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10 questions about the epidural anesthesia


1. What is an epidural?

An epidural is an anesthetic technique using a small tube placed in the lower back to deliver local anesthetic or other pain medicines near the nerves that cause pain in labor. You will not get sleepy from this type of anesthesia.

epidanest2. Will it hurt my baby?

If you have an epidural anesthetic, your baby will be safe. The epidural will not depress your breathing or put your baby to sleep.

3. How long does it take to do?

Placing the epidural takes about 10 minutes, with good pain relief starting in another 10-15 minutes. In patients who are obese or have scoliosis, more time might be required to place the epidural. Once the epidural is in place, medicine will go through the tubing continually to maintain pain relief through the rest of your labor and the delivery of your baby.

4. Will it hurt?

Compared with the pain of contractions, placement of an epidural results in minimal discomfort. As the epidural is placed, you will feel a brief sting on the skin. After this, you should feel only pressure in your back during the procedure. The needle is then removed entirely. Once placement of the epidural is completed, you will feel only the tape on your back that keeps the tubing in place.

5. How is it done?

The anesthesiologist will ask you to sit up or lie on your side, keeping the lower part of your back curved towards him/her. You will be asked not to move at all during some parts of the procedure.

Your nurse will help you get in the correct position. After the anesthesiologist numbs your skin with a local anesthetic, he or she will insert a needle between the bones of your spine into the epidural space and then leave a tiny tube (catheter) in place while the needle is removed. The tube is secured in place with an adhesive and bandage, and the tube stays in place for the duration of labor and delivery. You should be comfortable, and it is okay to move around in bed, but do not drag or slide on your lower back, because this could accidentally pull the catheter out.epidurals-10621

6. Does all the pain go away?

Epidurals make the contractions feel less strong and easier to manage. Some pressure might be felt in the rectum and in the vagina later in labor. Being totally numb during labor is undesirable because you need to know when and where to push at the end of your labor. At UNC, we adjust the medication type and amount to meet each patient’s needs.

Most of our epidurals allow the patient to give herself a couple of extra doses of medication each hour, which is called patient-controlled epidural analgesia or PCEA. For the majority of patients, these safe extra doses will provide satisfactory pain control. If you start to develop a lot of pain after the epidural is in place, we will add more medicine to your catheter. If you are too numb, we will decrease the amount of medication you are receiving.

Ask your nurse to call the anesthesiologist with any questions you have about your pain relief. An anesthesia doctor is available for labor and delivery 24 hours a day. Within the limits of safety for you and your baby, we will work with you to obtain the comfort level that you desire.

7. Does epidural anesthesia always work?

The majority of patients experience significant pain relief from an epidural. Occasionally (5% of the time), pain relief is one-sided or patchy, but the anesthesiologist can usually do something about this, most often without needing to repeat the procedure. Very rarely there are technical problems that prevent the anesthesiologist from getting the needle into the epidural space. These patients may not get adequate pain relief.

8. Are there any side effects?

Common side effects: a. Your legs might tingle or feel numb and heavy. This is normal and will disappear soon after delivery. b. Your blood pressure might fall slightly but this is easily and rapidly treated. c. Some back tenderness might occur at the site of the insertion, and it might last for a few days. However, no evidence exists that epidurals cause chronic back pain. d. Headache can occur after delivery in 2-3% of patients, due to unplanned puncture of the lining containing spinal fluid.

This headache can be moderate to severe, but is not permanent or life-threatening. Specific treatment is available for severe headaches. e. Itching, very mild sedation, and difficulty urinating are also occasionally noted. f. You might have temporary temperature elevations that are not significant. No evidence exists that the increased temperature is due to an infectious source. Rare side effects: a. After delivery, some women might develop minor neurologic problems (e.g., a small patch of numbness on one leg).

Such problems are rare, and most patients have complete resolution of their symptoms. The exact cause might be impossible to determine and these problems might occur both with and without epidural anesthesia. The delivery of the baby can itself cause pressure on nerves, as can some of the pushing positions used. b. Permanent neurologic problems, such as paralysis, can occur with ANY type of anesthetic procedure, but they are exceedingly rare.

About 60% of patients who deliver at this hospital use epidurals, and we have an excellent safety record. The drugs and equipment used for these procedures are thoroughly checked, and our placement technique is very cautious.

9. Can I walk with my epidural?

The anesthetic solution used for control of labor pain can sometimes make it difficult to walk without assistance. For this reason, most women do not ambulate following epidural placement. Please be sure to check with your labor nurse before attempting to get out of bed.

10. Does an epidural affect the progress of labor?

a. The first stage of labor (until the cervix is fully dilated):

The effect of an epidural on this stage is impossible to predict in an individual. Labor might not be affected at all; or labor might slow down and a drug (oxytocin) will be needed to speed it up; or labor might go faster, especially in some patients who develop poor labor patterns and are progressing slowly.

b. The second stage (the pushing stage, after full dilatation and until delivery):

This stage may be slightly longer with an epidural, but there is no evidence that this harms mother or baby; if the patient is very numb, she might not push effectively. For this reason, we try to balance pain relief so that the patient is comfortable but still feels some pressure in the rectum and vagina during contractions. Does using an epidural for pain relief in labor increase my chances for a cesarean section?

There is no evidence that epidurals increase the risk of cesarean section. This is also supported by the American College of Obstetrics and Gynecology (ACOG), who state that “fear of unnecessary cesarean delivery should not influence the method of pain relief women choose during labor”.

At UNC, we use dilute solutions of local anesthetic; studies show that these dilute solutions do not affect labor. You should speak with your obstetrician about his or her beliefs and feelings about pain relief during childbirth. Are there any patients who cannot have an epidural catheter? – Yes.

For example, patients with the following conditions:

a. blood clotting problems, or the use of blood thinning medications

b. heavy bleeding

c. neurologic disorders

d. patients who have had certain types of lower back surgery

Do I have to have an epidural? Certainly not!

If you are coping well with labor pain you might choose not to use any kind of pharmacologic pain relief. If you find the pain too unpleasant, the anesthesiologist is available every day and night to help you.

Many women try having no pain medications at all in the beginning; they might then request a shot in their intravenous (IV) line; some will be quite happy with this, while others might desire the stronger pain relief that comes from an epidural.

Remember, the choice is yours.

Child Care

Bathing and care.


You will bathe your baby every day in the presence of a childcare assistant, who will also weigh and monitor the temperature of the child. Do it as often as possible: an assistant will help you and explain everything.

The child’s father may also participate in child care procedures: bathing, cord care, diaper change. Usually, you should change your baby’s diaper just before feeding.

Artificial feeding.

As a rule, in the clinics we work with you’ll be delivered a 90 ml bottle of milk ready to use in your maternity room every day. If it is too hot, you should wait until it reaches room temperature.

Throw away the bottle after each feeding, and never use the remaining milk, even if your child doesn’t drink the whole bottle.

A baby drinks when he/she wants to. However, the necessary interval between feedings is from 2 to 2.5 hours, but do not wake the baby up if he/she has been sleeping for 4-5 hours. Of course, the feeding time can be changed depending on the baby’s weight and the specific pediatric‘s instructions .

Breast feeding.


Breastfeeding is the feeding on demand. It is a natural way to feed your baby. To feed the child, you should sit or lie down comfortably and relax. Trust yourself and your baby.

On average, feeding lasts from 15 to 20 minutes. Useful tip: drink about 2 liters of water during the day, .

3 Phases of Labor

What are the periods of labor?

The labor goes in 3 phases.


When you arrive at the hospital, you will be met and placed in pre-natal ward where an obstetrician will examine the cervix to determine your phase. When the cervix expands by 3 centimeters, you will be moved to the maternity ward.

At that stage (in most cases) you get intravenous and the monitoring of the fetus starts, which allows to control the uterine contractions and to determine the state of health of the baby.

The due time is coming!

1) The first phase is the cervical dilatation. It lasts about 8 hours, if it’s first labor for you. Thanks to the uterine contractions the fetus moves to the cervix, stimulating its progressive dilatation.

This dilatation is slow enough: about 1 centimeter per hour during the first phase of labor, then – 2 centimeters per hour up to a maximum opening of 10 cm. Eventually the labor becomes more intense, and the contractions -longer and more painful.

At the cervical dilatation from 3 cm to 7 cm you’ll get an epidural anesthesia, if you decide to apply it.

2) The second phase is the bearing-down pain. It can last from 10 to 40 minutes in the first pregnancy, if you are multiparous – time is reduced.

The bearing-down pain starts with the full cervical dilatation of 10 centimeters and lasts until the birth of your baby. When the child goes to the lower part of the pelvis, contractions become more frequent and eventually happen every 2 minutes.

The fetus starts to move to the lower part of the pelvis with bent down head pressed to the breast. He continues to move down through the birth canal, his head position changes, neck straightened, turning to face the bottom. In this moment you need push: the pressure of his head on your perineum feels very intense, and you may notice a strong burning or stinging sensation as your tissue begins to stretch.

A labor coach will say if you are ready for pushing. You’ll start your breathing exercises, relax and push, relax and push. Sometimes there is a risk of the perineal rupture if its tissue is not elastic enough. In this case, episiotomy will be necessary. You’ll push at regular intervals, usually three times with each contraction, or as you feel the urge.

You might want to rest for one contraction if you’re getting tired. Once your baby’s head has appeared the practitioner helps to get it and you can continue to push but softly. Then the labor coach will help to guide the shoulders and torso out and those cute little legs.

You’ll probably be able to hold your baby right away and you’ll revel in that first lusty cry (don’t worry if he don’t cry right away).

Shortly after delivery, your baby’s umbilical cord will be cut by your practitioner or your partner if he wants. The practitioner takes care of him and then put him on your stomach for a few hours. After it you rest in the ward for 2-3 hours. Also during the first hours you can put the baby to the breast, if you choose to breastfeed.

An obstetrician will advise you the best way to for beginning the feeding. Several years ago, babies used to get a bathe immediately after the birth. Nowadays, doctors prefer to give a first bathe on the day after the birth.

3) The third phase is delivering the placenta. This last stage of childbirth usually lasts from five to 20 minutes or more.

Mild contractions that last about a minute each (you may not even notice them, if you can believe that) will help separate the placenta from the uterine wall and move it through the birth canal so that you can push it out.

Your practitioner may help speed up the process by putting gentle pressure on your uterus. Your caregiver will examine the placenta to make sure it’s all there. Then she’ll check you thoroughly to spot any tears in your perineum that need to be stitched.

If you tore or had an episiotomy, you’ll get an injection of a local anesthetic before being sutured. You may want to hold your newborn while you’re getting stitches – it can be a great distraction.

A full-term baby weights approximately from of 3,000 to 3,500 grams, and its height is 50 centimeters.

Duration of labor can vary greatly. On average it lasts 13 hours at nulliparous mothers and 8:00 – at multiparous. In the 70 years of the twentieth century, the average length of the first birth was 48 hours!

Benefits of Birth in France


Benefits of birth in France

New born baby boy Childbirth in France equals a unique opportunity to obtain quality medical care provided by highly qualified specialists.

Childbirth in France means an individual approach, mother-baby health guarantee and a maximum comfort stay. Medical company SAMCI organizes safe birth in the best obstetric clinics of France.

  • The world’s best health care system according to WHO (World Health Organization);
  • American Forbes magazine gave Paris the first place in the list of the most beautiful cities of the world;
  • The most up-to-date equipment and innovative treatment methods;
  • Professionalism and highly qualified doctors and medical staff;
  • Individual approach to every expectant couple;
  • Health Protection for Mother and Child;
  • Quality of service and comfort;
  • Attentive and friendly staff;
  • Child’s birth certificate in France;

Until recently, childbirth in France was popular mainly among world stars, but now many families from Russia and the CIS countries, too, can afford the privilege. We accompany you throughout delivery and give each of you an individual approach. Prepare all necessary documents and help in obtaining visa for you and your family.

  • Reserve a plane or a hotel;
  • Meet you at the airport, escort to the clinic;
  • Provide an interpreter;
  • Payment for medical services can be carried out both before and after arrival in France;

Paris for pregnant women


In the French capital there is a perfect place not only for wine-lovers and couples, but also for expectant mothers. There can be found many places where you can sit quietly on a lawn or on a bench in the shade of trees or walk quietly, however, it’s not such an easy task to choose from 426 Parisian gardens and parks.


The Tuileries Garden garden and the Park de la Villette (Fr. Parc de La Villette) – is the biggest lung of Paris, which is situated in the first and the 19th districts of Paris, respectively.

Сад Тюрильи

The Tuileries Garden garden

A large park surrounds the Eiffel Tower, but there are too many tourists in summer. So pregnant Frenchwoman prefer to walk in the Monceau park which is located in the 8th arrondissement. The park entrance is framed by a unique iron gate, its territory is full of waterfalls, faux ruins, statues and sunny lawns. Provided that the climate in the French capital is very soft, you will be peacefully enjoying cozy atmosphere. Maybe that’s why its landscapes have inspired so many artists.

The park des Buttes Chaumont (French: Parc des Buttes-Chaumont) – this is another great place for a relaxing recreation, located in the 19th district. This, incidentally, is the third largest park, with a total area of over 20 hectares. Expectant Parisian mother adore this place.

Люксембургский сад

The Luxembourg Garden

The Luxembourg Garden, which is located right in the heart of Parisian Latin Quarter, is a quiet and peaceful place, with the beautiful Luxembourg Palace located just in the center of the park.

Imagine, as soon as you arrive in Paris, attentive French doctors will surround you with care and attention, you will only have to think about where to spend your day, where to buy pretty clothes or where is the store in with the best selection of organic products.

Paris: organic food and shopping for expectant mothers


Organic food

1441974_53809405For millions of foodies around the world, the City of Light is the ultimate gastronomic Mecca. But until fairly recently, organic food-lovers who wanted to indulge in Paris’s culinary delights without sacrificing their principles could count their options on one hand. Happily, much has changed in the last few years.

There are chain stores with organic products: for example, Naturalia and Biocoop.

Thanks to a blossoming green movement, Paris now boasts of some two dozen organic restaurants and cafés; three organic farmers markets, scores of “bio” grocery stores, and a range of supermarket products marked with the green “AB” (agriculture biologiques) label.

In addition, in each arrondissement there are cozy markets with a lot of fresh vegetables, fruits, cheeses, fish and meat products. That’s where you can buy farm dairy products or a real cottage cheese.

Shopping for future mothersh

Where to find nice clothes pregnancy Paris? Or a nice pregnancy dress?


MammaFashion, is the Italian fashion brand with two boutiques in Paris : in the 6th arrondissement, the St Germain quartier, and the second boutique in the 12th arrondissement, just 5 minutes from the Bastille square.

– 17 rue de Nevers 75006 Paris -> plan d’accès – 35 rue de Cotte 75012 Paris -> plan d’accès www.mammafashion.com

Firmaman is another shop dedicated to pregnant women located in the 17th district. Firmaman is positioned in a high-end niche with quality products for customers looking for beautifully crafted clothing brands. Prices are obviously higher (ex. jeans: from € 120 to € 270).

– 200, boulevard Pereire 75017 Paris www.firmaman.com

Véronique Delachaux, clothing stores for pregnant woman with rather conventional good quality clothes.

– 55, boulevard Raspail 75006 Paris – 7, rue Guichard 75016 Paris – 69, avenue des Ternes 75017 Paris – Galerie Lafayette, 10 bvd Haussman 75009 Paris www.veroniquedelachaux.fr

Avenue des bébés :

– 89 rue de Sèvres 75006 Paris – 79 boulevard de Courcelles 75008 Paris – 25-27 rue Clovis-Hugues 75019 Paris www.avenuedesbebes.com

1 et 1 font 3 :

– 3 rue de Solférino 75007 Paris – 9 rue Guichard 75016 Paris www.1et1font3.com

Balloon Neuf Lune :

43, rue de Caumartin 75009 Paris www.balloon-paris.fr

En attendant bébé :

2, rue Guichard 75016 Paris www.enattendantbebe.fr

Vertbaudet :

Centre Commercial Italie 2, 30 avenue d’Italie 75013 Paris www.verbaudet.fr

Aubert :

– 11 bvd Poissonnière 75002 Paris – 16 avenue de la Porte des Lilas 75020 Paris – 37-39 bvd Gouvion St Cyr 75017 Paris www.aubert.com

Bébé 9 :

– 4, rue Saint Ferdinand 75017 Paris www.bebe-9.com

The Jeanne d’Arc clinic

Родовой зал

Родовой зал

Главный вход в клинику Жанны Д'Арк

Главный вход в клинику Жанны Д’Арк


The main entrance

Founded in 1950 and completely renovated in 2006, The Jeanne d’Arc clinic is located in the heart of Paris (13th distict). The clinic offers a wide range of services, both in hospitalization and ambulatory care.

The Jeanne d’Arc Clinic welcomes you to accompany your pregnancy and prepare the birth your child. Multidisciplinary medical and surgical center with modern and functional equipment and laboratory, the clinic offers obstetric and surgical consultations.

The medical team and nursing staff of the Jeanne d’Arc clinic welcomes patients and future parents.


Mother/Baby Room

Surgery unit:

  • 37 beds
  • 19 surgical beds
  • 18 ambulatory posts
  • 3 operating rooms
  • 9 recovery rooms
  • 2 endoscopy rooms

Maternity block: 35 beds. The Obstetrical block and the Centre of Consultations and the Centre of Ophthalmology are at your service too.


The Saint-Isabelle clinic

Главный вход

Главный вход

The Saint-Isabelle clinic is famous as a maternity hospital, but it also has a surgical unit.

The clinic is located in the heart of the bourgeois suburb Neuilly-sur-Seine a kilometer from Paris, not far from Bois de Boulogne, assuring the quiet and pleasant atmosphere necessary for future mums and children.

In two interconnected buildings there are 65 in-patient places, 26 of which belong to the maternity hospital and 24 – to the surgical unit.

You can choose either a single or double room, or a suite.

Clinics of Paris

La Muette clinic is located in 16 commune, in one of the most beautiful areas of Paris not far from the Eiffel Tower.20.10-clinique-de-la-muette-Carla-Bruni.-930620_scalewidth_630

The main entry

A modern clinic, which brings together the best medical practices.

“150 professionals are mobilized 24 hours a day to bring you the highest quality home care in a quiet and comfortable environment.”

Our main objectif is to create an effective and welcoming health care structure. To meet this target we bring together the high-qualified staff as well as the technical platform that enables the good quality of care you will be provided.