3rd Trimester

If you want to go epi-free

are you planning on going completely med free, or allowing some IV meds or local anesthetic if it gets too tough?

BEFORE anyone mentions it... yes, i know there are risks with IV drugs, I'm simply asking if anyone is considering it as a last ditch effort to avoid the epi? 

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Re: If you want to go epi-free

  • I did with DD, I absolutely refused them with DS. They made me feel so 'drugged' (I had stadol and something else).  At least I had a clear head with the epidural.
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  • Honestly, if I need meds that much I might go for the epi before going for the narcotics.  Narcotics can cross the placenta and affect baby, and there is no telling how you will respond to them.  Some women complain of feeling just awful on them; that's not something I'm willing to risk. I'd rather experience pain than nausea or disconnectedness.

    So, my "plan" (i.e. goal) is to go med free entirely.  I'm not sure a local anesthetic would do anything, except for helping alleviate the ring of fire, which honestly, I'd rather just get through than have somebody jab with needle/

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  • Two of my friends went epi-free, but got a shot of demerol (i think?) just to take the edge off.  I am going in with the intention of going epi/med-free but am open to whatever happens.
  • I am totally open to IV drugs since I am trying with no epi this time... I know it will help take the "edge" off. 
  • imageepphd:

    Honestly, if I need meds that much I might go for the epi before going for the narcotics.  Narcotics can cross the placenta and affect baby, and there is no telling how you will respond to them.  Some women complain of feeling just awful on them; that's not something I'm willing to risk. I'd rather experience pain than nausea or disconnectedness.

    So, my "plan" (i.e. goal) is to go med free entirely.  I'm not sure a local anesthetic would do anything, except for helping alleviate the ring of fire, which honestly, I'd rather just get through than have somebody jab with needle/

    This is my plan almost to a tee.  I know I'd hate the drugged up feeling, so it's epi or nothing, in my book.

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  • I would rather not have an IV- would like to go completely med free if at all possible. I want the ability to move around as I please and not be hooked up to a bunch of things or feel "loopy" or "drugged" because of medication. We'll see when the time comes though. I may totally change my mind!
  • I don't want any other drugs, mostly because I've heard that they make you feel very out of it, which is exactly what I'm trying to avoid.
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  • I do not want any pain meds because I don't like the way they make me feel in general.  Also, it seems that once you get one med you end up getting a bunch more (i.e. - phenegren to counteract the nausea caused by demerol, etc).

    Plus, it scares me that they can cross the placenta and affect the baby.  Although I do not plan to get an epidural, I would get that before I got stadol/demerol/morphine.

  • I agree with some of the others.  I have heard that IV Meds don't do anything but make you feel loopy.  It's best to try to find ways to get through the pain drug-free if you really don't want an epidural.  I'm not sure about the local anesthetics.   Something to look into. 

    When I had my daughter I refused anything but the epidural.  At least I was aware of what was going on, and everything went very smoothly.  It would be nice to go natural, but I was glad the epidural was there.

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  • My nephew came out a little sleepy and in distress when he was born - my sister took IV meds to help out with the pain.  I am not positive that there is any correlation - but for this reason alone I would rather just get the epi if I need help with the pain. Just my personal opinion.

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  • Funny, because I am totally pro epi and completely opposed to any IV narcotics, for the same reasons some pp's mentioned. It's weird to realize there are people who prefer the exact opposite!
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  • I think I will be getting an epi... of course ya never know if it will work. If I'll get to the hospital in time... Who knows, maybe I'll change my mind...
    But at my birthing class the nurse said that epi have been getting better and better with very little to no side effects. Where some people op for just a pain shot, and the pain shot actually more hazardous to baby
  • imageepphd:

    Honestly, if I need meds that much I might go for the epi before going for the narcotics.  Narcotics can cross the placenta and affect baby, and there is no telling how you will respond to them.  Some women complain of feeling just awful on them; that's not something I'm willing to risk. I'd rather experience pain than nausea or disconnectedness.

    So, my "plan" (i.e. goal) is to go med free entirely.  I'm not sure a local anesthetic would do anything, except for helping alleviate the ring of fire, which honestly, I'd rather just get through than have somebody jab with needle/

    This. I am refusing the narcs. I have never done well on pain meds, though. They make me sick to my stomach.  Advil, Aleve, or Tylenol are as strong as I have ever had to go. With ds i had no narcs, and opted for the epi cause things weren't moving as fast as i would have liked. If things go faster this time seen as though it's #2, I will opt to just go natural. ::hoping:: 

  • I plan to go completely med free, however; if required I would probably opt for a little demerol to take the edge off rather than the epi. Purely for the reason that my mom had demerol when in labour with me and I turned out completely fine
  • I haven't fully decided on what level of drug intervention I will be willing to take.  I would ultimately like to do it drug free but am waiting until we start our birthing classes in January to find out more on what our hospital offers as alternatives to the epi before filling out the birth plan.
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  • imageepphd:

    Honestly, if I need meds that much I might go for the epi before going for the narcotics.  Narcotics can cross the placenta and affect baby, and there is no telling how you will respond to them.  Some women complain of feeling just awful on them; that's not something I'm willing to risk. I'd rather experience pain than nausea or disconnectedness.

    So, my "plan" (i.e. goal) is to go med free entirely.  I'm not sure a local anesthetic would do anything, except for helping alleviate the ring of fire, which honestly, I'd rather just get through than have somebody jab with needle/

    This is exactly how I feel about it.

    Narcotics only last about a half hour, and they can't be given too close to the birth because they'll affect baby too much. I don't see how getting 30 min of slight relief from pain helps that much... I think it would just break my focus from whatever I'm doing as natural pain relief. 

    Plus it seems like most people I've heard about having narcotics felt pretty loopy, sometimes nauseated, and sometimes still in lots of pain... that's not what I want for my birth experience. 

  • I will not have any narcotics. I tend to get sick from them. I am using other forms of relaxation to avoid an epi.

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  • I had a little nubain to take the edge off with my first (induction with pitocin) and it was a God send. I went 100% natural (no pitocin) with #2, so I am hoping the same for #3.  I feel like if I did it twice, I can do it again without an epi.

     

  • imageepphd:

    Honestly, if I need meds that much I might go for the epi before going for the narcotics.  Narcotics can cross the placenta and affect baby, and there is no telling how you will respond to them.  Some women complain of feeling just awful on them; that's not something I'm willing to risk. I'd rather experience pain than nausea or disconnectedness.

     This exactly.

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  • I plan to go completely med free.  Fingers crossed!
  • Nothing for me. With DD I went natural and the pain was a B!tch, but I made it. I don't want a needle in my back and reg. pain meds my not do nothing for me or they may affect the baby so no thanks.
  • imagemadhatter2003:
    I did with DD, I absolutely refused them with DS. They made me feel so 'drugged' (I had stadol and something else).  At least I had a clear head with the epidural.

    This. I had Stadol with DS. I HATED it. Luckily it was early enough in my labor that it appeared to not affect DS too much bythe time he was born. The epi kept my head clear.

    I won't be going med-free, but that's my two cents. If I had to choose between one and the other I'd go with the epi (if you're looking to feel less drugged, etc). Just my two cents!

  • I will go completely med-free as I did with DD, I did have them put in a port in case of an emergency, but I told them absolutely no meds and no offer for meds.
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  • I will be refusing all meds for my delivery.  I am concerned about side effects on my baby both long and short term, and will suffer all the pain in the world to keep him safe.
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  • image12bailey18:
    I would rather not have an IV- would like to go completely med free if at all possible. I want the ability to move around as I please and not be hooked up to a bunch of things or feel "loopy" or "drugged" because of medication. We'll see when the time comes though. I may totally change my mind!

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  • It's not just narcotics that can affect the baby too close to birth.  That's why they won't give you an epidural after you reach 8 cm.  Yes, narcotics can make your child drowsy, but epidurals can cause respiratory distress and lower heart rate. Neither option is really "best" for your baby.

    If I have to get anything, I'll get a smaller does of a narcotic.  I'm planning on a natural birth, though.  I really don't want an epidural because I don't want to cause my baby more distress, don't want internal fetal monitoring, increased possibility of c-section, etc.

  • I am having my baby at a birthing center so an epi isn't an option. I don't know about any other drugs. I am open to IV drugs though. If I have been laboring for 7 hours and I am only 6 cm dilated and it's 3am in the morning I think I will be asking for a drug so I can relax a little and take a break or get some sleep. I will be grateful for anything at that point!
  • I hope to have no meds, except maybe a local shot when they sew me up afterwards if it is hurting. We shall see. I am also battling a doctor who is induction happy and I want a natural birth. Blah.
  • My friend who just had a baby wanted to go natural but she had been up for over 24 hrs and the Dr was worried when it came time to push she was going to be to tired so they gave her Nubain to help her rest between contractions.  I  took tylenol just to take a bit of the edge off..i still felt alot of pain but it wasnt to bad.. I tried to relax as much as i could and not think about the pain. I was in labor for 10 hrs and Slept threw most of it. i really believe you have to have a good mind set. if you work yourself all up its going to be worse.
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  • My preference is no drugs at all, unless I ended up with an emergency c-section or other serious complication.  Otherwise I don't want anything--no epi, no narcotics, no pitocin, no IV if possible.

    I like to keep in mind that the pain is temporary, any risks to my child's health could affect the rest of her life.

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