Painless labor with Epidural analgesia

Epidural analgesia

Epidural analgesia is a central nerve block technique in which a local anaesthesia is injected close to the nerves that carry pain sensations. It is given in the epidural space in the back when the patient is about 3 cm dilated to reduce the pain of labor contractions.

It is usually removed after the Episiotomy has been sutured.

Advantages of Epidural analgesia

  • Relief of pain during first and second stage labor pain
  • Suitable for C-section, episiotomy or forceps delivery
  • Can be given to woman with PIH (pregnancy induced hypertension)
  • Allows extension of anaesthesia for caesarean delivery
  • Avoids opioid-induced maternal and neonatal respiratory depression
  • Gives ample time to rest
  • Reduces hyperventilation
  • Facilitates patient cooperation during labor and delivery

Contraindications for an Epidural anaesthesia

  • Hypotension
  • Heart diseases
  • Anatomical difficulties in the spinal column
  • Bleeding disorder
  • Skin infections
  • Known allergy to the local anaesthetic drug
  • Certain medications like anticoagulants
  • Thrombocytopenia
  • Patient refusal
Authored by Dr.Deepak Rao

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Dr. Deepak Rao is a gynaecologist and laparoscopic surgeon. A pioneer of endoscopic surgery (laparascopy and hysteroscopy) in Bangalore

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