Epidurals during labor
Video taken from the channel: Baptist Memorial Health Care
How often do epidurals not work, and why? What can fix the problem?
Video taken from the channel: IntermountainMoms
Around 61% of women get an epidural or spinal anesthesia for pain management during labor—and research shows epidurals don’t work 12 percent of the time. That’s usually due to the placement of the. If you find that your epidural is not working, do not panic.
There are still things that can be done to help relieve pain in labor. Try Flipping From Side to Side Sometimes you might have one spot that isn’t quite numb or isn’t as numb as another side. Epidurals can cause a sudden drop in your blood pressure.
Your blood pressure is monitored throughout your labor and delivery to ensure adequate blood. Epidural that is not functioning properly is one of the most frustrating situations for obstetric anesthetists. However, every medical procedure, including labor epidural, has its failure rate. Sometimes surgical operations do not produce the desired result, drugs.
However, in certain circumstances, it may be harder to get an epidural late in labor because: The anesthesiologist may be busy with other patients, so it could take longer for her to arrive once you decide you want the pain medication. Your labor and delivery team may urge you not to request pain relief if they think you’ll deliver your baby soon. An epidural usually takes about 10-15 minutes to take effect and, because the medication can be continuously administered via the catheter as needed, it can last throughout labor.
So the not-so-great news: sometimes, labor can last a long time. The really great news: so can the pain relief from an epidural. Let’s hear it for modern medicine!
If mom decides she wants to wait until she goes into the last stage of labor (transition) before receiving an epidural, this won’t work. If she tries, she’s going to be painfully disappointed. This is because, by the time she’s in the transition phase of labo.
Because of this, additional medications or interventions may be needed, such as a vacuum, episiotomy, forceps, or a cesarean. Talk to your doctor when creating your birth plan about what interventions he or she generally uses in such cases. (You can also request for the epidural to be turned off when pushing. As to this problem, because labor contractions may come at intervals of two minutes, an epidural will be put in place even as the contractions come and go. But this is all right.
The procedure is not too delicate and although small or moderate movements may slow down its placement, the effect is minimal. When can an epidural NOT be used? An epidural may not be an option to relieve pain during labor if any of the following apply: You use blood thinners; Have low platelet counts; Are hemorrhaging or in shock; Have an infection on or in your back; Have a blood infection; If you are not at least 4 cm dilated; Epidural space cannot be located by the physician.
List of related literature:
|from Wall & Melzack’s Textbook of Pain E-Book|
|from The Labor Progress Handbook: Early Interventions to Prevent and Treat Dystocia|
|from Critical Care Obstetrics|
|from Fanaroff and Martin’s Neonatal-Perinatal Medicine: Diseases of the Fetus and Infant|
|from Nurse Anesthesia E-Book|
|from Management of Common Problems in Obstetrics and Gynecology|
|from ASTNA Patient Transport E-Book: Principles and Practice|
|from Chestnut’s Obstetric Anesthesia E-Book|
|from HESI Comprehensive Review for the NCLEX-RN® Examination E-Book|
|from Clinical Anesthesia|