EPIDURALS , WHEN CHUTNEY MARY FAILS HER BABY – CAPT AJIT VADAKAYIL

Svr SapmmOctober 9, 2016 at 8:16 PM

Dear Sir,

Please guide about epidural injections given during labour, whether they should be taken or avoided.
Regards
SS

1. Capt. Ajit VadakayilOctober 10, 2016 at 8:30 AM

   I WILL PUT A FULL POST
   
   LET ME SAVE THE CHUTNEY MARYs

   
   

WELL I HAVE TWO UNFINISHED POSTS – BUT I GUESS I WILL DO THIS FIRST .

COWARDLY WANNABE GORAGAAND CHUTNEY MARYs HAVE SPOIL THE CHILD BIRTH SCENE IN INDIA.

EPIDURAL CHILDBIRTH AND CAESAREAN CHILDBIRTHS ARE NOT PART OF INDIAN CULTURE—   THOUGH THE FIRST CAESEREAN CHILD BIRTH HAPPENED IN INDIA AND IS PART OF THE SUSRUTA SAMHITA 4200 BC

http://ajitvadakayil.blogspot.in/2011/02/fathers-of-surgery-and-medicine-4200-bc.html

Both my sons were too large for an average baby

In fact my wife was asked to literally starve in the last two months before childbirth.  But she did NOT do that , as a sacrifice for her baby.

Indian women are known for this type of sacrifice , unlike their western counterparts.  

Today 60% of the western women opt for epidurals to reduce natural delivery pain at childbirth . These selfish women care more for themselves and NOT for the baby.   

Later on in life she gets it back from her own child in full measure.

http://ajitvadakayil.blogspot.in/2014/01/garbha-sanskar-nurturing-unborn-child.html

My wife knew what was in store for her— she accepted the pain.   After all the whole world experienced it— a god given pain which secretes valuable hormones.

Nobody tells a woman that Epidural use doubles mom’s risk of severe vaginal tears.

Here are the different kinds of tears you can have:

1. Periurethral tears. These are tears that are around your urethra, or the opening where urine comes out. These usually only need to be sutured (or stitched up) if they are bleeding, otherwise they often heal well on their own. Very small stitches are used so that you won’t have any difficulty urinating, but if there is any concern that you won’t be able to (either because of swelling or where the stitches are placed), a catheter may be placed in your bladder at first to help your bladder drain.

2. First-degree lacerations. These can occur inside the vagina or outside on the perineum. The degrees mentioned here relate to how deep the tears are. A first-degree tear is only when the skin tears, with everything beneath it being intact. If bleeding, these can be repaired with stitches. These stitches dissolve and do not need to be removed. Many women often ask how many stitches they are getting, and usually it is one long continuous one rather than a bunch of smaller ones, so there usually isn’t a total “number.”

3. Second-degree laceration. This is deeper than a first-degree tear and is when both the skin and muscle below tear as well. These kinds of tears are very common and again are simply repaired with a long dissolvable stitch.

4. Third-degree laceration. This deeper tear is when the skin and muscle tear, as well as part of the external anal sphincter. This sphincter is a band of muscle that functions to help hold stool in. Additional stitches are placed to help bring this sphincter back together. Women who have this kind of tear are often put on stool softeners to help avoid constipation, since this can be painful and can disrupt the stitches. Sometimes these women also need stronger pain medication to help as they heal, too.

5. Fourth-degree laceration. This is the deepest tear of all and is when the tear extends completely into the rectum so that there is a direct passage from the vagina into the rectum. Additional layers of suture are used to help close this back up and separate the vagina from the rectum. Since this can take longer to repair, requires the obstetrician be able to see things very clearly, and can be painful, many times this kind of repair is done in an operating room with the woman receiving either a higher dose epidural or sedating pain medications. As with third-degree lacerations, avoiding constipation and good pain control are key. To avoid complications, most doctors will see these women in the office soon after delivery to make sure that healing is appropriate.

I had asked my wife to WITNESS  her pain and describe to me later.  

Yes the vaginal tears caused pain.

But she says that was only because my elder son as a baby in the womb was too big.  Otherwise it is NOT a pain ( as women would like to tom tom to gain faalthu sympathy )  , but a sort of discomfort—like you want to go for a shit but have to hold on.

My wife had NIL pain during child birth due to her mindset of—

HEY PAIN , TAKE ME ON -  I MAKE THIS SACRIFICE  FOR MY CHILD

Giving birth vaginally can result in vaginal tearing or lacerations for many women. This is part of the normal process of a baby passing through the birth canal and out the vagina. It tends to be more common in women giving birth for the first time or among those who have larger babies. 

This quantum of pain has been decided by god. The brain churns out natural chemicals . 

A woman’s body produces it’s very own pain killer (endorphins) which are released in response to pain.   Many women have great success managing pain by accepting God’s way.

Epidurals involve the injection of a local anesthetic drug (derived from cocaine) into the epidural space—the space around (epi) the tough coverings (dura) that protect the spinal cord.

 Like I said it is being done by more than 60% of western women , so that they can avoid pain during child birth. These selfish women care only for themselves , not for the baby in the womb.

The spine is made up of bones called vertebrae that stack on top of each other from head to tail. There is a hole in the center of each vertebra that, when stacked, forms a bony tube that houses the spinal cord.

The space inside this tube around the cord is called the epidural space and it contains blood vessels, nerves, and lymphatics.

A conventional epidural will numb (block) both the sensory and motor nerves as they exit from the spinal cord, giving very effective pain relief for labor but making the recipient unable to move the lower part of her body.

Epidurals significantly interfere with some of the major hormones of labor and birth, which explains their negative effect on the processes of labor.  

As the World Health Organization comments, “epidural analgesia is one of the most striking examples of the medicalization of normal birth, transforming a natural physiological event into a medical procedure.”

For example, oxytocin, known as the hormone of love, is also a natural uterotonic—a substance that causes a woman’s uterus to contract in labor. Epidurals lower the mother’s production of oxytocin, or stop its normal rise during labor.

Epidurals reduce oxytocin production or keep it from rising during labor. They  blunt the oxytocin peak that would otherwise occur at the time of birth because the stretching receptors of a woman’s lower vagina (which trigger the peak) are numbed.

Epidurals thus obliterate the maternal oxytocin peak that occurs at birth —the highest of a mother’s lifetime—which catalyses the final powerful contractions of labor and helps mother and baby to fall in love at first meeting.  This love is FOREVER.

Adrenaline and noradrenaline (epinephrine and norepinephrine, collectively known as catecholamines, or CAs) are also released under stressful conditions, and levels naturally increase during an unmedicated labor.

At the end of an undisturbed labor, a natural surge in these hormones gives the mother the energy to push her baby out, and makes her excited and fully alert at first meeting with her baby. This is known as the fetal ejection reflex.

A reduction in the final CA surge contributes to the difficulty that women laboring with an epidural can experience in pushing out their babies, and the increased risk of instrumental delivery (forceps and vacuum) that accompanies the use of an epidural

A woman laboring with an epidural misses out on the final powerful contractions of labor and must use her own effort, often against gravity, to compensate for this loss. This explains the increased length of the second stage of labor and the increased need for forceps when an epidural is used.

For the baby, instrumental delivery can increase the risks of bruising, facial injury, displacement of the skull bones, and cephalohematoma (blood clot under the scalp).    

The risk of intracranial hemorrhage (bleeding inside the brain) increases by more than five times for babies born by forceps compared to spontaneous birth.

Epidural drugs can cause directly toxic effects to the fetus and newborn, whose drug levels may be even higher than the mother’s drug levels.

The baby is born drugged—the Chutney Mary mother does NOT feel the love for the child the way  god meant it to be.

There is a direct link between epidurals used during labour and a delay in a mother’s milk ‘coming in”.  Breastfeeding is instinctive for babies.

They display a series of typical feeding behaviours when placed on their mother’s chest that enable them to seek their mother’s breasts and begin feeding. A baby is typically alert and eager for the first hour or two after birth.

This is when nature intends for a baby to have his first breastfeed. When a baby’s feeding behaviours are functioning optimally, this helps a baby to be able to do find his mother’s breasts and in doing so get breastfeeding off to the best start possible.

A baby’s feeding behaviours is dulled by pain medication exposure during labour. But hey—Chutney Mary cares only for herself .

For the uninitiated Chutney Mary is an Indian woman who apes the west , who wants to be a white oman .   But alas—whatever she does, the odour of chutney pervades.   

Her wannabe goragaand  Indian partner is called Pickle John.   He tries to be Goras sahib, but ends ups being brown sahib, reeking of pickle.

Every drug that the mother receives in labor will pass through the placenta to her baby, who is more vulnerable to toxic effects. The maximum effects are likely to be at birth and in the hours immediately after, when drug levels are highest.

A newborn baby’s ability to process and excrete drugs is much less than an adult’s.  Such epidural exposed  babies have higher rates of jaundice

Epidural mothers find their babies “less adaptable, more intense and more bothersome in their behavior 

A LOT OF THESE BABIES HATE THEIR MOTHERS AND BECOME DRUG ADDICTS IN THER ADULT LIFE.    

WELL CHARLES DARWIN OR SIGMUND FREUD CANT TELL YOU MORE ABOUT THIS.

 Western obstetric care providers have assumed that control of pain is the foremost concern of laboring women, and that effective pain relief will ensure a positive birth experience.  In fact, the opposite is true.

Epidurals have the following effects on labor and laboring mothers:--- 

They lengthen labor.

They quadruple the risk of severe perineal tear.

They increase the risk of cesarean section by 4 times.

They triple the occurrence of induction with synthetic oxytocin (Pitocin).

They quadruple the chances a baby will be persistently posterior (POP, face up) in the final stages of labor, which in turn decreases the chances of spontaneous vaginal birth

Epidurals can cause maternal fever, which in turn may affect the baby.    

In a large study of first-time moms, babies born to mothers with fever (97% of whom had epidurals) were more likely to be in poor condition (low APGAR scores) at birth, to have poor tone, to require resuscitation and to have seizures in the newborn period, compared to babies born to mothers without fever.

Apgar is a quick test performed on a baby at 1 and 5 minutes after birth. 

The 1-minute score determines how well the baby tolerated the birthing process. The 5-minute score tells the doctor how well the baby is doing outside the mother's womb.

The Apgar test is done by a doctor, midwife, or nurse. The health care provider examines the baby's:

Breathing effort

Heart rate

Muscle tone

Reflexes

Skin color

Each category is scored with 0, 1, or 2, depending on the observed condition.

Breathing effort:

If the infant is not breathing, the respiratory score is 0.

If the respirations are slow or irregular, the infant scores 1 for respiratory effort.

If the infant cries well, the respiratory score is 2.

Heart rate is evaluated by stethoscope. This is the most important assessment:

If there is no heartbeat, the infant scores 0 for heart rate.

If heart rate is less than 100 beats per minute, the infant scores 1 for heart rate.

If heart rate is greater than 100 beats per minute, the infant scores 2 for heart rate.

Muscle tone:

If muscles are loose and floppy, the infant scores 0 for muscle tone.

If there is some muscle tone, the infant scores 1.

If there is active motion, the infant scores 2 for muscle tone.

Grimace response or reflex irritability is a term describing response to stimulation, such as a mild pinch:

If there is no reaction, the infant scores 0 for reflex irritability.

If there is grimacing, the infant scores 1 for reflex irritability.

If there is grimacing and a cough, sneeze, or vigorous cry, the infant scores 2 for reflex irritability.

Skin color:

If the skin color is pale blue, the infant scores 0 for color.

If the body is pink and the extremities are blue, the infant scores 1 for color.

If the entire body is pink, the infant scores 2 for color.

Why the Test is Performed

This test is done to determine whether a newborn needs help breathing or is having heart trouble.

Normal Results

The Apgar score is based on a total score of 1 to 10. The higher the score, the better the baby is doing after birth.

A score of 7, 8, or 9 is normal and is a sign that the newborn is in good health. A score of 10 is very unusual, since almost all newborns lose 1 point for blue hands and feet, which is normal for after birth.

What Abnormal Results Mean

Any score lower than 7 is a sign that the baby needs medical attention. The lower the score, the more help the baby needs to adjust outside the mother's womb.

Most of the time a low Apgar score is caused by:

Difficult birth

C-section

Fluid in the baby's airway

A baby with a low Apgar score may need:

Oxygen and clearing out the airway to help with breathing

Physical stimulation to get the heart beating at a healthy rate

Most of the time, a low score at 1 minute is near-normal by 5 minutes.

A lower Apgar score does not mean a child will have serious or long-term health problems. The Apgar score is not designed to predict the future health of the child.

Epidurals interfere with mother-baby bonding and breastfeeding

Like I said , epidurals may interfere with the normal bonding that occurs between mothers and babies just after birth.

 MY WIFE HAS WITNESSES THIS WHERE HER OWN RELATIVE REJECTED THE BABY AND WOULD NOT EVEN LOOK AT IT, SHOCKING ALL.

Statistics show that  mothers who had epidurals described their babies as more difficult to care for one month later than mothers who hadn’t had an epidural.

Epidural prolong the labour.   The mother must know that the unborn baby gets TRAUMATISED by prolonged labor.

But hey, Chutney Mary does NOT care ! She only cares for herself. 

The sense of sacrifice ushered in by motherhood does NOT apply to this immoral and shameless gold digger.

Following is from a white American mother- 

QUOTE:  They never said that there was potential danger for the baby if I won’t go.. He passed meconium, aspirated, his lung didn’t expand… Luckily, in the hospital they gave me epidural, induced me with oxytocin and I progressed very fast. My baby spend 2 weeks in NICU, first on ventilator, than oscillator, on IV narcotics for pain, 2 meds to keep his blood pressure from dropping, urinary catheter, arterial line, central venous life. They didn’t know if he would survive for a week. 6 months later he still cried from pain.  Just remember that your child might pay for your choices :UNQUOTE

When forceps are used, or if there is a concern that the second stage is too long, a woman may be given an episiotomy, where the perineum, or tissues between the vaginal entrance and anus, are cut to enlarge the outlet and hurry the birth.

Stitches are needed and it may be painful to sit until the episiotomy has healed, in 2 to 4 weeks.

Digression:  This is one of my oldest memories. When I was three years old our Ayah ( who took care of us like gold ) took me and my two elder sister for a movie –MAHABHARAT in a run down theatre.  We sat right in the cheapest front section on a bench.  One lady next to me gave me a shove and I fell off the bench.  My ayah pounced on her for doing that to a small boy.  An argument broke forth.  The lady who shoved me taunted mE ayah— “ Don’t tear your thingy “ .   My ayah retorted “If that happens you can be sure that I wont requisition you to apply stitches “ . All this was Greek for me.  Today I know !

As well as numbing the uterus, an epidural will numb the bladder, and a woman may not be able to pass urine, in which case she will be catheterised. This involves a tube being passed up from the urethra to drain the bladder, which can feel uncomfortable or embarrassing.

To place an epidural catheter, an anesthesiologist will place a needle in between the vertebrae of your spine (in between the bony bumps you might be able to feel on your back). The needle will be used to find the epidural space, which is the space just outside of the dural membrane. 

The medication will travel through this space to your nerves, where it acts to interrupt the transmission of pain signals, giving you pain relief.

Epidurals numb the pelvic muscles and the vagina, so the brain doesn’t get the message to send a super surge of oxytocin to get baby out.

Any medication a woman takes to relieve pain will reach the baby in her womb.

Epidurals block adrenaline  which gives a mother a huge energy boost to perform the hard work of pushing at the end of labor.

Epidural anesthesia in first time mothers, in particular, is shown to increase the chances of having a cesarean birth. This fact is hidden by doctors

The higher risk of persistent occiput posterior positioning of the baby  can also make pushing long and difficult. The OP position (occiput posterior fetal position) is when the back of baby’s head is against the mother’s back. 

When the baby is in a posterior position, the bony part of the head is pressed against the bony part of the pelvis. The pressure of the contractions pushes the head into the pelvis and can cause tremendous back pain. Some women feel the pressure even between contractions. Few women expect to feel their contractions as mostly a back ache.

Because the posterior position puts bone near bone, it is more difficult for the baby to fit into the pelvis. Posterior babies generally require longer labors, and if the baby persists in a posterior position, second stage may be longer than average as well. This can be fatiguing for a woman.

When a baby is head-down but facing your abdomen, she's said to be in the occiput posterior (OP) position – or posterior position, for short. The term refers to the fact that the back of your baby's skull (the occipital bone) is in the back (or posterior) of your pelvis.

Infants who are exposed to epidurals are more likely to be evaluated and treated for sepsis and many reduced immune system function.

There is a distinct correlation between epidural use and fewer breastfed babies.     An epidural during birth was connected to women ending breastfeeding by the time their baby was 12 weeks old. 

Nowadays western women with plastic inside their boobs do NOT breast feed their babies at all.

Epidural side effects include neurobehavioral abnormalities that tend to peak in the first few hours after birth, also the most important time for establishing breastfeeding.   Epidurals block oxytoxin, the hormone that helps mom and baby bond and mom’s milk to come in.

A reasons breastfeeding can be affected by epidurals are:

Mom might delay the first nursing session out of fatigue because she doesn’t get the same rush of adrenaline and oxytocin that a woman birthing her baby naturally experiences.

Babies born after epidurals were less likely to be fully breastfed on hospital discharge; this was an especial risk for epidural mothers whose babies did not feed in the first hour after birth.

One side effect of an epidural with some babies is a struggle with “latching on” in breastfeeding.

Given the increased risks with the epidural for babies, it’s possible the baby may have difficulty transitioning after birth, leading to more time on the infant warmer or in the NICU, away from the mother.

Oxytocin hormone created by natural birth , causes the mother to be more caring, to be more eager to please others, to become more sensitive to other’s feelings, and to recognize nonverbal cues more readily . 

Although baby makes her own oxytocin in response to nursing, mother also transfers it to the infant in her milk. This provision serves to promote continuous relaxation and closeness for both mother and baby.

Human babies are born helpless, needing to be entirely cared for and protected.

Oxytocin is a chemical messenger released in the brain  . Oxytocin is one of nature’s chief tools for creating a mother. Roused by the high levels of estrogen (“female hormone”) during pregnancy, the number of oxytocin receptors in the expecting mother’s brain multiplies dramatically near the end of her pregnancy. 

This makes the new mother highly responsive to the presence of oxytocin. These receptors increase in the part of her brain that promotes maternal behaviors. 

Oxytocin’s first important surge is during labor. Passage through the birth canal further heightens oxytocin levels in both mother and baby.

High oxytocin causes a mother to become familiar with the unique odor of her newborn infant, and once attracted to it, to prefer her own baby’s odor above all others’. Baby is similarly imprinted on mother, deriving feelings of calmness and pain reduction along with mom. 

When the infant is born, he is already imprinted on the odor of his amniotic fluid. This odor imprint helps him find mother’s nipple, which has a similar but slightly different odor. In the days following birth, the infant can be comforted by the odor of this fluid

Pain isn’t something to be avoided at all costs, and it’s useful in birth. Pain helps signal your brain to release more endorphins (for pain management) and oxytocin (to stimulate contractions). Pain also helps mom know which position is most effective to bring baby into the world, and it helps her know when and how to push.

Oxytocin can put mom into an “other worldly” state during birth. An epidural interferes with oxytocin so women are not able to enter this primal birth place and are more aware of pain and can be more fearful.

Women who use no pain medication reported the most satisfaction with their birth.

 An important uterotonic hormone, prostaglandin F2 alpha, is reduced in women using an epidural.

Beta-endorphins are the stress hormones that build up in a natural labor to help the laboring woman to transcend pain. Beta-endorphins are also associated with the altered state of consciousness that is normal in labor.

Being “on another planet,” as some describe it, helps the mother-to-be to work instinctively with her body and her baby, often using movement and sounds.   Epidurals reduce the laboring woman’s release of beta-endorphins.

An epidural also paralyses the laboring woman’s pelvic floor muscles, which are important in guiding her baby’s head into a good position for birth. When an epidural is in place, the baby is four times more likely to be persistently posterior (POP or face up) in the final stages of labor.

While in-utero, a baby might also become lethargic and have trouble getting into position for delivery.

Babies are more likely to be in a persistent occiput posterior position (POP) when the mom has epidural anesthesia. That means that baby is facing forward instead of facing back, which reduces the chances of spontaneous vaginal birth.

This slowing of labour is at least partly related to the effect of the epidural on a woman’s pelvic floor muscles. These muscles guide the baby’s head so that it enters the birth canal in the best position. 

When these muscles are not working, dystocia, or poor progress, may result, leading to the need for high forceps to turn the baby, or a caesarean section.

With an epidural, there is an increased chance that you will need to have an assisted birth using a ventouse suction cap or forceps

Once the epidural is in place, you have to alternate positions on either side while lying in bed. This is a position that actually slows down and even stops labor.. Stupid doctors do NOT realize this. In some rare instances there is lasting nerve damage from the catheter.

The epidural catheter typically stays in for the duration of your labor up until the time of your transfer from the labor and delivery floor to your discharge to a postpartum room.

For some women, the side effects include long-term problems such as back aches and incontinence

On average, the first stage of labor is 30 minutes longer in women who use an epidural, and the second, pushing stage is  20 minutes longer.     Loss of the final oxytocin peak probably contributes to the doubled risk of an instrumental delivery—vacuum or forceps—for women who use an epidural.

Epidurals increase the need for synthetic oxytocin ( Pitocin) to augment labor, due to the negative effect on the laboring woman’s own release of oxytocin.  

 Women laboring with an epidural in place are four  times more likely to be administered Pitocin.

The combination of epidurals and Pitocin, both of which can cause abnormalities in the fetal heart rate (FHR) that indicate fetal distress, markedly increases the risk of operative delivery (forceps, vacuum, or cesarean delivery).

Pitocin is synthetic and not the same as the natural hormones that should regulate labor. It causes sharper contractions that come more frequently than natural ones. This might cause fetal distress, which would result in a C-section in order to deliver the baby immediately.

Pitocin interferes with your body’s production of endorphins, these morphine-like helpers offset the pain of birth naturally. 

However, because Pitocin is synthetic and not regulated by your body and baby, many women experience intense and frequent contractions that don’t allow mom or baby time to rest.

Without adequate rest between contractions, baby may not get enough oxygen and become distressed. Fetal distress can mean an emergency c-section.

Pitocin with side effects is used for inducing labor in women. Pitocin is a uterine stimulant. It works by causing uterine contractions by changing calcium concentrations in the uterine muscle cells.

Common side effects of Pitocin include:

redness or irritation at the injection site,

loss of appetite,

nausea,

vomiting,

cramping,

stomach pain,

more intense or more frequent contractions (this is an expected effect of oxytocin),

runny nose,

sinus pain or irritation, or

memory problems.

Serious side effects of Pitocin include:

fast, slow, or uneven heart rate;

excessive bleeding long after childbirth;

headache,

confusion,

slurred speech,

hallucinations,

severe vomiting,

severe weakness,

muscle cramps,

loss of coordination,

feeling unsteady,

seizure (convulsions),

fainting,

shallow breathing or breathing that stops; or

dangerously high blood pressure (severe headache, blurred vision, buzzing in your ears, anxiety, confusion, chest pain, shortness of breath, uneven heartbeats, seizure).

NATURAL OXYTOCIN DOES NOT HAVE  ANY  SIDE EFFECTS .. .

Epidural side affects also include complications from accidental puncture of the spinal cord coverings and permanent nerve damage in rare instances. Some moms have a “spinal headache” or migraine that lasts for a few days to a few months after birth.

Epidurals can cause fever in mothers during labor too.  One in four epidural users developed a fever while only one in hundred  of non epidural users did.   These babies are eight times more likely to be weak, require resuscitation, have seizures in the newborn period, have poor tone, and have low APGAR scores. The higher the maternal fever, the higher the risk to the baby.

Epidurals related fever  could be due to a uterine infection.  So, babies born to mothers with a fever are often assessed for infection (sepsis). This can involve the baby being taken to special care nursery until the test results are known. If a mother and her baby are separated after birth, this can make establishing breastfeeding more difficult.

 The most common side effect of epidurals is a drop in blood pressure. This effect is almost universal, and usually preempted by administering IV fluids before placing an epidural. Even with this “preloading,” episodes of significant low blood pressure (hypotension) occur for up to half of all woman laboring with an epidural, Hypotension and can also affect the baby’s blood supply

For this reason, your blood pressure will be routinely checked to help ensure an adequate blood flow to your baby. If there is a sudden drop in blood pressure, you may need to be treated with IV fluids, medications, and oxygen.

A drop in the mother’s blood pressure will affect how much of her blood is pumped to the placenta, and can lead to less oxygen being available to the baby.

Hypotension ( low blood pressure ) is experienced by 42 % of women who get an epidural injection.

In most medical facilities, it is standard to require a woman who has received an epidural block to wear a blood pressure cuff throughout her labor and delivery, which can also limit her movement.

Epidurals can also cause a woman to experience chills and severe headaches after an epidural is administered. Long-term side effects include mild-to-severe lower back aches, which can last for a few months or even years following an injection.

 With an epidural injection, the mother is at risk for cardiac arrest, allergic shock, and in some cases, the epidural can be fatal. There is also the rare, but deadly, risk of the baby experiencing severe drug toxicity.  When the baby dies the doctor washed his hands off .

The drugs used in labor epidurals are powerful enough to numb, and usually paralyze, the mother’s lower body, so it is not surprising that there can be significant side effects for mother and baby ..  

A common side effects of epidurals include: inability to pass urine (and requirement for a urinary catheter) for up to 72% of women.

Epidurals interfere with the natural cascade of birth hormones. This is a cascade we want for the baby! 

It is criminal to block this--just because the selfish Chutney Mary does NOT want to to undergo the pain experienced by every woman since humans came on earth.  . 

An epidural may not be an option to relieve pain during labor if any of the following apply:

You use blood thinners

Have low platelet counts

Are hemorrhaging or in shock

Have an infection in the back

Have a blood infection

Epidural space can not be located by the physician

If labor is moving too fast and there is not enough time to administer the drug

Epidurals lengthens the time of labor  because it numbs the pelvic muscles and blocks adrenaline. Epidurals block the nerve impulses from the lower spinal segments.   It blocks nerve signals from both the sensory and motor nerves

Epidural numbness  limits a woman’s ability to move during labor, which can make labor last longer; it can also limit her ability to empty her bladder, typically requiring the insertion of a catheter. This slowing of the progression of labor can also put a woman more at risk of a cesarean.

If labor continues for more than a few hours you will probably need urinary catheterization, because your abdomen will be numb, making urinating difficult

By just choosing to get an epidural, you are also signing up for several other interventions like continuous fetal monitoring , an IV because fluids help reduce the chances of a blood pressure drop, frequent blood pressure monitoring, and in many cases, a catheter .

Risks to the baby  associated with epidurals,include respiratory depression, fetal malpositioning and increased heart rate. All of these are associated with the need for forceps, C-sections and the like.

Epidural babies  are generally  less alert with poor ability to orient for the first month of life. They  keep crying.

Ideally epidurals must be placed when the cervix is dilated to 4-5 centimeters and you are in true active labor. As the anesthetic dose begins to wear off, more doses will be given–usually every one to two hours.

After your epidural is placed, you will need to alternate sides while lying in bed and have continuous monitoring for changes in fetal heart rate. Lying in one position can sometimes cause labor to slow down or stop.

In rare instances, permanent nerve damage may result in the area where the catheter was inserted.

Women were thrice as likely to experience postpartum hemorrhaging when they used an epidural in labor.

Epidurals increase the risk of pelvic floor problems (urinary, anal and sexual disorders) in mothers after birth, which rarely resolve spontaneously.

Again, it is  important to understand that drugs administered by epidural enter the baby’s bloodstream at equal and sometimes even higher levels than those present in the mother’s bloodstream.

Epidurals  inhibit catecholamine (CA) production.  CA  promotes the fetus ejection reflex in the second stage of labor. Thus inhibiting CA production may make delivery more difficult. 

Epidurals limit release of prostaglandin F2 alpha, a lipid compound that stimulates uterine contractions and is involved with the initiation of labor. 

Prostaglandin F2 alpha levels should naturally rise during an undisturbed labor.

Epidurals babies usually suffer from immune system problems .

Surrender to pain during labor is like surrendering your control to God, to the flow, to nature, and allowing what needs to take place to do so-----

- regardless of your level of comfort or satisfaction with the process.   

This surrender begins your journey of motherhood, and that with accepting your pain, you accept this honorable title - MOTHER

Sai Mallika PrudhviNovember 17, 2016 at 10:28 AM

Sir,

My cousin was planning for normal delivery.. no c-section / epidurals.... she even paased her due date.. at the end, her water broke and she fet no labor pains 5hrs after her water had broken.. she ended up having c-section...

why no pains after water broke sir?

1. Capt. Ajit VadakayilNovember 17, 2016 at 11:19 AM

   hi smp,
   
   It doesn’t hurt for your water bag to break — in fact, you may not even notice when it happens, unless you feel a little warm and wet down below. But for many women, the breaking of the water ushers in the painful part of labor.
   
   If your water breaks before labor starts, it's called premature rupture of membranes (PROM).If your waters break before your baby has reached full term (37 weeks), the medical name for it is preterm prelabour rupture of the membranes, or PPROM.
   
   Over 80% of women who have PPROM deliver their baby within seven days of their waters breaking.
   
   In an overwhelming majority of cases -- some 80 percent -- labor begins with contractions, then water breaking. In the other 20 percent, the water breaks first and is usually followed by labor pains within a few hours.
   
   The likelihood is that your contractions will start within 24 hours to 48 hours of your water bag breaking. At least 60 per cent of women go into labour within 24 hours and most of the rest go into labour within 48 hours
   
   Caesarean rates are lower when women waited for labour to start compared with those who were induced.
   
   When your water bag breaks the amniotic fluid then leaks out via your cervix and vagina.
   
   The bag of waters is made up of two layers of membranes
   
   Most women's waters break during labour, after contractions have already begun. The waters protect you and your baby from infection.
   
   Sometimes waters break before any other signs of labour, including contractions. This happens for about one in 10 women .
   
   For about one in 50, their waters break earlier than this, before they are 37 weeks pregnant. Once your waters have broken, you may notice that your contractions start to feel more intense.
   
   Amniotic fluid is almost 99 per cent water so it's normally clear with a yellow tinge or sometimes a pink tinge.
   
   If you’re close to or past your due date, your water may contain some of your baby's first poo (meconium). This may result in the waters having a green tinge to them, or you may be able to see green or brown meconium .
   
   If your baby hasn't arrived within 24 hours after your water broke, your doctor may give you antibiotics intravenously. That's because there's a chance an infection can travel into the uterus and cause an infection in the baby
   If you experience premature rupture of membranes, your doctor might stimulate uterine contractions before labor begins on its own (labor induction). The longer it takes for labor to start after your water breaks, the greater the risk of you or your baby developing an infection.
   
   If you are under 24 weeks of pregnancy and the baby is born, sadly, it is unlikely the baby will survive.
   
   If you are over 30 weeks and the baby is born, the likelihood of your baby surviving is much higher - over 95%
   
   Before 23 weeks, the baby needs ‘waters’ to be present for their lungs to develop normally. Loss of water before this can lead to severe problems with lung development that can be critical after birth.
   
   After 23 weeks your baby does not need the amniotic fluid so much, so low levels of fluid may not be a problem in itself, but if the low levels are due to your waters breaking then there is a risk of infection..
   
   CONTINUED TO 2—

   
   
2. Capt. Ajit VadakayilNovember 17, 2016 at 11:20 AM

   CONTINUED FROM 1-
   
   You may also be treated with antibiotics, corticosteroids and magnesium sulphate (if you are less than 30 weeks) to help prepare your baby in case the baby is premature
   
   Water bag is a special cushion for your baby. It gives your baby freedom to move within your body, and it gives the space so that when someone taps your belly, your baby isn’t in danger of a bruise.
   
   And it helps regulate the temperature, so that your baby stays warm in the winter and cool in the summer. A woman should always mark the time when her water breaks
   
   most doctors want the baby to be born within 24 hours to ensure that the baby is healthy. Sometimes, the doctor will give a woman some time for the contractions to begin on their own, but if they don’t within 12 hours or so, that may mean that the doctor recommends an induction, unless the baby would be premature.
   
   One of the biggest dangers of water breaking before labor begins is the danger of the umbilical cord getting in the way. It’s called umbilical cord prolapse, and if the cord is in the way, it could get compressed by the baby in the birth canal.
   
   The umbilical cord is still helping your baby get blood and oxygen during the delivery, and it is a big deal if that flow gets cut off. In fact, an umbilical cord prolapse usually results in a doctor recommending a C-section.
   
   Capt ajit vadakayil
   ..

CAPT AJIT VADAKAYIL
..