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The "walking" epidural, also known as walking epidural, is an anesthesia that manages to control the pain of childbirth without leaving the woman paralyzed from the waist down. It's about having apainless and meaningful labor.
Thanks to this anesthetic technique, the future mothercan move freely during the period of dilation and participate in a much more active way in expelling the baby, allowing greater autonomy and a high level of maternal satisfaction. Its use is proposed based on the physical conditions of the mother and the moment in which she is in labor.
The technique for applying thewalking epidural and the medications used in it are similar to those of traditional analgesia, but the doses change. The most commonly used drugs are bupivacaine or ropivacaine and fentanyl.
The walking epidural basically consists ofreduce the amount of anesthesia and slightly increase the opioidIn such a way that only the sensory fibers fall asleep and the motor fibers remain awake, that is, those that control movement. Thus, by not being asleep from the waist down and feeling the legs, the woman can get up without help to go to the bathroom, walk and, most importantly, actively collaborate in labor.
The usual amounts of anesthesia leave the patient asleep from the waist down, and this forces the expectant mother to remain lying on a stretcher until the moment of delivery and even after. With thewalking epidural, the woman can now move around the birthing area freely.
The procedure for placing the walking epidural is similar to that used for the traditional epidural. An epidural block consists of inserting a special needle into the space between two vertebrae in the lumbar region. This needle, placed in the so-called epidural space, allows the catheter to be placed through which the anesthetic medication that will relieve pain is supplied to the patient. The number of doses administered depends on how long the labor lasts.
One of the biggest advantages is thesensitivity with no discomfort,It is about giving the woman who wishes it the possibility to live a meaningful and painless birth. The woman in labor can feel the contractions and feel her child pass through the birth canal, without pain. In addition, low-dose combination of a local anesthetic with an opioid provides a highly selective non-motor block, allowing the woman to ambulate during labor.
The effects on delivery in this position are: greater satisfaction, less pain, shorter deliveries, better fetal heart rate rates and less difficulty in expulsion. On the other hand, it has been seen thatepidural analgesia With low doses, the percentage of instrumental vaginal deliveries decreases, without compromising the quality of analgesia, and it reduces the need to practice episiotomies, which is a cut made in the perineum to avoid tears when the baby's head appears.
For the proper use of this technique, a collaborative and informed pregnant woman is needed, who has continuous assistance from the midwife and the anesthesiologist. In addition, in many cases the presence of an adult will be needed for safe ambulation and to adopt the best position for labor within their choice. In addition, the expectant mother must be controlled through good maternal and / or fetal monitoring.
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