The specialist clarifies how cesarean section anesthesia should be performed and highlights the rights of pregnant women during childbirth
A rape committed by an anesthesiologist during a caesarean section shocked the country. Giovanni Quintella Bezerra raped a pregnant woman while the woman was in labor. The victim was sedated by the doctor.
The midwife Dr. Márcia Maria da Costa, medical director of the São Luiz hospital, explains that sedation is indicated in very rare situations and that it is normal for the patient to remain fully awake and conscious during the effect of the anesthesia.
“During the period in which the patient is under the effect of anesthesia, she remains fully awake and conscious, allowing her to attend the birth and have contact with the baby in the first hour of life. Sedation is indicated in very rare situations, usually in severe cases, when the patient needs to undergo general anesthesia and consequently intubate, “he explains.
Anesthesia in the caesarean section
According to the doctor, caesarean section anesthesia is performed by inserting a needle, suitable for the purpose, into the “maternal spine” at the level of the lumbar region. “The anesthesia indicated for caesarean section is the locoregional block, that is, it blocks a certain part of the body, preventing movement and the sensation of pain”, he comments.
The specialist also points out that the anesthetic effect is programmed to last as long as needed according to each procedure. “In the case of a caesarean section, usually within two hours of starting anesthesia, the patient is already starting to mobilize her legs and have sensitivity return,” she adds.
During this period, after the birth, the nursing team transfers the patient to a room called Post-Anesthetic Recovery (AP or RA), where she must remain under observation for about an hour and a half, and then the room is directed. . “This period is important to assess vital signs, the presence of diuresis (urine), vaginal bleeding (risk of postpartum haemorrhage) and wait for the leg movements to return,” she justifies.
Medical team
The midwife points out that the pregnant woman and the medical team also communicate during the surgery. “The patient remains conscious and communicates with the nursing team, with the obstetric team, with the pediatrician and with her companion, whose presence is guaranteed by the law”, she declares.
In fact, Federal Law 11.108 of 2005 guarantees pregnant women the right to have a carer be present during labor, childbirth and the immediate postpartum period in SUS. ANVISA’s RDC (Collegiate Board Resolution) 36 of 2008 requires that the right to a companion in the private network is a free choice of women.
“Every pregnant woman has the right to safe and respectful care. Therefore, during childbirth, the pregnant woman has the right to correct and up-to-date medical procedures and the practice of interventions that have proved useful for the mother and baby. There are protocols. to be followed and the entire healthcare team must be trained and properly oriented “, concludes Dr. Marzia.
Source: Terra
Benjamin Smith is a fashion journalist and author at Gossipify, known for his coverage of the latest fashion trends and industry insights. He writes about clothing, shoes, accessories, and runway shows, providing in-depth analysis and unique perspectives. He’s respected for his ability to spot emerging designers and trends, and for providing practical fashion advice to readers.
