Obstetric patients are at increased risk of aspiration of gastric contents secondary to gastric stasis caused by pain, stress, and narcotics, as well as mechanical and hormonal factors. However, the exact time that gastric emptying returns to the non-pregnant state is still not clear. There are no contraindications to tubal sterilization in the immediate postpartum period if a woman has had a major anesthetic for delivery and the anesthetic can be continued safely. With a lower dermatomal level, for example, T10, skin incision may be tolerable but intra-abdominal manipulation and pulling on the Fallopian tubes can cause pain. During the postpartum period, the doses of local anesthetic lie between that for cesarean section and gynecologic operation.
Spinal anesthesia is the simplest and safest technique.
The cardiotoxicity and neurotoxicity of local anesthetic drugs arising from inadvertent intravascular or subarachnoid injection associated with epidural anesthesia are eliminated with spinal anesthesia. Moreover, with a spinal block, the onset of action is fast, the analgesia is superb, and the recovery is smooth. While monitors are being applied, i.v. For PPTL only morphine is added to the local anesthetic. An evaluation of gastric emptying times in pregnancy and parturim.