Pain free normal delivery how and why?

Various questions are heard from expectant mothers regarding a painless normal delivery. Dr. Nusrat Jahan answered the same 8 common questions. Shared to inform our readers.

Pain free normal delivery how and why?

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Question No. 1: What do we mean by pain free normal delivery?

Answer: In this painless normal delivery process, the nerves that carry the sensation of pain during normal delivery are numbed with painkillers, so the patient cannot feel the pain of normal delivery. But at this time you can walk or do other work normally. This analgesic procedure is called epidural analgesia.

Question No. 2: How is it given and when is it given?

Answer: There are three stages of normal delivery viz.

First Stage: The period from the onset of labor pains until the cervix is ​​fully dilated (10 cm) is considered the first stage.

Second stage: From full dilation of vagina to delivery of baby.

Third stage: At this time the fetus or placenta is delivered.

In the first stage of normal delivery, this anesthesia is initiated when the cervix is ​​about four to five centimeters dilated and the patient cannot bear the pain.

In this procedure, a plastic catheter is inserted into the spinal cord, and after a while, painkillers are given into the epidural space of the spinal cord.

Question No. 3: What are the benefits of this process?

Answer: First of all patients who did not want to bear the pain of normal delivery will now be able to have a painless normal delivery easily. This will increase the rate of normal delivery.

The advantage is that the mother will be free from caesarean-related complications; As the risk of maternal death is somewhat increased for cesarean, bleeding and infection are more likely in cesarean delivery than in normal delivery.

Some of the other complications of cesarean include the formation of adhesions, i.e., loss of normal position of the abdominal organs, and the need for repeat cesarean after one or two cesarean.

Moreover, it usually takes two to three months for a patient to fully recover after a cesarean.

On the other hand, if the baby is delivered through normal delivery, the patient can recover very quickly and resume normal activities.

On the other hand, due to the normal process of the baby, they are less likely to suffer from respiratory and allergic diseases.

Question No. 4: What are the disadvantages?

Answer: The second stage of labor may take longer than normal labor because the mother cannot push as hard. Moreover, this process is expensive. But there is no possibility that the baby will have difficulty breathing due to this pain.

Question No. 5: Can epidural analgesia or sedation reduce the chance of normal delivery?

Answer: Epidural does not reduce the chances of normal delivery, but before any normal delivery, it cannot be 100% sure whether the baby will eventually be delivered through normal delivery. Many times it can be seen that when the baby gets stuck at any stage or fetal distress/baby has difficulty in breathing, caesarean section may be necessary.

Question No. 6: Are all mothers suitable for this delivery?

Answer: All mothers who are selected for normal delivery can get an epidural. But they are checked up by an anesthetist doctor once during pregnancy.

Question No. 7: What facilities are necessary in an organization to deliver in this way?

Answer: Firstly, there should be expert man-power for monitoring mother and baby during labour. An experienced anesthetist and facilities for emergency caesareans are essential. Also CTG machine is needed for continuous monitoring of mother and baby.

Question No. 8: What kind of experience do you have in this regard?

Answer: Pain free delivery is experienced in Saudi Arabia during labor and in this country as well. Any mother who wants pain free delivery or has any query can contact.

Dr. Nusrat Jahan

MBBS, FCPS (Obs-Gyn)

Associate Professor (Department of Gynecology)

Khawaja Yunus Ali Medical College, Sirajganj


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