Childbirth: epidural analgesics to control pain

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For many women the pain experienced in childbirth is unbearable and decided to consult an obstetrician about the different methods that exist to manage the discomfort.

In this post you know about what kind of anesthetic drugs are available to provide the pregnant woman at delivery. But before moving on to the instance of the drugs, it is necessary to explain more about the pain you feel when it comes to giving birth.

Pain in labor:

Every woman’s birth experience is different and it depends on the baby’s position, weight and length, and the pain threshold of each, but in general there is a shared experience of a progression of pain until the birth of baby.

In the first stage the contractions help open the cervix until it has almost fully dilated, this causes pain in the abdomen, back, thighs, or flanks.

Subsequently, the second stage takes place when the cervix is fully dilated, the baby begins to descend from the uterus into the vagina and this causes increased pressure in the rectum and lower vagina. There is a burning sensation in the pelvic tissues because the vagina is stretched and to make way for the baby.

There are two kinds pain medication used in childbirth:

Epidural anesthesia

It is the most common form of anesthesia used for pain relief during labor, this is inserted into the lower back of women, acts on the nerves and prevents pain messages reaching the brain.


Painkillers work throughout the body, travel through the bloodstream and effectively is somewhat variable. The pain subsides by 25 to 30 percent.

The epidural

There are a variety of epidural available:

Basic Epidural is injected into the lower spine, operates at 10 to 20 minutes and numbs the body below the waist. The legs can sometimes be insensitive to the point of being immobile for the duration of the effect.

Spinal Block: This is a shot in the lower spine for immediate pain relief where it will take several hours. A spinal block can cause immobility.

Combined spinal epidural (CSE): this produces immediate pain relief with different amounts of drugs from the epidural. A tube is inserted in the back as the traditional epidural, but before you are given a spinal injection first immediate pain relief, and during the process are given in lower doses if needed.

Epidural Patient Controlled (PCEA): A woman is given an epidural injection along with a button to administer pain medication when she feels that it needs only to press the button.