Abortion operations all use "general anesthesia". Why does caesarean section only use "semi-anesthesia"?

Why abortion general anesthesia caesarean section semi-anesthesia?

The day before yesterday, my best friend had an abortion because she divorced her husband. Before she did it, she was very scared and nervous. She thought it would hurt. Later, I learned that it was general anesthesia and I didn't feel anything. I feel very relaxed after finishing.

When my best friend gave birth to a baby by caesarean section, I was still surprised that she was half numb. Isn't caesarean section as important as abortion?

Causes of general anesthesia in induced abortion:

The purpose of these two operations is obviously different, one is to keep and give birth to the child, and the other is to give up the child.

It is a three-point poison, especially anesthetic, which acts on people's nerves and makes people feel no pain. But it is also harmful to human health to some extent.

Cause of semi-anesthesia for caesarean section: 1. Feel the happiness of the new mother.

Under normal circumstances, doctors will semi-anesthetize pregnant women. Semi-anesthesia will not make pregnant women completely unconscious, but will only affect the lower body. Under semi-anesthesia, you can see the baby coming out, hear the baby's first cry and feel the new joy of being a mother.

2. General anesthesia has great side effects.

The risk factor of pregnant women or fetuses under general anesthesia is relatively high, which has great influence on pregnant women and fetuses. Anesthetic drugs will also be absorbed by the baby in the belly and have an effect on it. Pregnant women need more time to recover to a sober state.

However, some mothers do not meet the requirements of semi-anesthesia, such as lower than normal platelets and abnormal spinal development in pregnant women. And you can only use general anesthesia.

Regardless of safety or comfort, spinal anesthesia (semi-anesthesia) is the first choice for cesarean section anesthesia.

Advantages of semi-hemp:

1. When you are awake, you can feel the baby's first cry and have a warm first contact with the baby.

2. It can provide good postoperative analgesia, reduce postpartum pain, contribute to the recovery of postpartum gastrointestinal function, be more conducive to breastfeeding, reduce postpartum depression, get out of bed earlier, and have very good comfort, so what is more important is the safety of semi-anesthesia!

3. Semi-anesthesia can avoid the possible risks brought by general anesthesia.

A. The risk of general anesthesia is high.

Many people say that giving me an injection to sleep is as good as painless abortion. In fact, cesarean section is not a simple abortion operation, which requires abdominal muscles to relax and create conditions for the operation to take the baby. Therefore, it is not simply taking sleeping pills, but intubation general anesthesia, which requires sedation+analgesia+muscle relaxants. Your breathing needs mechanical ventilation through tracheal intubation and ventilator. After the operation, after the drug subsides, you can regain your breathing and consciousness.

Where are the risks? Due to the physiological changes of pregnancy and the increase of obese people, the risk of maternal airway difficulty, tracheal intubation or ventilation is increased.

In addition, if you eat a lot of food during labor and the food in your stomach is too late to be digested and emptied, you may have reflux during general anesthesia, and once reflux enters the trachea and lungs, it will be a very terrible thing, and it will be life-threatening in severe cases.

B. Effects of general anesthesia drugs on infants

General anesthesia drugs are mostly administered intravenously, and a few may affect the baby more or less through the placenta, affecting the baby's score after birth and adaptability to the outside world, especially for premature delivery with fetal heart disease or emergency cesarean section.

In addition, if you are afraid of affecting the baby's reduction, and you can't reach a certain anesthesia depth if you don't use it well, there may be an unexpected risk of "knowing during the operation". You know the whole operation process, which is a terrible thing ~ ~

The pain after cesarean section under general anesthesia is often earlier and more obvious than that under semi-anesthesia.

After the semi-anesthesia operation is completed, the anesthetic will only fade within a few hours after the end. However, under general anesthesia, people are awake and the drugs will fade. Pain often comes down earlier and more obviously than semi-anesthesia, and postoperative analgesia may require more drugs.

The above three points are only about the possible risks of general anesthesia, but sometimes general anesthesia is also a means to save mother and baby and ensure their safety. Here are some situations where general anesthesia must be selected:

1, refusing to be semi-numb, or unable to cooperate with semi-numb, such as mental abnormality, special fear, unable to cooperate, etc.

2. Semi-anesthesia has contraindications: such as blood coagulation disorder, back infection, uncorrected massive hemorrhage, intracranial diseases, etc.

3, there is no time to allow semi-anesthesia for immediate cesarean section, that is, it is necessary to rescue the baby as soon as possible.

4, semi-anesthesia failed, or ineffective, can not be cesarean section, at this time need to change general anesthesia ~ ~

I accompanied my family to have an abortion before, but I was too nervous to talk to the doctor when I went.

When she came out, she was weak and could not stand still. I helped her to the hospital bed and lay down for a while.

She said that after going in, the doctor chatted with her, fell asleep after chatting, and woke up to realize that the operation was over, and my heart suddenly relaxed a lot.

Abortion is generally general anesthesia, and the anesthesia time is about 20 minutes. After anesthesia, women will soon fall asleep and lose consciousness, and when they wake up, the abortion operation will be completed.

If you don't play anesthetic, women will be very painful. General anesthesia can avoid women's physical pain and fear. Without the moaning of pregnant women because of pain, doctors can operate without interference.

My sister was delivered by caesarean section. She said that it was terrible to know clearly that the doctor was rowing on her stomach. Although she felt no physical pain, she was so nervous that her heart almost stopped beating.

If you really want general anesthesia, but the doctor says no, general anesthesia or semi-anesthesia depends on the physical condition of pregnant women, unless there are special circumstances.

General anesthesia may affect the health of the fetus, especially the intelligence and development of the fetus. Some scholars believe that general anesthesia can easily lead to fetal asphyxia. The risk of general anesthesia is high.

Cesarean section belongs to semi-anesthesia, because it can reduce the risk of pregnant women during the operation. Semi-anesthesia is to anesthetize the nerves around the surgical site, and the pain will not spread to the brain. Pregnant women can also communicate with doctors when they are awake.

I used to accompany a friend to have an abortion operation. My friend is afraid of pain. Her legs were shaking when she entered the operating room. But when she came out, her friend just looked a little pale and asked her how she felt. She said she just had a sweet sleep, but she didn't feel anything. After that, she lamented that she hadn't slept so comfortably for a long time.

The other sister who had a caesarean section was much worse. She thought that when she was anesthetized during caesarean section, she wouldn't be as painful as giving birth naturally. But during the whole operation, she could clearly feel that the doctor opened her stomach layer by layer. From laparotomy to suture, she hardly hung on the operating table. Afterwards, my sister asked the doctor bitterly, why can't caesarean section be under general anesthesia? I have no consciousness at all. Just get some sleep, the baby will be born soon.

Abortion operations all use general anesthesia, why do caesarean sections only use semi-anesthesia? Actually, caesarean section also has general anesthesia. For example, pregnant mothers with poor coagulation function or pregnancy-induced hypertension syndrome are likely to have unexpected situations during semi-anesthesia, such as massive bleeding or cerebral artery spasm, so in order to avoid accidents, general anesthesia is usually used during caesarean section.

If the pregnant mother has no special circumstances, most caesarean sections are still semi-anesthetized, and an anesthetic needle will be inserted in the lumbar intervertebral space of the pregnant mother, so that the pregnant mother's lower body will lose consciousness. More importantly, in order to ensure that pregnant women weighing more than 100 kg lie down, the dose of general anesthesia is sufficient, and the drugs of general anesthesia will enter the fetus through the placental barrier, so that the fetus' breathing will be inhibited and it will be easy to suffocate at birth.

There are not so many taboos in abortion, so don't worry about the influence of anesthetic on the fetus, because the fetus will still be taken out from the mother in the end. If general anesthesia is not used, patients will move because of nervousness or discomfort during the operation, and the uterus will be perforated, which will cause more serious consequences.

Abortion operations all use "general anesthesia". Why does caesarean section only use "semi-anesthesia"? Mothers who have given birth to children know that it is necessary to open the cervix when giving birth naturally. When the cervix is opened, the pain is very strong and lasts for a long time, ranging from seven or eight hours to one or two days. In order to avoid this long-term pain, many pregnant mothers will choose caesarean section, only to find that caesarean section is not as simple as expected, especially for those pregnant mothers who are resistant to anesthetics, which may be very painful.

In this way, a caesarean section was performed at Sweet's strong request, but the experience of this caesarean section was completely different from her imagination. She is not only awake all the time, but also in great pain. After caesarean section, she questioned the doctor, why does caesarean section still hurt after anesthesia? Obviously, abortion anesthesia didn't hurt at all before? The doctor said that all abortion operations are general anesthesia, but caesarean section is semi-anesthesia. She asked again, why not give her general anesthesia? The doctor said that because semi-anesthesia is the least harmful to pregnant mothers and fetuses, general anesthesia or semi-anesthesia is generally chosen according to maternal conditions. After listening to the doctor's words, sweets was silent.

Abortion operations all use "general anesthesia". Why does caesarean section only use "semi-anesthesia"? Before answering this question, we need to know what is general anesthesia and what is semi-anesthesia.

General anesthesia belongs to general anesthesia. It is an anesthetic method that makes the patient unconscious by intravenous or inhalation anesthesia, making him feel painless all over the body and temporarily and reversibly losing his memory. It is suitable for most operations. Semi-anesthesia belongs to local anesthesia, the most commonly used is spinal anesthesia, which is generally suitable for most lower limb and lower abdomen operations, such as caesarean section.

As for general anesthesia for abortion and semi-anesthesia for caesarean section, the reason is actually very simple.

Abortion is a very painful process, which many women can't accept physically or psychologically, and there will be uncooperative situations, which will affect the normal operation. In order to alleviate the pain of women and make the operation more smooth, women will be given general anesthesia during abortion, so that women can fall into a sleep state during sleep and complete the abortion operation.

Of course, not all pregnant mothers will be semi-anesthetized. After all, every pregnant mother's situation is different, and the anesthesia effect is different. If semi-anesthesia doesn't work or there is an emergency, the doctor will give general anesthesia according to the actual situation. Therefore, pregnant mothers are advised to pay attention to their own health. If they feel that semi-anesthesia has no effect, they must tell the doctor in time.

To sum up, it can be considered that general anesthesia is used for abortion to alleviate the pain of parturient, and semi-anesthesia is used for caesarean section to let pregnant mothers see their babies at the first time and reduce the harm to pregnant mothers and children. Is this reason very warm?

A colleague accidentally got pregnant and was afraid to have an abortion. When she came back, she looked relaxed and asked her if it hurt. She said, "No, just sleep." The original general anesthesia used for abortion surgery, the doctor fell asleep after a shot, and felt nothing.

Abortion operations all use "general anesthesia". Why does caesarean section only use "semi-anesthesia"? 1, induced abortion under general anesthesia

Although the induced abortion operation is a common minor operation, because the cervical sensory nerve is particularly rich, when the uterus is sucked by negative pressure, women will have different degrees of backache, abdominal distension, lower abdominal pain and other reactions, and some women will also have dizziness, chest tightness, pale face, decreased blood pressure, bradycardia and even syncope.

In order to relieve the pain during the operation and reduce the occurrence of induced abortion syndrome, the doctor will give the pregnant mother a general anesthesia operation. General anesthesia is to achieve the effect of anesthesia quickly by intravenous injection of anesthetic, but the duration is very short, usually the operation can be completed within 30 minutes, and there is no pain during operation.

2. Semi-anesthetic caesarean section

However, caesarean section takes a long time. Generally, the child is taken out within 30 minutes, and it takes more than 1 hour for the parturient to sew. Simple general anesthesia can't last so long. If you want to last longer, you need to inject more anesthetic, which is likely to affect the fetal nervous system.

Spinal injection of semi-anesthesia only anesthetizes the nerves of lower limbs and lower abdomen. The dosage is small, the risk to the fetus is small, and the parturient will not feel pain. So this is a reasonable choice.

Of course, if the mother is intolerant of this anesthetic, she will also take general anesthesia, and the general doctor will make a full evaluation. We just need to be mentally prepared.

In a word, general anesthesia takes effect quickly and takes short time, which is suitable for simple abortion operation. Semi-anesthesia lasts for a long time, uses less drugs and has little loss to the fetus, so it is suitable for caesarean section.

I have had three operations in my life, twice for children and once for myself. Giving birth to a child is a semi-anesthesia, but a three-point poison. Semi-anesthesia is actually to protect children. The needle is inserted from the lumbar spine, which is much more painful than general anesthesia. Therefore, every mother is great. For the sake of the children, no matter how hard and tired she is, she can bear it.

At that time, a year after Bauer was born, I had a lump on my caesarean section wound, which was painful and itchy. The result of the examination was scab by caesarean section. The doctor said there was no other way except surgical resection. To tell the truth, I'm afraid of surgery. There is no way to have a baby, but I don't want to have another anesthetic and a knife for no reason. I always thought this operation was semi-anesthesia, just like caesarean section. I have experienced the feeling of two lumbar injections, which really hurts. Besides, my waist is not good now, and I often ache. Whether standing or sitting, you can't do it for long. I'm afraid I'll lose my waist if I keep playing. So it's too late to do this scar.

But 1 month in 2020, I don't think I can put it off any longer. Maybe it's influenced by my bad mood. It was out of control, accompanied by pain and itching, so I had to choose surgery again. But what I didn't expect was that this time it was general anesthesia, and the anesthetic was injected directly from the drip line. The anesthesiologist said to me, "I'm going to have anesthesia now, and I'll be a little numb." I just felt it before I answered, "It hurts a little." Then I was unconscious, and the rest was left to the doctor. At that moment, I broke the membrane and had no impression at all.

Therefore, the pain of general anesthesia will be much less, except that giving birth is semi-anesthesia, and most other operations are general anesthesia.

Hello, the standard general anesthesia is not used for induced abortion, but for short-term intravenous anesthesia. When a woman is induced to have an abortion, the whole pregnant woman soon falls into a coma after the doctor injects her with anesthetic. This is not a real general anesthesia. The patient breathed spontaneously without intubation. The effect is quick, the anesthesia time is short, only the woman needs to go to deep sleep, which is convenient for the successful completion of abortion operation in a short time, rapid recovery and very safe.

Caesarean section requires high anesthesia. Generally choose spinal anesthesia, puncture the lumbar space of pregnant mother, and then slowly inject anesthetic through the tube. After anesthesia, the pregnant mother gradually has no feeling in the abdomen and lower limbs, but she is conscious. Maternal women can participate in the delivery process. It is convenient to tell the doctor what is uncomfortable during the operation.

In terms of operation time, semi-anesthesia takes at least 10 minutes to take effect, and it will vary from person to person. It lasts at least two hours after taking effect, and it takes about six hours for the whole body to recover. The cost of medicine is also high, so it is not suitable for abortion.

Although abortion is general anesthesia and caesarean section is semi-anesthesia, this kind of intravenous general anesthesia is simpler and cheaper than caesarean section. Because abortion is a minor operation after all, and the operation time is short. Generally, only intravenous anesthesia is needed.

I hope my answer can help you!

Answering this question requires understanding three questions and a train of thought.

Question 1: Is abortion general anesthesia not general anesthesia in the conventional sense? This is an intravenous anesthesia without intubation. It is characterized by appropriate analgesia and sedation, and short action time, usually five to ten minutes.

Question 2: Semi-anesthesia in cesarean section is a kind of local anesthesia, which acts on spinal cord and nerve roots. It is characterized by 1 to 2 hours, sufficient analgesia and little influence on fetus.

Question 3: Can artificial abortion be semi-anesthetized, and can cesarean section be under general anesthesia? The answer is yes, why not? This involves a conceptual problem.

Idea: Is the first consideration of anesthesia cost or comfort?

In the traditional sense, the cost of spinal anesthesia is generally low, ranging from 300 yuan to several dollars for local anesthesia. In the past, spinal anesthesia may be the first choice to consider the cost, but abortion only takes five to ten minutes. After choosing semi-anesthesia because of its low cost, the role of semi-anesthesia makes it necessary to stay in bed for at least six hours after operation and need to be hospitalized for observation. General anesthesia, that is, intravenous anesthesia, although expensive, can go home one hour after surgery and eat and drink water for two hours. The comfort is so different.

I am an anesthesiologist. Before answering this question, I want to talk to you about "general anesthesia" and "semi-anesthesia".

What is general anesthesia? What is semi-hemp? What we usually call general anesthesia refers to an anesthesia that requires several anesthetic drugs and tracheal intubation. Usually, this kind of general anesthesia surgery needs to be performed in the operating room, and the patient needs to be hospitalized, which is relatively expensive.

However, abortion surgery is usually done in outpatient department, and the anesthesia of abortion surgery is pure intravenous anesthesia, which can not be regarded as general anesthesia in a complete sense. Painless abortion does not need hospitalization, anesthesia only needs one or two drugs, and tracheal intubation is not needed. After the operation, you can wake up, then you can walk and go home.

What we call semi-anesthesia is spinal anesthesia. This kind of anesthesia is operated from the back of the waist and usually takes about ten minutes. After the anesthesia takes effect, there is no pain below the stomach including the legs, and you can't walk. It takes two or three hours for anesthesia to fail after operation, so you should stay in the supine position after operation. It can be seen from these points that you must be hospitalized for semi-anesthesia, which will last for several hours. You can't move for a while after operation, and you must rest on your back.

Abortion operations are all under general anesthesia, but why should cesarean section be under general anesthesia? From the above introduction, we know that the anesthesia of induced abortion operation is a simple general anesthesia, which does not require tracheal intubation and only needs oxygen inhalation during operation. You can wake up soon after the operation, you can go home without any abnormality, and you don't need to be hospitalized.

If the induced abortion operation is semi-anesthesia, not only the anesthesia operation needs more time, but also the hospitalization after the operation, which is unnecessary for the induced abortion operation.

The semi-anesthesia of cesarean section is spinal anesthesia. Cesarean section can also use general anesthesia, but the general anesthesia of cesarean section is different from that of induced abortion. General anesthesia for cesarean section requires tracheal intubation and several anesthetic drugs, including muscle relaxants. Although our anesthesiologist will try to reduce the influence of general anesthesia drugs on the fetus, semi-anesthesia has better influence on the mother and fetus than semi-anesthesia.

Many people don't want to have a semi-anesthetic cesarean section, mainly because they think it will be a little uncomfortable to press their stomachs when the fetus comes out. In fact, there is no need to be afraid. Cesarean section is this kind of anesthesia all over the world, which will be uncomfortable but not painful.

Compared with the "general anesthesia" of abortion, the "semi-anesthesia" of cesarean section is not simple. On the contrary, abortion under intravenous general anesthesia is a very simple anesthesia. Doesn't mean conscious anesthesia is easier. Semi-anesthesia, also known as spinal anesthesia, also has contraindications, complications and risks. So don't simply think that semi-anesthesia is simpler based on the words semi-anesthesia and general anesthesia.

General anesthesia in induced abortion operation is just a simple intravenous general anesthesia, which is much simpler and safer than semi-anesthesia. This kind of intravenous general anesthesia is not suitable for cesarean section. Except for some special reasons and contraindications, spinal anesthesia is usually used in cesarean section, which is a good anesthesia method for both fetus and parturient.