Once we learned I would be induced, the fear of requesting drugs or
an epidural during labor was racing through my mind.
Over 3/4 of all women report getting
an epidural during labor, and like I said, I can understand why!
New moms - to - be often have a difficult time deciding between a natural childbirth and getting
an epidural during labor.
Some research shows a link between having
an epidural during labor and having a baby who is posterior at birth.
However, I will also share my resource list with you so that you can contact a some of my favorite local doulas (ranging from Delray Beach and Boca Raton doulas to Fort Lauderdale and Miami doulas) so that they can help you prepare and go over various labor pain coping strategies, especially if you are planning an unmedicated birth (or even leading up to getting
an epidural during labor) it is good to learn about your options now so that you can be prepared, know what to expect and know what you want.
Ann had
an epidural during her labor with her first son, and suspects it was the cause of some of their early breastfeeding challenges.
If you have
an epidural during labor, your baby might be sleepy at first - but you can still successfully breastfeed.
As of 1997, «nearly two - thirds of all women who give birth in hospitals with high - volume obstetric units had
an epidural during labor.
We asked Paloma Toledo, M.D., Obstetric physician anesthesiologist and Assistant Professor of Anesthesiology at Northwestern University Feinberg School of Medicine, to address the most common misconceptions about
epidurals during labor.
The use of
epidurals during labor and delivery is a pretty (and, annoyingly) debated aspect of childbirth.
Not exact matches
Although I did not have an
epidural with either my daughter's hospital birth or my son's home birth, there was a point
during my induced
labor with my daughter that an option like this would have appealed to me (had I not had complications including low platelets that prevented me from getting an
epidural anyway).
With my first, I had problems
during labor (don't get me started) that resulted in an
epidural (I wasn't progressing and couldn't relax enough to let my body do its job; the
epidural worked, I was pushing within 15 minutes of receiving it).
Chang ZM, RN, MN, IBCLC, and Heaman MI, RN, Ph.D. «
Epidural Analgesia
During Labor and Delivery: Effects on the Initiation and Continuation of Effective Breastfeeding.»
«
During my first
labor, my
epidural didn't take.
Having had a failed
epidural during my first
labor, I was determined to have an unmedicated birth the second time.
While
epidurals can be given at any stage
during labor, many organizations encourage mothers to wait until active
labor begins.
IV fluids are commonly given
during labor, particularly if you receive an
epidural, are induced or have a cesarean birth.
Somewhere along the way, I went from the idea of getting an
epidural and having a classic hospital birth when I imagined having a baby, to becoming a total hippie who never dreamed of using pain meds
during labor, knew I would have a doula and by the second time around, would be having my baby at home.
Some medications you were given
during labor, such as Demerol or medicine found in the
epidural, can cause your baby to have trouble latching on to your breast, which can in turn cause your body to make less milk.
Childbirth classes discuss topics including
labor and delivery, coping strategies
during labor,
epidurals and pain medications, medical procedures, and what to expect at the hospital or birthing center
during labor and throughout the recovery period.
Epidurals cut off the hormonal communication between mother and baby
during labor and the baby gets in trouble.
After waiting for the
epidural for two hours
during labor, the anesthesiologist finally arrived.
What you will need to include is your name, your
labor partner's name, your doctor's name, your doula's name (if you have one), and your baby's name (if decided already), your due date, things you would like
during labour i.e. if you would like ice chips for nourishment or want to be coached when it's time to push, what you would like when it comes to pain relief, i.e. if you want an
epidural or not, things that you would like to happen straight after the birth, i.e. your partner to cut the cord, if you want to hold the baby straight away or after they've been cleaned up, special requests if you need to have a C - section, concerns and fears and anything else.
As far as anesthesia
during labor is concerned, it an
epidural is preferred over narcotics because it does not enter the baby's circulation, which can cause central nervous system depression.
«
Epidural Analgesia
During Labor and Delivery: Effects on the Initiation and Continuation of Effective Breastfeeding.»
For the mother's part, it has been found that women who smoke
during pregnancy, had a long
labor, needed an
epidural, or required forceps
during their delivery are more likely to have a colicky baby.
You might want to find out, for example, whether
epidurals are available 24 hours a day, if you'll need to be in bed
during your
labor, and whether your newborn can stay in your room with you.
A woman experiences severe pain
during labor and a midwife can not administer an
epidural.
The book does allow that sometimes an
epidural makes it possible for a woman to regain focus
during a long or hard
labor but Abby and Ricki want us to have informed consent should we choose an
epidural.
I definitely think it contributed to my mental and physical undoing and unplanned
epidural during my first
labor.
E. Lieberman and C. O'Donoghue, «Unintended Effects of
Epidural Analgesia
During Labor: A Systematic Review,» Am J Obstet Gynecol 186, Supplement 5: Nature (2002): S31 — S68.
J. R. Loftus et al., «Placental Transfer and Neonatal Effects of
Epidural Sufentanil and Fentanyl Administered with Bupivacaine
During Labor,» Anesthesiology 83, no. 3 (1995): 300 — 308.
Epidurals lower the mother's production of oxytocin, 8 or stop its normal rise
during labor.9 The effect of spinals on oxytocin release is even more marked.10
Epidurals also obliterate the maternal oxytocin peak that occurs at birth 11 — the highest of a mother's lifetime — which catalyses the final powerful contractions of
labor and helps mother and baby to fall in love at first meeting.
R. Jouppila et al., «Maternal and Umbilical Venous Plasma Immunoreactive Beta - Endorphin Levels
During Labor With and Without
Epidural Analgesia,» Am J Obstet Gynecol 147, no. 7 (1983): 799 — 802.
While it may seem great to experience only a little pain
during the
labor process,
epidurals are not all they are cracked up to be.
Fever over 100.4 º F (38º C)
during labor is five times more likely overall for women using an
epidural; 44 this rise in temperature is more common in women having their first babies, and more marked with prolonged exposure to
epidurals.45 For example, in one study, 7 percent of first - time mothers
laboring with an
epidural were feverish after six hours, increasing to 36 percent after 18 hours.46 Maternal fever can have a significant effect on the baby (see below).
O. Behrens et al., «Effects of Lumbar
Epidural Analgesia on Prostaglandin F2 Alpha Release and Oxytocin Secretion
During Labor,» Prostaglandins 45, no. 3 (1993): 285 — 296.
On the other hand, if you want the option of getting an
epidural, or you're very anxious about something going wrong
during labor and delivery and don't want to chance having to transfer to a hospital, you'll want to be in a hospital from the get - go.
Another type of medication is
epidural anesthesia which allows mom to feel only mild to moderate contraction intensity and pressure
during labor and childbirth.
If you have medication
during labor and delivery, such as an
epidural, the drugs in your system do not magically go away once baby is born, unfortunately.
The idea of not using anesthesia —
epidurals are the most commonly used form of pain relief
during labor — is a nonstarter for many women.
(Can someone who had an
epidural explain to me what it's like to want to chat
during labor?
If an
epidural isn't for you, there are many other ways to manage pain
during labor and delivery.
«When counseling moms - to - be about pain management, we emphasize that an
epidural will offer the safest and best relief of pain
during labor,» says Amy Stoddard, MD, an assistant clinical professor of ob - gyn at the University of California, Los Angeles.
While the research is mixed (some studies show that hypnosis reduces the overall use of pain meds
during labor, but not
epidurals), many women say it's worked wonders
during their deliveries.
In fact, hanging out in a birthing pool
during the first stage of
labor (when the cervix is dilating but hasn't reached 10 centimeters yet) has been shown to decrease the use of an
epidural.
More than 50 percent of all women will receive an
epidural to control their pain
during labor and delivery, according to the American Pregnancy Association.
This may sound counter-intuitive, but women who used
epidural pain relief have less positive feelings about their birth experience than women who use no medical pain relief.7, 8 No matter what methods of pain relief a woman used, low levels of pain have not been found to be associated with high levels of enjoyment
during labor.9 So what matters for a good birth experience?
Sarah Buckley has asked and answered this question, and reveals the unintended consequences of numerous widespread practices, including scheduled birth — induced
labor or planned cesarean; disturbance and excessive stress
during labor; synthetic oxytocin (Pitocin); opioids and
epidural analgesia for
labor pain; early separation of mother from infant or wrapping the infant in a blanket to be held (i.e., no skin - to - skin contact); breastmilk substitutes, and many more.
Research shows that the active presence of a supportive and educated life partner is associated with many positive benefits
during childbirth, including shorter
labors, less use of pain medication or
epidurals, fewer cesarean sections and more successful breastfeeding.