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You want a normal birth, but your little baby doesn't want to come. In this case, medicine offers you the option of “artificial pain”. Gynecology and Obstetrics Specialist Op. Dr. Contact Hülya directly share with those who are curious about the subject.
: What is artificial pain?
Kiss. Dr. Hulya Erdem: Oxytocin is released naturally when the pregnancy is complete and leads to uterine contraction (hence unpleasant labor pains). is called gripes.
: In which situations is it applied?
Kiss. Dr. Hulya Erdem: It is most commonly used in cases where the baby is not born even though the expected date of birth has come. is a frequently used way to give birth in a short time. It is also used to initiate birth if the water called early membrane rupture comes before birth pains begin. Another use is to reduce postpartum hemorrhage, to facilitate recovery of the uterus.
: How is it done?
Kiss. Dr. Hulya Erdem: Low amounts of oxytocin hormone are injected intravenously by diluting the serum. It is preferred to administer it via the infusion pump (device for automatically controlling the number of drops). It is reasonable to connect the pregnant woman to the monitor called cardiotocography and monitor both uterine contractions and baby heartbeats throughout the process.
: What are the points to consider during the application?
Kiss. Dr. Hulya Erdem: The patient should be connected to the monitor, the dose should be increased gradually and in a controlled manner every 15 to 20 minutes, and the catheter should be postponed until effective pain begins, even if the epidural catheter is inserted before pain begins.
: What are the risks of artificial pain?
Kiss. Dr. Hulya Erdem: One of the risks is uterine hyperstimulation, called uterine contraction, which can cause the baby to become distressed. But it is rare, especially in cases that are carefully monitored using an infusion pump and by slow augmentation. Another risk is very rare, but uterine rupture. Again, a rare risk is water poisoning, especially if prolonged artificial pain is given.
: Is it a proven method?
Kiss. Dr. Hulya Erdem: Oxytocin administration is not a new application. It has been implemented for a very long time. I would say it is a very reliable method when done generally in accordance with the rules.
: Is artificial pain more severe than normal pain?
Kiss. Dr. Hulya Erdem: Artificial pain is more severe.
: Is it true to give birth by giving artificial pain because a mother wants a normal birth? Or should it be applied only in case of medical necessity?
Kiss. Dr. Hulya Erdem: It should be applied in case of medical necessity. The wishes of the expectant mother are of course valuable. But the obstetrician's job is to convince the patient which condition is appropriate. Already since the beginning of pregnancy, this trust bridge has been established between the expectant mother and the obstetrician and the family will consent to the correct guidance of the doctor.
: Isn't cesarean section healthier instead of starting labor with artificial pain?
Kiss. Dr. Hulya Erdem: If there is an indication for cesarean section, artificial pain will not be tried. For example, in case of day-out, artificial pain can be tried first, in case of difficult response or when the baby is at risk, it can be easily switched to cesarean section.
: What happens in case of excessive pain?
Kiss. Dr. Hulya Erdem: There is almost no such risk when the dose is gradually increased by the infusion pump. In case of overdose, rare but serious problems such as excessive contraction or even rupture of the uterus may occur.
: In which cases is it inconvenient to apply?
Kiss. Dr. Hulya Erdem: The patient who is going to have artificial pain should not have any condition that prevents normal delivery. For example, infant anomalies, head pelvic incompatibility, previous uterine surgeries (such as cesarean section, myomectomy, uterine anomalies correction operations) Otherwise, it is best to make a direct cesarean section decision without resorting to any artificial pain.