Which pregnant women are not suitable for painless delivery?

Epidurals are known to increase the time it takes for a woman to give birth. But a new study suggests it may be longer than previously thought.

According to the British \”Daily Mail\” report, a study by the University of California found that painless delivery did indeed greatly extend the time of labor. Women who had an epidural had labor that lasted 2 hours longer than women who did not use this method to relieve labor pain. The findings were published in the journal Obstetrics and Gynecology.

Dr. Yvonne Cheng, lead author of the study from the University of California, Los Angeles, said: \”The impact of an epidural is much greater than we realize, but as long as the baby is doing well during labor, the mother will try to deliver as well, so a doctor is not needed Intervention and preparation for caesarean section. She believes that women who have received epidural anesthesia traditionally take more than an hour to give birth because they cannot feel contractions and because of the anesthesia, it is difficult for them to know whether they are. Actively promote contractions. The baby is out

Cheng compared more than 42,000 women in San Francisco who gave birth between 1976 and 2008. About half of the women received an epidural, while the other half did not. The results found that 95% of first-time mothers who did not use painless delivery would push the baby out of the birth canal within 3 hours and 20 minutes. By comparison, for women who receive an epidural, most labors take about 5 hours and 40 minutes. For women who have given birth to a child, if painless delivery is not used, the baby will be born within 1 hour and 20 minutes. For multiparous women with pain-free delivery, this time takes 4 hours and 15 minutes. Overall, the researchers found that mothers who received an epidural spent an extra two hours in the second stage of labor.

The second stage of labor, also known as the fetal stage, is from the complete opening of the cervix to the delivery of the fetus. It takes about 1-2 hours for first-time mothers, less than 1 hour for multiparous women, and some only takes a few minutes. In the UK, if the postpartum period exceeds 2 hours for primiparous women and the postpartum period exceeds 1 hour for multiparous women, doctors will consider intervention and perform a cesarean section instead.

Not every pregnant woman is suitable for painless delivery

What we call a painless birth is an epidural. Over the past 20 years, epidural analgesia has been the most commonly used method of labor analgesia. In the first stage of delivery, when the mother is conscious, the anesthesiologist inserts an injection needle into the mother\’s back to a certain depth, about waist height, and then inserts a very thin and soft catheter through the needle. The maternal epidural space injects anesthetic into the spinal epidural space to block pain nerve conduction below the maternal waist, greatly reducing labor pain. The maternal can move normally and complete the delivery process easily and happily.

Except for some obstetric emergencies, back injury and infection, lumbar deformity or previous surgery, prepartum bleeding, shock and blood coagulation problems, \”Painless Labor Dural Anesthesia\” can be used by most women. First-time mothers who are particularly afraid of pain, as well as women with uterineWomen who experience severe labor pain due to strong contractions.

Although painless delivery is good, it is not suitable for everyone. Expectant mothers with contraindications to vaginal delivery or anesthesia should not use this method. This method cannot be used if blood coagulation is abnormal. Expectant mothers whose pregnancy is complicated by heart disease, drug allergies, and a history of waist trauma should consult a doctor, who will decide whether painless delivery is possible.

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