Non-pharmacological methods of anesthesia, anesthesia during labor

In addition to physiopsychoprophylactic preparation for childbirth, drug anesthesia, there are also non-drug anesthesia methods during labor: acupuncture, electro-puncture, abdominal decompression, electroanalgesia, etc.

Acupuncture is used to prepare pregnant women for childbirth, in order to reduce tension, fear, pain, as well as for anesthesia and the regulation of labor. The duration of the acupuncture procedure is from 15 to 40 minutes, conducted daily or after 1-2 days, only 4-8 times.

Electroacupuncture is carried out by the action of electric pulses of different duration and polarity on the needles introduced into the acupuncture points.

Two pairs and two unpaired points of the inner surface of the body are used:

- The point located on the inner surface of the forearm - Mei-Guan (MC-6) paired;

- The point located on the inner surface of the shin - san-yin jiao (JR-6) is paired;

- Point, located along the midline of the abdomen - GUAM-YUAN and Zhong Zi (US-3).

Abdominal decompression is used to anesthetize and speed birth. She was recognized abroad in the 60's. Use of this method in the first stage of labor to lead to a decrease or complete cessation of pain in 75-86% of parturient women. M.A.Petrovim-Maslakov, V.A. Ryndin made a camera, as much as possible corresponded to the shape of the belly of a pregnant woman. The decompression technique is performed as follows: after stretching the edges of the camera a little, it is placed on the woman's maternity. Then air is evacuated from the space between the chamber walls and the abdominal surface with the help of a compressor during each contraction, reducing the pressure in the chamber by 50 mm Hg. and support it between fights at a level of 20 mm Hg. For air evacuation it is possible to use surgical suction of the firm "Herana", which within 6-8 seconds creates a vacuum in the chamber to 50 mm Hg. Maximum decompression time with short breaks - up to 3 hours. The contracting activity of the uterus in most parturient women is intensified. The method of abdominal decompression has no negative effect on the fetal and neonatal fetus and development of the child.

Electroanalgesia. Since 1968 L.S.Persianinovim and methodology elektroanalgezii E.M.Kastrubinim developed in childbirth with fronto-occipital electrode placement. In this case, the therapeutic effect of electroanalgesia is obtained with a gradual increase in the strength of the current during the session, depending on the threshold of sensation of the woman (on average, up to 1 mA). The duration of the session is about 1-1.5 hours. After 40-60 minutes of using this technique between contractions, a drowsy condition is noted, and during the struggle - a reduction in the pain reaction. In the presence of restless behavior it is recommended to begin the electroanalgesia session after the previous administration of pipolfen, dimedrol or promedol.

Despite the large arsenal of these funds, it should be remembered that the approach to anesthesia in each case should be individualized, taking into account peculiarities of the female organism (the presence of extragenital pathology, pregnancy complications, especially mental) and the fetus (gestational age, especially fetal development).