The Treatment Of The Vaginal Delivery

Compared to the general adult population the maternal airway management can be more challenging as changes during pregnancy can increase the difficulty of intubation (Brien and Conlon, 2013). Its makes hard to insert laryngoscope when the patient have a large breast, the chance of bleeding and swelling increases due to oedema and vascularity of the upper respiratory tract, and the patient desaturate quicker as there is increase in oxygen requirements and there is reduced in functional residual capacity (Mushambi et al, 2015). As a result of all the changes during pregnancy, if the problems encountered during the intubation of Mrs D were to happen to an obstetric patient, it is important to provide optimal surgical condition for to progress rapidly while aiming for a good neonatal outcome (Local theatre policy, 2015b). In obstetric patients, much of the issue is about the urgency with which the foetus must be delivered and the surgical operation must be done as quickly as possible - therefore making decisions in the event of certain clinical situations occurring will require a much quicker decision making process because there is an immediate threat to the life of the woman or foetus (Mushambi et al, 2015). This is why emergency obstetric anaesthesia is such a potentially hazardous

In 2006, data was collected on 303 babies who were diagnosed with anencephaly and were not terminated. Of those 303 babies, about 40% were born prematurely (before 37 weeks) and 4% beyond 42 weeks. Two-thirds of the mothers were either induced or had a planned cesarean section for those born at term. Polyhydramnios was present in 30% of the cases which accounted for 60% of those born prematurely. When delivered by cesarean section, 4% died during birth, 53% died within twenty-four hours, 30% lived up to five days, and 13% lived longer than six days. For vaginal births, 37% of babies died during birth when a doctor or midwife ruptured the amniotic bag, opposed to 18% if the amniotic bag ruptured naturally.

According to the American Pregnancy organization “more than 50% of woman giving birth at hospitals use Epidural Anesthesia”. These women turn to epidural to relieve the pain of labor; however this decision poses many risks to both mother and child. An epidural is a type of regional anesthesia where pain medication is administered to the lumbar and sacral region of the back near clusters of nerves. The placement allows for nerve impulses to be blocked from the lower regions of the body resulting in decreased sensations. Although the epidural is known for taking pain away it could very well cause it too. Epidurals include the use of various narcotics and have side effects like hypotension, fever, fetal malposition, decreased fetal heart rate, respiratory depression, breastfeeding complications, an increased likelihood of operative vaginal delivery and cesarean and many more. These are the effects faced in result to a procedure that is not definite to work. In Fact “One in every 8 women” (OAA) will experience inadequate pain relief and must venture to other means of medication. Therefore, mothers should abstain from epidural anesthesia due to the risks it poses to themselves and to the fetus.

The intent of this paper is to examine effective solutions for reducing cesarean deliveries. Cesarean deliveries involve more risk to both the mother and baby than vaginal births do. Cesarean deliveries have a higher potential of complications than vaginal births. Cesarean deliveries cost more, require longer hospital stays, and require more resources—both human and systemic—than vaginal births.

Over the years birthing methods have changed a great deal. When technology wasn’t so advanced there was only one method of giving birth, vaginally non-medicated. However, in today’s society there are now more than one method of giving birth. In fact, there are three methods: Non-medicated vaginal delivery, medicated vaginal delivery and cesarean delivery, also known as c-section. In the cesarean delivery there is not much to prepare for before the operation, except maybe the procedure of the operation. A few things that will be discussed are: the process of cesarean delivery, reasons for this birthing method and a few reasons for why this birthing method is used. Also a question that many women have is whether or not they can vaginally

A commonly known procedure when it comes to hospital births are epidurals. An epidural is an injection of a drug between the “epidural space” which causes

Just as any medical procedure, epidural anesthesia comes with risks. It can decrease your blood pressure and increase your oral and vaginal temperature (which can lead to treatment for a non-existent infection for you and your baby). You may also experience post-partum backache due to bruising from the injection. There is even a possibility of experiencing spinal block, which requires a blood patch and bed rest. Other moms also have to use a catheter because their urine retention is affected.

It is unfair to the newborn to reap consequences because the mother decided to receive a pain free delivery. Epidurals take 2.7 hours to leave an adult body but it takes over 8 hours for a newborn. Some babies still had the epidural medication within their bloodstream up to 30 hours later. If an epidural causes immobility within in the women, then it causes the same for the baby. It causes the baby to become lethargic, decrease its heart rate, and poor latching after birth. No mother wants their baby to suffer. Doctor fail to tell women how a medicated assist birth can cause more complication than assistants. The epidural causes labor to decrease which causes an increased risk for the doctor to have to use delivery instruments. The use of delivery instruments such as birthing vacuum or forceps increase the chance of injuring the baby. Short term bruising, facial injuries, and displacement of skull bones have occurred with the use of the delivery instruments. This can simply be avoided by women having non-medicated births. Not everyone would

I do not cope well with pain and from what I’ve heard the pain a woman feels while giving birth is indescribable. The benefits of having an epidural is that it provides continuous pain relief to the lower part of the body. The medication is given through a catheter – a very thin, flexible, hollow tube – that's inserted into the epidural space just outside the membrane that surrounds the spine. I would choose this method to help to ease any type of pain that I am experiencing. As far as I know its just medicine. For example when you have a headache you would take aspirin to help relieve the pain.

Hypnobirthing is a birthing method that uses self-hypnosis and relaxation techniques to help a woman feel prepared, narrow her focus, and reduce her awareness of fear, anxiety and pain during childbirth. A C-section, or cesarean section, is the delivery of a baby through a surgical incision in the mother 's abdomen and uterus. In certain circumstances, a C-section is scheduled in advance. In others, it 's done in response to an unforeseen complication. I believe that any one of these methods is a great method because it allows for a baby to be born. I also believe that carrying a baby has it risk. When it was my decision to have my children I choose a cesarean section, because I was not able to dilate to 10 centimeters.

A C-Section, or Cesarean Section, is a major surgery to deliver a baby who may suffer from complications or could be breech. They may also be done in response to the mother and the complications that she may have. It is done by cutting through the wall of the mother’s abdomen. It can be life threatening to the mother and the baby. It can raise the risk to the mother and could even complicate future pregnancies. American College of Obstetricians and Gynecologist suggest offering the opportunity to pursue a VBAC. An evidence review in 2003 found that overall VBAC success rates were greater than fifty percent (Ebelle 1192-4). This study shows that the success rate of VBACs are improving each year.

Pharmacological comfort measures can provide partial or complete pain relief. The epidural is the most efficient way of reducing labor pain. Opioids can be given continuously or in intermittent doses at the patient 's request or through the patient controlled pump. There is the potential for these drugs to have some effect on the fetus, such as breathing difficulties that may require assistance through the use of Narcan. Providing pain relief during the labor process is solely the patient’s choice, and as the nurse only support and encouragement should be given for however she chooses to handle the pain. (Jansen, Gibson, Bowles, & Leach, 2013)

Childbirth is a beautiful thing. After the hours of labor, there is nothing more special than having the newly mother able to hold her child the minute after it’s born. It makes the pain that you had just experienced go away because all that matters in the world is that newborn child in your arms. During labor, every woman has her own experience but one common experience is the pain. According to Kitzinger (1978) “Labor pain can have negative or positive meaning, depending on whether the child is wanted, the interaction of the laboring woman with those attending her, her sense of ease or dis-ease in the environment provided for birth, her relationship with the father of her child and her attitude to her body throughout the reproductive

Pregnancy and childbirth are a part of nature. Delivering a child can be a beautiful experience. However, delivery can also be very painful and can last for days.

Vaginal birth after caesarean (VBAC) is the name used for identifying the method of giving birth vaginally after previously delivering at least one baby through a caesarean section (CS). A trial of labour (TOL) is the term used to describe the process of attempting a VBAC. An elected repeat caesarean (ERC) is the other option for women who have had a caesarean in the past. The rates of women choosing to deliver by means of an ERC has been increasing in many countries, this is typically due to the common assumption that there are too many risks for the baby and mother (Knight, Gurol-Urganci, Van Der Meulen, Mahmood, Richmond, Dougall, & Cromwell, 2013). The success rate of VBAC lies in the range of 56 - 80%, a reasonably high success rate, however, the repeat caesarean birth rate has increased to 83% in Australia (Knight et al., 2013). It is essential to inform women of the contraindications, success criteria, risks, benefits, information on uterine rupture and the role of the midwife in relation to considering attempting a VBAC (Hayman, 2014). This information forms the basis of an antenatal class (Appendix 1) that provides the necessary information to women who are considering attempting a VBAC and can therefore enable them to make their own decision regarding the mode of birth.