DR NEIL VANZA - SPECIALIST ANAESTHETIST
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​ANAESTHESIA FOR CAESAREAN SECTION

Most caesarean sections are performed under spinal anaesthesia, which allows you to be awake, comfortable, and pain-free during the birth of your baby.
A similar effect can be achieved through an epidural "top-up" if an epidural has already been placed during labour.

WHAT IS SPINAL ANAESTHESIA?
Spinal anaesthesia involves a single injection of anaesthetic medication into the spinal fluid using a very fine needle. It is not injected into the spinal cord or directly into a nerve. The anaesthetic blocks pain and movement signals from the lower body to the brain, meaning:
  • You will feel no pain
  • You will be unable to move your legs while the block is working
Spinal anaesthesia typically starts working within 5–10 minutes and lasts 2 to 4 hours.
You will remain awake for the birth and may feel pressure or tugging, but not pain.


Advantages of Spinal/Epidural Anaesthesia:
  • You remain awake and can experience the birth of your baby
  • Your partner can be present in theatre to share the moment
  • Avoids general anaesthesia, which carries slightly higher risks for both mother and baby
  • Less drowsiness and a reduced risk of nausea and vomiting after the procedure
  • Faster recovery, with an earlier return to eating, drinking, and bonding with your baby

Risks, disadvantages, and alternative options will be fully discussed with you on the day of your procedure, so you can make an informed and confident decision.

Nerve Blocks
At the end of your caesarean, Dr Vanza offers the option of two abdominal nerve blocks to help manage post-operative pain. These are performed using ultrasound guidance and are typically not felt due to the residual effect of the spinal anaesthetic.
The goal of these blocks is to provide effective pain relief at the surgical site for up to 24 hours, reducing your need for additional pain medication and supporting a more comfortable recovery.


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  • Home
  • About
    • Qualifications
    • Hospitals
    • Regional Anaesthesia
  • Your Anaesthetic
    • What Is Anaesthesia?
    • Preparation
    • The Anaesthetic
    • Specific Surgeries >
      • Breast Surgery
      • Electrophysiology / Cardiac Ablation
      • Gynaecological
      • Obstetrics
      • Ophthalmics (Eye)
      • Orthopaedic Surgery
      • Pacemakers/Defibrillators
      • Shoulder Surgery
      • Thyroid Surgery
    • After Your Anaesthetic
    • Patient Survey
    • Frequently Asked Questions (FAQ's)
  • Fees
    • Get an Estimate
    • Pay Your Bill
    • Epidural and Spinal Consent
  • Contact