Placement of an epidural
Before the placement of the epidural, intravenous infusion will be placed at the hand or forearm. After checking your file and found the presence of the signed document, the anesthesiologist, helped by the midwife, will install you on the bed, lying on your side or sitting.
Epidurals have to be performed in a sterile manner. This is why the anesthesiologist will wear a cap, mask and sterile gloves. He will proceed first to the disinfection of the lower back, then to local anesthesia of the skin, and finally, the introduction of the needle and catheter into the epidural space. It will be important not to move during the period and notify the doctor when you have a contraction.
The introduction of the catheter into the back can sometimes be accompanied by an electric shock sensation in the back or legs. Once the catheter is in place, the needle is removed and a bandage is applied in the back. A monitoring of the blood pressure, heart rate and oxygen saturation will be installed and the anesthetist will inject the first dose of product by the epidural catheter.
The effect of the first dose is not be felt until after 10 to 20 minutes. This effect is then maintained either by reinjection upon request, but usually with a pump (PCEA) to help you manage your own needs (by pressing a pushbutton when the pains reappear). Throughout the work, the midwife regularly does tests to evaluate the quality of analgesia. After the birth of your child, the catheter will be removed in the delivery room by the midwife.