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Obstetric anesthesia or obstetric anesthesiology, also known as ob-gyn anesthesia or ob-gyn anesthesiology, is a sub-specialty of anesthesiology that provides peripartum (time directly preceding, during or following childbirth) [1] pain relief for labor and anesthesia (suppress consciousness) for cesarean deliveries ('C-sections').
Pain management during childbirth is the partial treatment and a way of reducing any pain that a woman may experience during labor and delivery. The amount of pain a woman feels during labor depends partly on the size and position of her baby, the size of her pelvis , her emotions , the strength of the contractions , and her outlook. [ 1 ]
But despite the demands of female patients, little relief was offered before the mid-19th century. Chemical anesthesia during labor was first introduced in 1847, receiving support from women and reluctance from physicians. [4] The legacy of the Bible in the Anglo-American medical community was clear.
Provided a dentist performs proper aspiration to avoid intravenous injections, local anesthetics containing epinephrine (adrenaline) are safe to use during pregnancy. lignocaine and prilocaine are assigned a category B ranking by the FDA and are therefore safe for use during pregnancy. Lignocaine and prilocaine are sold as 2% and 4% ...
It is unclear if use during pregnancy is safe for the baby. [2] Tetracaine is in the ester-type local anesthetic family of medications. [4] It works by blocking the sending of nerve impulses. [2] Tetracaine was patented in 1930 and came into medical use in 1941. [5] It is on the World Health Organization's List of Essential Medicines [6]
During pregnancy, a baby is surrounded and cushioned by a fluid-filled sac. Usually the sac ruptures at the beginning of or during labour. It may cause a gush of fluid or leak in an intermittent or constant flow of small amounts from a woman's vagina.
Any additional time under anesthesia is usually related to ensuring that patients are safely cared for, such as securing a safe airway, or responding to physiologic changes that may occur because ...
Regional anaesthesia during caesarean section is different from the analgesia (pain relief) used in labor and vaginal delivery. [84] [85] [86] The pain that is experienced because of surgery is greater than that of labor and therefore requires a more intense nerve block. General anesthesia may be necessary because of specific risks to mother or ...