Local Anesthesia:
- It is used for blocking pain during episiotomy
- It is administered just before the birth of the baby
- The anesthetic has no effect on fetus
Pudendal Block:
- It is administered just before the birth of the baby
- The anesthetic is injected into the pudental nerve through a transvaginal route
- It has effect last about 30 minutes
- It blocks the perineal area for episiotomy
- There is no effect on contraction or the fetus
Lumbar Epidural Block:
- The anesthetic relieves pain from contractions and numbs the vagina and perineum
- The anesthetic is injected in epidural space at L3 to L4 and may cause hypotension, so assess the maternal blood pressure
- The anesthetic is administered after labor is established or just before a scheduled casarean birth
- Keep mother in side-lying position or place a rolled blanket beneath the right hip to displace the uterus from the vena cava
- Administer IV fluids if prescribed
- Increase fluids if hypotension occurs
Subarachnoid (spinal) Block:
- The anesthetic is injected into the spinal subarachnoid space at L3 to L5 and administered just before the birth
- It relieves uterine and perineal pain and numbs the vagina, perineum, and lower extremities
- The anesthetic can cause maternal hypotension and postpartum headache
- Keep mother lie flat for 8 to 12 hours following spinal injection
- Administer IV fluids as prescribed
General Anesthesia:
- General anesthesia may be used for some surgical interventions
- It might cause a danger of respiratory depression and vomiting
- The mother is not awake
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