What is No-Shpu prescribed before childbirth and is it used for anesthesia for contractions?

A drug such as “No-shpa". It is often recommended to take in early pregnancy to remove the possible tone of the uterine muscles, to prevent miscarriage. But the appointment of the same antispasmodic before childbirth is not entirely clear to expectant mothers.

In this article, we will explain why they recommend drinking “No-Shpu” before childbirth, whether this drug can act as an effective painkiller during labor.

«No-shpa"Refers to the category of antispasmodic drugs. A woman knows that small yellow pills can significantly alleviate the condition and discomfort during menstruation, with premenstrual syndrome. An antispasmodic relaxing effect on smooth muscles, and therefore this drug is indispensable when eliminating the threat of miscarriage. The main active ingredient is drotaverine. The tablets contain 40 mg in the form of hydrochloride. "No-Shpa" in ampoules contains a concentration of drotaverine in the amount of 20 mg / ml.

The uterus is known to be composed of smooth muscle tissue. Simultaneously with a decrease in the tone of the drug leads to a moderate dilation of blood vessels.

In pregnancy, the remedy is recommended at any time if there is an increased uterine tone or a woman is tormented by strong training bouts. All pregnant women a couple of weeks before the expected date of birth are advised to take "No-Shpu" in order to relax the myometrium of the uterus (its muscle layer) before the upcoming labor. The feasibility of prescribing this antispasmodic in different situations may differ. Let's talk more about this.

The mechanism of action of Drotaverinum is quite simple. It has more antispasmodic activity than another popular antispasmodic, Papaverin. On the heart, brain, central nervous system, the drug has no pronounced effect.

Drotaverinum It directly affects smooth muscles, relieves spasms of muscular origin, and also helps with neurogenic spasms, if the tone of the uterus increases due to the fact that the woman is very nervous before birth, worries and worries.

The active ingredient of the drug is 100% absorbed. It is able to penetrate into the cells of muscle tissue. In small quantities, the drug penetrates through the placental barrier to the baby, but there is no expressed harm to the child from it. In any case, numerous studies of the influence of "No-shpy" on the fetus of negative factors have not been identified, although the study of this issue continues to this day.

Against the background of the reception of this myotropic antispasmodic the risk of rupture of uterine and cervical muscle tissue during labor is significantly reduced.

Before childbirth, the drug helps in eliminating unpleasant feelings during training bouts.

Besides the fact that "No-Shpa" helps to eliminate the tension of the uterus during false contractions, it is an excellent indicator to distinguish between true contractions and training spasms. 15-20 minutes after taking the pills (1-2 pieces) for false contractions, the discomfort subsides. Reception of funds against the background of the starting genuine labor contractions will not have an effect - contractions will continue and intensify.

Upon admission to the hospital, women can also be given “No-Shpu" at the discretion of the doctor, but no longer in pills, but by injection. The injection can be done in those cases if the cervical dilatation during contractions is slow, if there is a need to speed it up. The fact is that the cramped neck is revealed worse and may even cause the development of the primary weakness of labor forces.

The drug acts quickly and helps relieve muscle spasm, relax the muscles. As a result, the cervix begins to open more quickly, the time of delivery shortens. "No-Shpu" is used in the stimulation of labor activity on a par with "Oxytocin", which allows you to avoid discoordination contractions, when the uterus is contracted, and there is no disclosure.

In a sense, the drug acts as an anesthetic for contractions.

Thus, the injection of "No-Shpy" in the process of childbirth contributes to:

• easier and less painful dilatation of the cervix in the first stage of labor;
• easier teething and advancement of the baby through the birth canal in the second stage of labor;
• the elimination of discoordination and arrhythmia of contractions at any stage of the generic process;
• increase the elasticity of the tissues of the birth canal, reduce the risk of tears and birth injuries on the part of women.

For all its merits, "No-Shpa" does not have a suppressive effect on the nervous system, like some painkillers. Epidural anesthesia with the use of lidocaine, for example, relieves contractions much better, but can cause a decrease in the intensity of contractions, due to which the delivery time will increase. "No-shpa“Never leads to this. A woman may not be afraid of this drug if the dosage is agreed and approved by the attending physician.

After listening to and reading about the positive effect of the drug, some pregnant women may think that the drug is harmless as vitamins, and therefore it can be taken, even if the doctor did not make the appropriate appointment. This impression is erroneous.

Self-administration before delivery or at the time of the onset of labor contractions is strongly discouraged. It is especially dangerous to drink yellow pills after 37 weeks of pregnancy in the absence of medical prescription.

The fact is that the drug can cause premature labor, as well as in large quantities can lead to a pathological decrease in the muscle tone of the uterus, which will make difficult the normal course of labor at the beginning of labor and is fraught with the development of bleeding after uterus.

Drotaverinum contraindicated in pregnant women who have severe kidney disease in history, as part of the tool is derived with the help of this body. The ban is also imposed on the use of the drug in women with hepatic insufficiency for the same reason - part of the metabolites is excreted in the bile.

The drug is not prescribed to future mothers with cardiovascular problems, in particular, the syndrome of low cardiac output is considered to be a direct contraindication.

Quite often, taking the drug has to be abandoned, even if indicated, if the woman has low blood pressure.Do not prescribe a tool for pregnant women with insolvent cervix with cervical insufficiency.

Side effects when taking "No-Shpy" in pregnant women and women in labor are extremely rare, but this possibility is not completely excluded. The following conditions may occur while taking the drug:

• lower blood pressure;
• dizziness, excessive sweating;
• increased heart rate;
• sleep disorders, insomnia;
• headaches;
• constipation;
• nausea.

If the drug is given as an injection, then redness of the skin and a moderate skin reaction are not excluded at the injection site.

The question of the safety of a drug for a child in the womb, unfortunately, does not have a definite answer. The study of the effects of drotaverine on the fetus is still ongoing. In the Russian obstetric practice, the tool is used widely and everywhere. In the United States and some European countries, it is not prescribed for pregnant women precisely because of the lack of scientific evidence.

American pediatricians argue that taking drotaverine when carrying a child can cause slow speech development. This argument has not yet found sufficient evidence. Reviews of moms who were recommended to drink “No-Shpu” during pregnancy say that children were born healthy and develop according to the norms.

Read more about the drug in the next video.