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Inhaled analgesia nitrous oxide during labour.
BŘEZINOVÁ, Nicola
Childbirth is a physiological activity, every woman who is planning a baby, she must also prepare for this process. Unfortunately, many women have a great fear of childbirth. Whether this fear relates to an unknowen environment, or the willingness or unwillingness of medical staff, so it usually refers to the fear of pain, which is inevitable in childbirth. Some women are supporters of Unmitigated pain, but we live in the 21st century, where the history of medicine got progressed very forward. And so, it is possible to allow the woman natural childbirth, but also women can be easily remedied from the pain, and I think that a woman need not be ashamed that, she would like to have a rest during this process, which is made possible thanks to analgesia, but also leads birth to a successful conclusion. Another fear that accompanies women in childbirth is fear of the baby. Most women also rejects painkiller because of negative effects on the child. Of course, there is quite extensive choice in pharmaceutical market of how to relieve the pain of women in childbirth. The most commonly used and most popular among women is epidural analgesia, or infusion of semi-synthetic opioid nalbuphine. When using the infusion solution application is the easiest. If women choose epidural analgesia, the next question from women is if the application hurts and what the risks are. It is well known among the public that this method is invasive, but it has demonstrable effects. Another option is the inhalation of nitrous oxide, which this purely theoretical treatment thesis is dedicated. The task of this thesis is to do the summery of the latest information. Which contains both positive aspects and negative aspects that this product carries. In this work I also presented places abroad where the use of this product is big, but also places like the USA, where the product is not used. In the Czech Republic there are hospitals which offer this analgesic method, but usage is relatively small or none. But there are hospitals where this product is in high demand. The greatest demand for this type of analgesia is at suture birth injury. In this case the composition is typically placed on a doctor and is free. But there are, of course, hospitals where you have to pay for it. Prices in our country are very different. But it is clear that this analgesia is a golden center. It has an easy application, the effect is not as comparable as with epidural analgesia, but it is completely non-invasive. Thanks to its analgesic effect stress in mothers is also releasing and the course of childbirth can improve. If a woman does not want to use this analgesia during labor, it can be selected at the suture of birth injury and the effect will be guaranteed. A significant problem in our country is that this product is not covered by health insurance. There are hospitals where epidural analgesia is charged. In contrast, the laughing gas is unknown to the public. Although there is INKA program in the Czech Republic that I have also mentioned in my work and which is intended to raise public awareness of analgesia during labor. Apart from information about nitrous oxide analgesia I have mentioned childbirth management and pain management in my theoretical thesis. In these chapters I deal with the management of childbirth at different diagnoses, as well as the leadership of birth from the perspective of the famous French obstetrician Leboyera Odent. I tried to create the whole concept work so that the individual chapters follow, because I think that childbirth pain and subsequent pain is very common. I mentioned an intresting thing in pain management which is hypnosis during childbirth. This method is also a novelty within the obstetrical analgesia, but it depends on the susceptibility and the readiness of women to use this method in practice. Susceptibility of women is also very important in the application of any analgesic methods in childbirth.
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