Pain relief for women after cesarean section by local anesthetic infusion technique at Vinmec

The article is professionally consulted by an Anesthesiologist, anesthesiologist, anesthesiologist - Department of General Surgery & Anesthesia - Vinmec Hai Phong International General Hospital.

After cesarean section, women will have to face a difficult postpartum period with dull pain in the body. Especially the pain at the incision site will make living inconvenient.

Although cesarean section does not bring many benefits like a normal birth, because of the safety of pregnant women with problems during pregnancy or the desire to choose a good day and avoid affecting the private area, many pregnant women still choose to have a cesarean section. .
After a cesarean section, women will have to face pain due to disorders of the respiratory, circulatory and endocrine organs. When the anesthetic wears off, the incision will make the mother feel very painful and can only lie still on the bed, not daring to move, or turn. At the same time, anesthetics can also have side effects such as headache, dizziness, nausea, vomiting, chest tightness, back pain. The time it takes for the drug to dissolve depends on the health of the mother and the amount of anesthetic used in the body.
Normally, anesthesia lasts about 4-5 hours. It takes about 5 days for the pain to subside and the woman can move more. Although it feels extremely painful, the mother should not lie down too much, after giving birth, about 48 hours after giving birth, the mother should sit up and learn to walk so that the body can quickly recover and reduce the risk of intestinal adhesions.

Analgesia technique by continuous infusion of anesthetic into the nerve stem through the catheter is applied to relieve pain after cesarean section of the upper and lower extremities. This method is performed under ultrasound and neuromuscular stimulator, currently being applied routinely to patients after upper and lower limb surgery at Vinmec.
This technique is contraindicated in patients with a history of allergy to local anesthetics, drug addiction, pre-existing sensory and motor disorders of the upper and lower extremities, a history of coagulopathy, take anticoagulants.
Advantages Performed under the new generation, modern GE Vivid ultrasound machine, thus clearly determining the position of the nerve trunks supplying the upper and lower extremities with high resolution, specialized transducers for ultrasound Nerve and muscle acoustics, thus making the accuracy of the technique over 95%. The Stimuplex (Bbraun) nerve stimulator features a standard assessment of the needle position relative to the nerve stem. This is a safe method of pain relief after surgery, without affecting vital functions, effective, good pain relief, very few unwanted effects compared with other pain relief methods (motor inhibition, urinary retention, safety). sedation) Do not use opioids after surgery to avoid unwanted effects of opioids. Pregnant women can exercise early, avoid occlusion after surgery, especially without pain, which will help restore function effectively. Pregnant women quickly recover body functions, reduce hospital stays and costs.

Besides the infusion of anesthetics, pregnant women should also take measures to reduce pain after cesarean section such as:
Regular but gentle exercise helps the incision to recover quickly Urinate as soon as the body needs Replenishment enough nutrition to limit constipation Care for and clean the incision after childbirth Have a reasonable rest regime Should breastfeed after giving birth Pause sex for a while Drink lots of water