General anesthesia at birth: understand the risks. Also understand in which cases local and locus regional anesthesia are used at childbirth.
In addition to epidural, spinal and double-block anesthesia, there are three other types of anesthesia that can be used during childbirth: local, regional, and general. General anesthesia only appears as an option in cases of emergency, when there are serious risks for the mother or the baby. Understand below when these anesthesia can be used:
When does the doctor choose general anesthesia at delivery?
Nowadays, deliveries with general anesthesia are rare and only done in extreme cases. There are women who have undergone spinal surgery, for example, and do not have room to pass the needle for epidural or spinal administration. In these cases general anesthesia is indicated and the greater risk is because the medication is intravenous, explains Márcio Coslovsky, medical director of Primordia Reproductive Medicine.
The delivery should be done quickly to avoid the baby’s contact with the substance, but because it is only indicated in extreme cases, such as emergencies, the team is already prepared to have this agility, ” says Márcio. “Orotracheal intubation of the patient is required, who will breathe through the aid of the respirator. Loss of consciousness and sensitivity occurs“Reinforces Erica Mantelli.
For children, there are risks of respiratory depression and even cardiac arrest .” General anesthesia is the only option when the mother’s life is at risk, as in cases of eclampsia, when there are contraindications to regional blockades , or even when the baby is at immediate risk of life. It is considered the fastest way to perform the cesarean, “says the anesthesiologist at the Salt Lake Hospital, in São Paulo, Flavia Lopes.
Local and regional anesthesia at birth: understand
Both local and regional anesthesia are used exclusively in normal delivery. ” At the site, an anesthesia is performed on the nerve responsible for the sensibility of the perineum, vagina and vulva. After this local anesthesia it is possible to make a small cut, the episiotomy, which facilitates the passage of the baby through the vagina, ” says Erica Mantelli.
Both act through xylocaine or lidocaine. “The difference between the two is basically where they are injected. The regional locus, instead of being applied at the cutting site, is applied at the root of the limb, anesthetizing the region, not just a specific location, ” concludes the Primordia Reproductive Medicine Márcio Coslovsky.