Can pain relievers cause back pain after giving birth?

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Pregnant women in labor, depending on the level of pain tolerance, will ask the anesthesiologist to reduce pain during labor and reduce pain after surgery accordingly. The technique to relieve pain after a cesarean section is called an epidural.

Video content is professionally consulted by Master, Doctor Ho Thi Xuan Nga - Cardiovascular Center - Vinmec Central Park International General Hospital

At Vinmec Central Park International General Hospital, pain relief during labor is done in the delivery room, when the labor patient moves to the delivery room but needs pain relief after cesarean section, then the doctor will come into the practice. Perform an ultrasound first to see how the patient's spine is, and then administer an epidural and set up the auto-injector. The patient will be closely monitored for labor, pain index, and all vital signs of mother and baby until labor is over. After that, the mother will have the epidural catather removed, and at the same time, the pudendal nerve will be numbed - the nerve that governs the mother's episiotomy point. . About 15-24 hours after the mother returns to the room, the episiotomy will be completely painless, help the mother walk, stand and discharge better, and feel more comfortable and take better care of the baby.
Usually an epidural analgesia in labor, the doctor will use a very low concentration, at Vinmec Central Park a concentration of 0.08% - 0.1% is used. With low concentration and moderate dosage, the half-life of the drug and the dose of the drug is not much and does not persist for more than 24 hours in the mother's body, so it does not affect the health of the mother and the baby. Still effective in pain relief after cesarean section.
Epidural anesthesia to help relieve pain after surgery is a procedure that can cause certain complications, in which the biggest complication that can occur is dural puncture, loss of cerebrospinal fluid, temporary headache. within 24 hours - 48 hours, does not last forever. Back pain after epidural and postpartum is not caused by the procedure, but by the pregnancy, the fetus grows, the uterus will stretch the ligaments in the spine. After giving birth, the uterus will shrink back to normal. However, these institutions will have to wait for a period of 3-6 months to return to normal, so during that time of looseness, the mother will feel that her back is sore and think it is due to the procedure. cause.
In addition to the complications of dural perforation or the complications mentioned above, normal postpartum back pain with epidural analgesia is not caused by an epidural.

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