother will enjoy the best childbirth experience.

Misunderstanding Seven: Painless delivery can hit if you want to hit

Most mothers can give birth analgesics, but not all of them.This requires the evaluation of obstetricians and anesthesia doctors. The maternal can be given normally without the test of taboos in the spinal canal (such as abnormal coagulation function, allergic to anesthetic, intracranial high pressure, severe spine malformations, etc.)pain.

Misunderstanding eight: Painless delivery costs are high

The cost of giving birth in different regions is different.Taking a three -in hospital in Shanghai as an example, the cost of giving birth to an analgesic at about 2,500 yuan is far lower than the cesarean section.

Since China has comprehensively promoted the analgesic work of childbirth, there have been more than 20 cities in China. At present, it has successively introduced special charge standards for childbirth and analgesics. In some regions, it has incorporated it into medical insurance, which greatly reduces the economic burden of maternal families.

Misunderstanding Nine: Do not eat after giving birth

There are some controversy for whether fasting in the process of childbirth.However, the latest expert consensus believes that no matter whether or not you have giving birth, a solid diet should be avoided after entering the delivery process.However, the childbirth process requires a lot of energy, so you can drink some liquid drinks, such as water, sports drinks, fruit juice and hot chocolate.But low) better than pure water.

Misunderstanding Ten: After cesarean section, you can’t get painless delivery after you have a cesarean section.

Many pregnant women who have experienced pain and torture after cesarean section want to choose painless natural delivery.The international industry and scientific community has been trying to trial vaginal trials (tolac) after the at the end of the 1970s, and the effect is very good.TOLAC is currently being promoted safely and steadily, but whether pregnant women can conduct TOLAC must be fully evaluated by obstetricians.

The pain of childbirth is not justified, and the pain to reduce the pain for the mother is not only a respect for the individual of life, but also a manifestation of the birth civilization.On the basis of the country’s high attention, active medical care, and misunderstandings of family breakthroughs, I believe that my country’s childbirth analgesic rate will be greatly improved, so that more and more maternals will welcome the arrival of new life in a comfortable state.

(The author is Zhang Le, the attending physician of the Department of Anesthesiology and Gynecology, Affiliated to the Obstetrics and Gynecology Hospital of Fudan University)

Source: People’s Daily -People’s Daily Overseas Edition

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