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Article by Doctor Nguyen Thi Thu Huyen - Department of Anesthesiology and Anesthesia - Vinmec Times City International Hospital
Postpartum episiotomy analgesia is usually an anesthetic method that is performed by injection under ultrasound guidance. This is a safe form of anesthesia for pain relief, leaving no complications, so it is chosen by many pregnant women and their families.
1. How does pain after episiotomy happen?
Episiotomy is a commonly used procedure for women giving birth naturally. This procedure is intended to widen the vaginal outlet to facilitate the normal delivery process. However, not everyone needs an episiotomy at birth. This procedure will be prescribed by an obstetrician, an episiotomy will be performed as soon as the baby's head has widened the vagina by a few centimeters. After the baby is born, the incision will be sutured with medical aesthetic sutures.
The cutting and stitching of the perineum is a fear many women have experienced. In order to bring the best experience for mothers, at the Vinmec Health System hospitals, there are methods of pain relief for mothers for both cutting and stitching as well as pain relief for the episiotomy. at normal birth.
For mothers who have had an epidural to relieve pain during labor, when cutting and suturing the perineum, mothers will continue to take drugs through epidural analgesia to reduce pain when suturing the perineum . In case the mother has not performed epidural analgesia before, the doctors will administer local anesthetic to perform the procedure so the mother will not feel any pain.
However, when the effect of the anesthetic wears off, the sensation will return to the original, so the mother can feel the pain. In particular, if not treated well, this pain can make the mother feel uncomfortable and prolong into chronic pain, affecting the psychophysiology as well as the mother's activities.
To improve this risk, at the hospitals of Vinmec Health system, with experience, knowledge and the support of nerve stimulators and ultrasound machines, doctors will use anesthesia methods. pudendal nerve for pain management of episiotomy after vaginal birth.
Watch now: Perineal incision during vaginal birth - the horror of pregnant women passing labor
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2. The technique of numbing the pudendal nerve to treat episiotomy pain
The pudendal nerve is a nerve that travels from the pelvic region to the anal region, external genitalia, and perineum (perineal area) between the external genitalia and anus. The pudendal nerve controls certain muscles of the anus and bladder and branches to the muscles of the perineum, the anal sphincter, and the skin of the scrotum, penis (in men), vagina, vulva, clitoris (in females).The procedure of numbing the pudendal nerve to treat pain is carried out after the mother has sutured the perineum. This is a procedure to inject local anesthetic near the pudendal nerve, which is performed routinely under the guidance of ultrasound machines and neuromuscular stimulators. The procedure is done under ultrasound guidance, the doctors find the exact nerve location and administer the injection. This is a very safe procedure, so pregnant women can rest assured without worrying about side effects.
Watch now: Anesthesia of the pudendal nerve - a solution to help relieve pain during childbirth at Vinmec
Anesthesia of the pudendal nerve not only helps mothers relieve pain during waking hours, but also prevents the feeling of perineal pain when leaving the room birth, reducing chronic pain. Mothers can sit up, walk around and perform personal activities easily. Accordingly, pregnant women can discuss and suggest that doctors use this method for themselves after giving birth to limit pain, recover fastest and experience the most gentle and comfortable birth.
Women are often haunted by the pain of episiotomy during childbirth. How can mothers after cutting or tearing the perineum relieve pain and can walk, sit, breastfeed, and go to the toilet easily is always a question that mothers want to be answered. With the desire that any mother can experience the feeling of painless childbirth, in addition to traditional pain relief methods, Vinmec deploys the technique of neuro-anesthesia to help pregnant women safely relieve pain and not leave any pain behind. any complications. So even though it is a new method of pain relief, it is chosen by many pregnant women and families.
Recent results of an evaluation of the effectiveness of postpartum pain relief at Vinmec show that all pregnant women after giving birth normally can move around for personal hygiene early, pain is almost no longer recorded. receive.
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