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In November, the National Health and Medical Commission issued the "Notice on the Pilot Work on Childbirth Analgesia", which proposed that from 2018 to 2020, a pilot childbirth analgesia should be launched nationwide, and the diagnosis and treatment of childbirth analgesia should be gradually promoted throughout the country.



As soon as the news came out, there were those who were happy, those who were worried, and the mothers and their families also held their own words. And what exactly is analgesia in childbirth? What are the benefits of childbirth analgesia?
Painless birth helps happy "pregnant" mother
The vast majority of expectant mothers have a consensus that both natural delivery and cesarean delivery are beneficial to both the mother and the baby. However, the pain during natural childbirth has made mothers afraid, but with the advancement of modern medicine, "childbirth analgesia" came into being. What exactly is analgesia in childbirth?



Maternity talks about "raw" discoloration. At present, with the liberalization of the two-child policy, the fertility rate in our city has also gradually increased. Although the birth of children is extremely happy, many mothers talk about the production process. Recently, a mother-in-law and citizen He Wei said, "Although natural childbirth is good for adults and children, I'm afraid I can't stand the pain."
How painful is maternal birth? According to the medical classification, the pain of childbirth can be compared with the pain of burns and higher than the pain of scalpel. Although pain is a necessary stage of childbirth, pain may affect the labor process and have adverse effects on the mother and fetus.



What is childbirth analgesia
The medical term "birth analgesia" is actually a painless delivery commonly known by the people. Ke Shangao told reporters that it refers to the use of reasonable drugs and techniques to reduce the pain of pregnant women during delivery until they disappear under the highest standards of maintaining maternal and fetal safety. Painless childbirth generally includes drug analgesic childbirth, mental analgesia childbirth, childbirth in water, spinal block anesthesia, and other methods.
The analgesia technique of spinal block anesthesia with the participation of anesthesiology department is currently recognized internationally as the most reliable and most widely used method of labor analgesia. According to Ke Shangao, the dose of this technology applied to narcotic drugs is only 1/5 to 1/10 of that required for cesarean section. The dose is small and safe. When the mother enters the birth process and receives the spinal canal block, the concentration of anesthesia is low and the controllability is strong during the whole process, which will hardly affect the mother's activities. And it will not cause any impact on the fetus. "This technology is highly analgesic, and can even be completely painless. It is especially suitable for women with severe labor pain."
Childbirth analgesia helps natural delivery reduce caesarean section
City Maternal and Child Health Hospital introduced childbirth analgesia technology in 2008, and it has been a full 10 years. What are the positive effects of childbirth analgesia?
Vigorous promotion from clinic to production: After the introduction of childbirth analgesia technology, after 10 years of development, the painless delivery of the city's maternity and child health hospital has gradually matured. Through the vigorous promotion of the hospital, painless delivery has become more familiar to more mothers And accept. "I received painless childbirth at the City Maternal and Child Health Hospital in 2009. There was only a slight pain when I gave birth to a child, so the entire production process went smoothly." A few days ago, the citizen Chen Min told reporters that 9 years ago, painless childbirth was in most cases. Maternal eyes are a novelty. "At that time, my family did not agree with me, but I checked the information online and actively communicated with medical staff, and finally convinced the family."



In order to promote painless childbirth, the hospital conducts education from the outpatient clinic. In addition, if a pregnant woman has any questions about childbirth or wants to know about painless labor, you can also go to the midwife clinic opened by the hospital. If the mother and family agree to a painless delivery, the labor analgesia is performed after an assessment by an obstetrician. "Before that, the medical staff will perform a blood test on the mother." Here, the medical staff reminded that if the mother had abnormal blood coagulation, infection or injury at the puncture site, low blood volume or hypotension, increased intracranial pressure, spinal disease or Severe spinal deformity, neurological disease or neuropathy, etc., those who are allergic to local anesthetics and opioids cannot use labor analgesia during delivery.



Help natural births reduce cesarean section
Adopting safe and effective analgesic methods during childbirth to allow the mother to naturally welcome the arrival of a new life can not only make labor a pleasant and meaningful process, but also an important means of protecting the health of the mother and baby. "Delivery analgesia can help mothers give birth naturally and reduce cesarean delivery." Ke Shangao, director of the Department of Anesthesiology at the City Maternal and Child Health Hospital, told reporters that since the hospital implemented painless delivery, the hospital's cesarean delivery has dropped to about 30%. Obstetrics and gynecology nurse Zhang Miao said that if the mother used childbirth analgesia during labor, it would help the mother block the pain, not affect the activity, and give birth more naturally.
There is a long way to go to promote painless delivery
Although the country has vigorously promoted the concept of childbirth analgesia and expanded the coverage of childbirth analgesia, in fact, relevant data show that the current rate of childbirth analgesia is less than 20%. According to statistics, the data of the city's maternity and child care hospitals have increased slowly in the past few years. After 2016, the impact of the two-child policy has increased significantly. Many people are still worried about painless delivery. Medical staff said that some old ideas and the shortage of anesthesia talents have caused painless delivery to a large extent.



Citizens have concerns. "My daughter-in-law has always said that painless childbirth is used when giving birth. My wife and I are very worried. No matter what, we need to take anaesthesia." Citizen Ms. Wang told reporters that her daughter-in-law will give birth around April next year, but she still feels that Natural delivery is better. "Everyone is afraid that narcotics will affect the child's development." Citizen Zhang Ying told reporters that before she gave birth last year, her parents deliberately rushed to Hangzhou to take care of her from her hometown in Tongling. "My mother is particularly opposed to my painless delivery. She thinks that it is inevitable for a woman to have a child. Unless cesarean section is unavoidable, narcotics should not be used in any other situation. "Zhang Ying said that the elderly generally felt that children should be the most important thing.



Old ideas are difficult to reverse. In the minds of family members, especially parents, painless delivery is clearly inconsistent with traditional concepts. Jiang Yan, an anesthesiologist at the City Maternal and Child Health Hospital, told reporters that in the work, they often encounter such situations: on the one hand, the mother asks for painless delivery, and on the other hand, her family members, especially the elders, strongly discourage it.
Ke Shangao, director of the Department of Anesthesiology of the City Maternal and Child Health Hospital, said that anesthesia will be given during painless delivery, but the amount of anesthetic used in this is greatly reduced compared to cesarean section. After all, the significance of painless delivery is to help the mother to naturally deliver and reduce the cesarean delivery rate. If the mother is too painful during labor, it will cause emotional stress and other adverse effects, but will have an impact on natural delivery.



Tongling Maternal and Child Health Hospital, as the second third-level first-class Maternal and Child Health Hospital in Anhui Province, has been carrying out analgesia and childbirth for ten years, and will continue to do so in the future, and make every effort to escort the smooth production of expectant mothers in the city!




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