Department of Anesthesiology and Intensive Care
Place of provision of services: 2 Lobanovskyi Ave.
Place of provision of services: 9 Predslavynska St.
Anesthesiology and intensive care
The Department of Anesthesiology and Intensive Care of the Perinatal Center of Kyiv provides modern methods of anesthesia and intensive care, guaranteeing the safety and comfort of patients. All anesthesiologists have a high level of qualification and extensive experience in the profession, including in the field of obstetric anesthesiology.
Every year, our specialists perform more than 10,000 different types of anesthesia.
We offer an individual approach to each patient, a detailed analysis of risks and the choice of the best and safest option for the anesthesia procedure for you.
Cesarean section anesthesia:
Spinal anesthesia — is used in over 95% of cesarean sections and is the best global practice. This method guarantees high-quality anesthesia and allows the patient to remain conscious during the operation, which promotes emotional bonding with the child from the first minutes of life and allows for skin-to-skin contact and the start of breastfeeding immediately after birth, even in the operating room. Subarachnoid anesthesia is the “gold standard” of anesthesia for cesarean section.
Epidural anesthesia — is suitable for women who already have an epidural catheter installed, for example, during the first stage of labor. You can learn more about this method in the section “vaginal birth anesthesia”.
General anesthesia — is used only in case of contraindications to regional anesthesia methods or in situations of direct threat to the life of the mother or fetus, in particular when there is no time to perform neuraxial anesthesia.
Regional blocks (TAP block, QL block, etc.)
Used in the postoperative period to reduce or avoid the use of narcotic analgesics and ensure high-quality analgesia. The method provides a long-lasting analgesic effect, which contributes to rapid recovery after surgery.
The main methods of pain relief for vaginal birth:
Epidural anesthesia
This is the “gold standard” of labor pain relief worldwide. Despite its technological sophistication, the method is considered quite safe. The main indication for its use is the desire of the woman in labor to have her labor pain relieved.
Our standard is “Mobile Epidural Analgesia”.
- This method allows the woman to remain mobile and take any position during childbirth, which contributes to a more physiological process of childbirth and reduces the risk of complications.
- During the procedure, the anesthesiologist injects painkillers through a thin catheter into the space near the spinal nerves. The effect occurs 10-15 minutes after the injection and is maintained throughout the entire labor, no matter how long it lasts.
Advantages of “Mobile Epidural Analgesia”:
- Reduces the risk of postpartum depression and increases the level of satisfaction with childbirth.
- Can be used at any stage of labor, regardless of the degree of cervical dilation.
- Does not cause labor weakness and does not increase the frequency of cesarean section or instrumental births.
- Promotes psychological comfort of mother and child.
Also in our center you can get “Patient-controlled analgesia” during epidural anesthesia.
The patient-controlled analgesia (PCA) system allows the woman in labor to independently manage and regulate the level of anesthesia through a special device – a syringe pump. This system works on the principle of safe dosing: the patient presses a button to receive an additional dose of anesthetic, if necessary. The device has built-in limitations, pre-set by the anesthesiologist, individualized for each patient, which eliminates the risk of drug overdose, and in turn improves the anesthesia process.
Advantages of patient-controlled analgesia:
- Full control of the woman over the process: the patient herself determines her level of anesthesia, according to the intensity of the pain.
- Stress reduction: a sense of control over pain relief has a positive effect on a woman’s overall psychological state.
Epidural anesthesia, including the PCA system, guarantees an individual approach and maximum comfort during childbirth.
We have prepared an educational and informational guide for you on labor pain relief, which you can learn more about by following this link.
Spinal anesthesia
- Used when quick and short-term pain relief is needed. Recommended and more effective in the later stages of labor when there is not enough time for an epidural catheter or there are absolute contraindications.
You can learn more about the risks and benefits of various anesthesia methods in pregnant women, as well as recommendations for preparing for surgery, from the “Informed Voluntary Consent for Anesthesia” at this link. We advise you to read it in advance, because if anesthesia care is needed, you will be asked to sign it. Also, if you have any questions, we will be happy to answer them during a face-to-face consultation with an anesthesiologist.
Free, individual, outpatient consultations with an anesthesiologist regarding pain relief for your childbirth or cesarean section are held every day from 3:00 PM to 4:00 PM at: 2 Lobanovskogo St., by appointment.
Pain relief for gynecological and surgical procedures:
For gynecological operations, our center offers the following methods of anesthesia, which are selected depending on the indications, duration of the operation and the patient’s wishes:
General anesthesia (narcosis):
- It is used mainly for laparoscopic operations. The patient is in a state of complete sleep, which ensures comfort and the absence of pain during the surgical intervention. Both intravenous drugs (TIVA) and gas anesthetics are used for general anesthesia. The anesthesiologist monitors the patient’s vital signs throughout the operation.
Epidural anesthesia:
- Anesthetization is carried out by injecting a drug into the epidural space, which blocks pain sensations, without loss of consciousness. It is used mainly during surgical interventions on the vagina and postoperative anesthesia. It is possible in combination with general anesthesia or drug sleep (sedation).
Spinal anesthesia:
- Used for short operations (1-2 hours). Provides quick and effective anesthesia, while the patient remains conscious. Used mainly during surgical interventions on the vagina and lower abdomen. Possible in combination with general anesthesia or drug sleep (sedation).
Analgo-sedation:
- Suitable for short, less complex operations, outpatient procedures (mostly during hysteroresectoscopies). Provides comfort and quick recovery after the procedure.
You can learn more about the methods of anesthesia for gynecological operations and the features of preparation for surgery during an outpatient consultation with an anesthesiologist and by downloading the informed voluntary consent for anesthesia provision, which you will be asked to sign on the day of surgery.
Intensive therapy
The intensive care unit provides assistance in complex cases that threaten the life of the mother or child, to patients after major and complex surgical interventions, emergencies, bleeding. We have extensive experience and specialize in helping pregnant women with severe concomitant extragenital diseases (cardiovascular, respiratory, nervous systems, etc.) and pregnancy pathology. All wards of the anesthesiology and intensive care units are equipped with modern medical equipment, including:
- Patient monitoring monitors
- Expert-class respirators
- Syringe pumps
- Universal functional beds
- Oxygen supply systems
- Patient heating systems
- Autohemotransfusion systems
- All necessary medicines and devices guaranteed by contracts with the National Health Insurance Fund and according to the National List of Medicines.
Why choose us:
- Departments and doctors participating in international conferences, research, internship programs, congresses;
- We offer modern and safe methods of anesthesia;
- We have an individual approach to each patient;
- Modern equipment that meets the highest standards;
- Best practices of healthcare systems of high-income countries and world-class medical care according to international standards;
- A team of highly qualified doctors with many years of experience, recognized experts of national and international level in the field of anesthesiology and intensive care;
- We are the first department of anesthesiology and intensive care in Ukraine to sign the Helsinki Declaration of Patient Safety.
Contact the Kyiv Perinatal Center to receive professional, safe and expert care at the most important moments of your life.
