Monday, November 23, 2009

My baby is growing up!!!

In two months my baby will be one year old. It seems like just yesterday.

She was just 5Ibs 15 oz but as small as she was I was told she was too big for my 5'2" frame. After I went through with my doctor about these painkiller medications and much more self educated,  I planned for natural birth but also kept my  mind open about using pain medication. I didn't have a difficult labor but I had written on my birth plan that my idea was not to have epidural, but if I asked for one, I meant I wanted it. Eight hours into labor the pain was unbearable and requested for one but I was told my window was closed. I really don't know what window they were talking about  but glad I didn't get one. The pain went very quick after the delivery.


Thinking all these and now just in two months she will be one year old. I wonder to myself where did the time go? Time fly so fast by my eyes. She is growing up no matter how much I want to slow time. Love you my princess.

Here are some of the advantages and disadvantage of these pain killer  I think you should know  but weigh the risks and benefits to decide what you think is right for your birth, your body and your baby. 

Benefits
  • Usually provides excellent pain relief
  • Small amount of medication is used, so you remain alert
  • Not very much medication reaches the baby
  • Safer than general anesthesia, if cesarean section is required

Disadvantages
  • May provide inadequate or patchy pain relief
  • Necessitates immobility, precluding walking or other movement that may help labor's progress
  • Decreased pushing urge and ability
  • Possible shivering, itching
  • Usually requires urinary catheterization
  • Requires continuous monitoring to detect complications and/or progress
  • Reduces experience of birth; mother becomes observer instead of full participant

Risks to the mother
  • Fever
  • Serious drop in blood pressure
  • Malpresentation or malposition
  • Since it may interfere with progress, increased need for Pitocin
  • Increased need for forceps and vacuum
  • Increased need for cesarean section
  • Severe postbirth headache
  • Long-term backache
  • Severe complications are very rare but include paralysis and death

Risks to baby
  • Medication crosses placenta
  • Septic workup and NICU care if maternal fever develops
  • Complications due to forceps, vacuum or cesarean section delivery
  • Respiratory depression
  • Increased likelihood of fetal distress due to mother's low blood pressure
  • Short-term neurobehavioral changes, including irritability and inconsolability

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