Unfortunately, not every pregnancy proceeds equally well. Narcosis during pregnancy is possible, the most safe is considered the second trimeter of pregnancy. But it is important to compare all risks.
Yes, there are really different situations in which it is impossible to do without use. What to do? Let's deal with the order.
The reasons for which the anesthesia is required
According to statistics, about 2-3% of women during the nursing the child need operational interference with the application. Most often it concerns dental problems or surgical.
I can definitely say narcosis during pregnancy is justified in cases where there is a real threat to the life of the future mother And without emergency not to do. However, if the situation allows you to make the necessary manipulations in a planned manner, the operation will definitely be transferred for a period after delivery.
Without delay, despite the pregnancy, we take the patient to the operation if you are detected:
- appendicitis (its main threat - the development of peritonitis with fatal outcome);
- other tumors of different etiology;
- cysts;
- extensive injuries, threatening life;
- eastic-cervical insufficiency - here treatment must be carried out just to preserve pregnancy.
In this video, you will see the frames of a real operation conducted by a pregnant woman.
In my practice there were 2 patients with appendicitis during pregnancy, which were successfully operated on under epidural anesthesia. They gave birth to their healthy kids on time.
Possible consequences after anesthesia
Alas, we are not gods, so we can not predict how to reflect the anesthesia on pregnancy and the further development of the kid. Numerous studies on this topic are saying that:
- The probability of miscarriage or frozen pregnancy is not more than 6%. Especially he is dangerous on early timing, for the first time, 8 weeks, during the formation of the main bodies.
- The probability of interrupting pregnancy due to the operation carried out under the action of anesthesia. Is 8%.
By and large, medicinal medicines used in quality are sufficiently safe. Theoretically, the anesthesia in the early periods of pregnancy can be carried out, but to choose drugs and techniques of anesthesia with a special seriousness and full awareness of their actions.
It must be remembered that the risk is always. The highest risk of drug use during pregnancy in the first trimeter when the internal organs are tabling. The third trimester is also dangerous. Operational interventions can cause premature genera.
It is due to the high risks of the use of anesthesia during pregnancy, the doctors are strongly recommended to be carefully examined before planning pregnancy. Slide the dentist, the surgeon, if you know about some chronic diseases - make additional examinations, by this you will protect yourself and your future kid.
A few words about anesthesia during pregnancy
Unambiguously, it can be said that the local conductor made by drugs, which includes adrenaline, negatively affects early pregnancy. He causes a breakdown of blood flow to the placenta. In dentistry, one of the most popular drugs is ultrakain. However, it is not categorically impossible to apply it, as it contains adrenaline.
What types of drugs can be used?
The choice of medicines is completely dependent on the state of health, the characteristics of the body. But as a rule, the following tactical means apply:
- Morphine, Promedol - these anesthetics with minimal doses will not harm the fetus.
- Ketamine - long-term use causes an increase in the tone of the uterus.
- Local anesthesia by using lidocaine. The medicine penetrates through the placenta, but quickly excreted from the body of the fetus.
- In case of emergency operations on life testimony for mothers - intubation multicomponent anesthesia with relaxants. There is no speech about pregnancy. This method of anesthesia is used if you need to carry out an extensive operation to remove ectopic pregnancy.
And there are such "miracles", the doctors went on a very big risk.
Be healthy I. easy pregnancy you.
Is it possible to make anesthesia for teeth during pregnancy? Such a question is asked every future mother, hitting the chair to the dentist.
As is known, any drug, especially inserted into the body by injection, brings not only benefits, but also a certain harm. And for a pregnant woman, the danger is higher due to the possible adverse effects of medicines on the child's body. This article discusses the issues of conducting local anesthesia during pregnancy, the choice of anesthetics and methods of anesthesia.
As you know, the main indication for anesthesia is pain or easy sensations During medical manipulations. However, pregnant women without any need is better not to hold local anesthesia.
In addition, it is necessary to take into account the stage of pregnancy. It is believed that the least harm to the body future mom And the child drugs are applied in the second trimester (4-6 months). In the first trimester, the laying of organs and systems occurs, in the second - their planned development, in the third - the formation.
Therefore, the introduction of local anesthetics in the first and third trimester is not recommended (the exception is urgent states, such as inflammatory diseases that require surgical intervention). In addition to toxic action, anesthetics with a large number of adrenaline used in recent months Pregnancy, can cause premature childbirth.
When sazing the oral cavity in the first months of pregnancy and the need to remove individual teeth in a planned order, intervention is transferred for several months to the second trimester.
Choosing preparations
If you need to carry out local anesthesia for pregnant women, you need to competently approach the choice of anesthetic. So, it is not recommended to use drugs with a large concentration of vasoconstrictors.
The best option is 3% Skandonest (MEPIVACAIN) or species of artician with minimal content of adrenaline (for example, ultrakin D-C or kilifable D-C, the concentration of the Vasoconstrictor 1: 200000).
Anesthesia techniques
Pregnant women can be carried out both infiltration and conductive anesthesia, however, the dentists prefer the first option. Wireless anesthesia without acute need is not used.
conclusions
- It is possible to carry out pain relief for teeth with pregnant women best time For this - the second trimester. However, under conditions requiring urgent surgical interventions (opening of unts, removal of aggravated teeth), anesthesia is carried out at any month of pregnancy.
- Preparations of choice - Skandonest, ultrakain D-s and kilifable D-s.
- Preference is given to infiltration anesthesia.
No matter how I wanted the pregnancy proceeds perfectly, it does not always work out. Often, the future mammy has to face an emergency situation in which urgent anesthesia is required. For pregnant women used in case of problems with teeth, as well as with an urgent operation. There are a number of questions: can anesthesia negatively affect the kid? What drugs are categorical prohibited pregnant?
Indications for the use of anesthesia
During pregnancy, the doctor refuses to carry out various procedures using anesthetic. It is believed that it is better not to risk and postpone the operation for later. But there are exceptions when a pregnant woman is urgently needed surgery:
- The condition in which the life of a woman is threatened: the cancer of the mammary glands, the cyst of the ovary, the stones in the bustling bubble.
- Eastic and cervical failure (superimposed and stored seams on the cervix).
- Acute dental disease - pulpitis, abscess, urgent tooth removal.
Are the anesthetics dangerous for a pregnant and child?
Anesthesia using medicines can negatively affect the development of pregnancy, it is dangerous on different date. Everything can end:
- Teratogenicity (Preparations lead to a violation of the development of the fetus, severe deformity, serious pathologies).
- Asphycia fruit, death Subsequently.
- Hypertonus uterus , leading to premature generic activities, spontaneous miscarriage.
Anesthesia is particularly dangerous from the second to the eighth week of pregnancy, it is at this time all the systemic bodies of the baby are laid.
A not less dangerous period is the last trimester of pregnancy, when a maximum load is accounted for on the body of the future mother, everything can end with premature childbirth.
Attention! All surgeons for carrying out an operation in the second trimester from 14 to 28 week, during this period, the baby has developed all organs, and the uterus practically does not respond to different external influences.
Statistical data about anesthesia
Practical all doctors say that an operation with anesthesia on any time of pregnancy has minimal risks:
- The death of pregnant during anesthesia is very rare.
- After one-time anesthesia, the child rarely has congenital anomalies.
- In the second and third pregnancy period, the risk of fetal death is 6%, but for up to 8 weeks the risk is almost 11%.
- Premature birth due to anesthesia is only 8%.
Surgeons always try to pick up gentle anesthetics for pregnant. Of course, much depends on how difficult the operation, but the main thing for the doctor is not harmful to pregnancy.
General anesthesia for cesarean sections
A few years ago, only this kind of anesthesia was used when conducting a cesarean section. To date, common anesthesia is a rare phenomenon, it is used:
- If the spinal is prohibited and is a woman of coagulopathy, acute bleeding, thrombocytopenia.
- In case of emergency situations, the cross-presets of the fetus, the Pupovina fell out.
- No time for regional anesthesia.
A lot of negative consequences after transferred. It is important to take into account that pregnant women are completely changing the loss of the respiratory path, so everything can end with severe respiratory failure, pneumonia.
In addition, anesthetics, which are used with general anesthesia, are negatively affected by mom and baby. Everything can end with oppression nervous system Newborn. Woman after Cesarean sleeps for a long time, sluggish, inhibited, such symptoms can be the baby.
Preparations for anesthesia
Studies of scientists have proven that almost all medications Absolutely safe for mom and baby. Specialists are confident, not an anesthetics themselves have important importance, but how anesthesia is held. It is important to carefully monitor the pressure of the pregnant woman, it is impossible to allow its sharp decline, as well as hypoxia from the fetus.
For pregnant women, the doctor uses the minimum dose of the drug to not harm the baby. It is proved that in small doses Morphine, Promedol and Glycopyrolate Absolutely safe. Used frequently KetamineBut it cannot be applied for a long time, otherwise the tone of the uterus will increase.
Local anesthesia is carried out with Liddocoon. Of course, he gets to the baby through the placenta, but is safe - quickly displayed.
Very rare in the form of anesthetic can use Diazepam, nitrogen up - These drugs negatively affect the baby, especially in the first period of to wear. Some experts prohibit the use of anesthetics, as part of which Adrenalin (often dentists like to use Ultrakain), otherwise the vessels may be narrowed, the blood flow is broken.
The safe view of the anesthesia is local and epidural. If these types cannot be used (in case of severe contraindications), artificial ventilation of the lungs is carried out.
After surgery, tocolithic therapy is required to reduce the uterus tone, as well as in order to prevent spontaneous miscarriage of premature generic activities.
So, all operations using anesthesia are dangerous for the child, especially at the beginning of pregnancy. To avoid the problem, it is important before planning a future child, get rid of all infectious sources. For example, do not forget to cure all the teeth with caries, so that you do not have to do them during pregnancy. During this period, there is a huge burden on the body, therefore serious problems with teeth may arise. If during pregnancy, an urgent operation is required, which cannot be postponed, because under the threat of the life of the future mother, the doctor necessarily holds it. Very often, pregnant women remove appendicitis, otherwise everything can end, infection of blood and fetal death. Before you decide to surge, it is necessary that the doctor carefully analyzes your situation and accepted the final decision!
Medical statistics indicate that 2% of pregnant women have the need to perform certain operational interventions related to acute diseases, injuries or the need to treat teeth. In some cases, drugose is used to eliminate pain, in others there are local anesthesia, the choice is carried out individually in each case.
When anesthesia is used during pregnancy
Unfortunately, the happy state of the baby's waiting for some pregnant women is overshadowed by the development of acute diseases that require an urgent operation and, of course, anesthesia. It is well known that any operation and anesthesia contain a certain risk share for an ordinary patient. In pregnancy, this risk increases - both for the fetus and for the woman itself.
And nevertheless, despite all the risks, the doctor is obliged from two angry to choose a smaller, because in any case the anesthesia during pregnancy is associated with operations that are performed according to life indications in cases:
- acute appendicitis;
- acute cholecystitis;
- peritonitis;
- intestinal obstruction;
- bleeding of various etiology;
- acute gynecological pathology (twisted ovarian cysts);
- injuries of abdominal and chest cavities;
- development of abscesses, phlegmon, purulent pleuritis.
Sometimes general anesthesia can be used for various manipulations and diagnostic procedures. For example, in the case of esophageal and gastric bleeding, gastroscopy under anesthesia is carried out.
Extremely rarely occasion of the use of anesthesia in dental practice. In the overwhelming majority of cases, dental anesthesia in pregnant women are performed on local technology.
Tip: When painful syndrome appears or during injuries, pregnant women should not be independently without the knowledge of the doctor to take any analgesics, sedatives, sleeping pills. They can "erase" manifestations of the disease, as well as to have a negative effect on the fruit. In these cases, you need to immediately consult a doctor.
How does anesthesia affect the organism of the mother and fetus
It is quite fair to approval that there is no harmless drugs, or, as they are expressed in everyday life, the medicine is one treats, and another cripples. It is quite true in relation to anesthesia. General anesthesia affects the nervous, vascular, respiratory and endocrine system, on metabolism, to work liver and kidney.
But the question is that such an anesthesia is nothing but a vital necessityAnd it is carried out in pregnant women only in operations with life testimony. Here, as they say, there is nowhere to go, and the choice is unequivocal. In principle, modern technologies prevent any serious and long-term consequences of anesthesia for the body, and it is quickly cleaned and restored.
As for the future child in the womb of the mother, for him, anesthesia is much more dangerous, especially in early time. Any negative impacts in the first trimester, including narcotic, sedatives, analgesics may affect the process of forming organs of the fetus and subsequently various congenital abnormalities can be formed.
On more late time Pregnancy, that is, after 3 months, the fruit is already fully formed, that is, this is already a real little man with the functioning of all organs and systems. At these deadlines, anomalies can not be afraid, but the consequences can manifest itself in the form of hypoxia, developmental delays.
Tip: since soon the situation occurred when the operation is needed under anesthesia in a pregnant woman, it is necessary to overcome all fears and realize that this choice is made in the name of conservation of life, and possible consequences Drugs in this case are secondary. Moreover, modern anesthesia technologies are more gentle, and the elimination of negative consequences is possible.
How is the choice of anesthesia during pregnancy
The main principle of pain relief operations during pregnancy is to maximize the possibilities of local anesthesia. Optimal option And for the mother, and for her future baby is peridural anesthesia - the introduction of anesthetic around the solid shell of the spinal cord. This method does not give pronounced general intoxication, but only there are temporary side effects in the form of nausea, pressure changes and so on.
When there is a question about serious extensive interventions, when muscle relaxation is needed, anesthesia is used. There are many of its species - mask, intravenous, intubation. Various narcotic substances are applied - nitrogen, fluorotan, calipasol. For pregnant women, narcosis is selected individually - neuroleptanalgesia with drugs that do not influence the tone of the uterus that do not violate the blood circulation of the placenta.
An example of such a drug is CalipSol, which is used for intravenous short anesthesia, and subsequently quickly excreted from the body. In any case, the choice of anesthetics, their combination is selected individually, depending on the nature and duration of the upcoming operation.
In dentistry, if necessary, urgent treatment of teeth in pregnant drugs is extremely rare, local anesthetics are used - lidocaine, ultrakain and others.
Anesthesia during pregnancy is dictated by the need - interventions in the salvation of life. Qualified performed by experts, it does not carry dangerous consequences for the body.
Attention! The information on the site is represented by specialists, but is familiarized and cannot be used for independent treatments. Be sure to advise your doctor!
In 2% of pregnant women there are situations when they need a surgical operation under anesthesia. There may be plenty for this: appendicitis, cholecystitis, ovarian cysts, bone fractures, teeth disease.
Some operations can be carried out under local anesthesia, and for some only general anesthesia is suitable. Does anesthesia having a negative effect on the fruit, and what negative consequences for the embryo can be?
Surgeons conduct a pregnant woman surgery
Any surgical interventions, as well as their anesthesia, are held in pregnant women only at emergency testimony when there is a direct threat to the mother's life. If it is possible to transfer the operation, it is more expedient to wait for childbirth and after that it is operated.
It is preferable to operate under local anesthesia, although it has some side effects.
Drug safety for pregnant woman
It is statistically reliably established that the frequency of complications from anesthesia in pregnant women, including the most dangerous (anaphylactic shock and death), does not differ from the frequency of such complications from non-remote women.
In many ways, the safety of a pregnant woman during surgery depends on the qualifications of the anesthesiologist's doctor and from the provision of operating necessary devices. The standard equipment includes:
- anesthesia apparatus with the function of artificial ventilation of the lungs;
- monitor that allows you to continuously control the most important life parameters during surgery (blood pressure, pulse and respiratory rate, blood saturation degree of oxygen);
- infusion pumps with which the continuous administration of medicines in Vienna is carried out;
- defibrillator.
Operating equipment
In the absence of this equipment, the life of a pregnant woman and the future child is subjected to unjustified risk.
Drug safety for the fetus
The risk of anesthesia for the fetus in the early deadlines is indisputable and due to the impact of several factors. The effect of the tools used during the operation for anesthesia. Although now doctors and try to use small-toxic drugs, it is impossible to completely protect the fruit from their influence. Especially tangible consequences from anesthesia during the first trimester. The frequency of miscarriages in women who have undergone general anesthesia are 3% higher than in the overall population (11% against 8%.)
The following phenomenon is due to the fact that in the first trimester there is a laying of the main organs and systems in the fetus, and drugs can slow down this process.
It is interesting! Anesthesia does not increase the likelihood of innate uglities in a child!
The condition of the hemodynamics of the mother has a huge effect on the fruit, that is, the indicators of its pulse and blood pressure. Most drugs for anesthesia reduce pressure, which may have negative consequences for the fetus - the blood flow in the royal and placental complex is reduced. After anesthesia in pregnant women in late terms (the third trimester) rises the risk of premature births. This is more connected to a greater extent with the effects of drugs during anesthesia, but with stress, which is for a pregnant woman Operation itself and the postoperative period.
During cesarean section Under the general anesthesia, the bombing of the child may be noted, due to the impact of narcotic anesthetics.
Remote consequences of anesthesia
General anesthesia obtained during pregnancy does not affect psychomotor child development
It is safe to say that in women who have undergone general anesthesia during pregnancy, the child will not fall behind in the development of its peers. The statements that such a child has problems with development or psyche, are affiliated fiction, refuted by numerous scientific research.
There are also no consequences for the mother, but the benefits of anesthesia during pregnancy are indisputable - with the help of anesthesiological manual you can completely eliminate the impact on the mother and the future child of stress and pain.
How can I reduce the risks of anesthesia
Pregnant women can carry out some of the emergency operations under regional, spinal or peridural anesthesia. However, the question of choosing anesthetic method should be solved in conjunction with the doctor, since only it can take into account all the testimony and contraindications.
One way to minimize the effect of anesthetics for a future child is the use of multicomponent anesthesia, in which drugs are used different groups. This reduces the concentration of each of these drugs, which reduces their toxic effect.
Cesarean section, which is the most frequent operation in pregnant women, currently in 80% of doctors prefer to do under spinal anesthesia, which completely eliminates drugs for anesthesia to the child's body.
To reduce all the negative effects, doctors are trying to use drugs that do not pass through the royal and placental barrier. It is becoming easier to do this every year, as new, modern anesthetics appear, including inhalation.
