In recent times, epidural anaesthesia has become one of the most popular methods of relieving labour pain. Hospitals carry on the procedure at large every day given its huge demand by pregnant women. As much as up to 50 percent of expecting mothers are asking their doctors for epidural anaesthesia to alleviate intolerable pain that labour causes.
If you are expecting your labour or a loved one in your family is, knowing exactly what epidural anaesthesia is could help in making informed choices during the course of labour and delivery which you wouldn’t have to repent later.
Epidural anaesthesia is regional anaesthesia that works to cease pain in a particular area of the body. An injection of an anaesthetic is shot into the epidural space of the spinal cord which causes the sensation to cease in the abdominal and genital and pelvic areas of the pregnant woman.
An epidural anaesthesia aims at providing pain relief rather than causing a total lack of feeling in the injected area. It blocks the nerve impulses from the lower spinal segments which result into decreased sensations in the lower half of the body.
Epidurals are categorised under a class of drugs known as local anaesthetics, which include the likes of bupivacaine, chloroprocaine, or lidocaine. A combination of these medications is made with opioids or narcotics to reduce the required dose of local anaesthetics.
This diluted version of anaesthetics provides pain relief with minimal effects. Combinations of epidurals can also be made with epinephrine, fentanyl, morphine, or clonidine in order to sustain the epidural’s result or to steady the mother’s blood pressure.
Epidural anaesthesia is generally considered safe and reliable but may sometimes exhibit complications that you might want to look out for. Your doctor will be able to explain the following possible complications of epidural anaesthesia in a better light.
Headaches are a common side-effect of surgery but an epidural can occasionally give a more severe headache which is also knows as a post-dural puncture headache. When the lining of your spinal cord (dura) is punctured accidentally during the insertion of epidural, it gives rise to severe headaches.
Though rare, but infections are a complication of epidural anaesthesia. The site of injection may become infected in the weeks following an epidural. Other serious complications may arise from this such as an abscess forming, which is a painful collection of pus at a given body area.
However, the infection may seldom spread beyond the injection site to other body parts.
A rare but possible complication of an epidural is epidural haematoma. It is defined as a collection of blood building up in an organ, tissue or space of your body. A break in the blood vessel wall causes it.
An epidural haematoma may also lead to severe nerve damage, such as complete loss of movement of the lower half of the body, including your legs. This further complexity is very rare but is possible.
Other rare yet possible complications of an epidural anaesthesia includes fits, breathing difficulties, nerve damage leading to a numb patch of skin and even death.
However, very serious complications after an epidural are as rare as between 1 in 80, 000 and 1 in 320, 000.
Epidurals can certainly pose some temporary side-effects that need to be monitored by the doctor after giving the injection to an expecting mother. The following side-effects of epidural anaesthesia should be anticipated and alleviated:
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