3rd Trimester

What's your birth plan (pain med-wise)

I had my childbirth class over the weekend.  I'd always planned on getting an epidural when the time comes.  Knowing myself I think I'll be overwhelmed by everything going on and I'd like to be mentally present during the process rather than focusing on the pain.  This is my first baby so I can't say for sure either way how I'll actually react.

So at the class they showed a video with the positive and negative experiences of epidural (just for information, the instructor had no bias).  One woman really enjoyed having the epidural and thought it was great.  The other woman said she hated it because she felt very out of control of her body.  And she complained about being stuck in bed for two hours after the baby was born waiting for it to wear off.  For whatever reason that aspect hadn't even occured to me.  I'm weighing each side now, do I want to be in pain or not be able to move to some extent?

At this point I'm keeping an open mind either way; if I go into labor and find the pain managable I'll try to tough it out, or get a systemic pain med administered.  If not I won't be disappointed in myself if I get an epidural.  I don't want to get my heart set on any one thing because I know it's totally unpredictable.  Just curious what others are planning and why?

I have to admit if I made it med free I'd feel like a bad @ss!  The instructor at this class said if she had to estimate she'd say only about 15% end up going totally natural (not including induction meds) in this particular hospital

Re: What's your birth plan (pain med-wise)

  • Epidural please!  I had one with DD, and I wasn't even in pain yet.  My water broke while I was at the hospital, and I about had a panic attack anticipating pain.  My nurse sensed my anxiety and asked if I wanted an epidural.  I'm a huge baby with low pain tolerance, but I don't regret my decision at all.  More power to the ladies that do it naturally, but I never had any desire whatsoever to do it. 

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  • Stay away from stadol if you want to be mentally present. Stadol, like some other pain meds, don't really help the pain but knock you out in between contractions so you just can't really complain about them!
    Abigail Noelle, 8.29.09
    Brady Phoenix, 8.29.09
    Claire Zoe, 10.26.10

  • When I took a childbirth class with a doula with my first, she said that if I was going to have any medical pain management, I should get an epidural as opposed to the narcotics they put in your IV (like stadol or demerol).  She said that babies whose moms get narcotics are much more sluggish because the narcotic goes straight into your bloodstream, whereas with an epidural a lot less of the drug gets to the baby.

    I wanted to go natural with my first.  I was induced and survived 5 of 7 hours without the epidural, but it was a MIRACLE drug!  It was annoying to have weak legs for a couple of hours, but let's face it - it's not like you really want to be up jumping around an hour after your baby is born.

    I'm going to try and go natural again, but if I decide I want the epidural, I'll get it!

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  • I'm planning to get the epidural. I have the utmost respect for people who can swing it without meds, but I am not one of those people. ;)
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  • My plan, which I reserve the right to change at any moment, is to labor without an epidural.  The thing that worries me more than the pain of contractions is the nausea and vomiting that comes during transition.  I'm a huge baby when it comes to nausea (cried at least once a day during first tri and my nausea wasn't even bad enough to puke).  That's when I can see asking for an epi, but then again if you're in transition you're almost there...  I definitely see the appeal being able to focus on the excitement of meeting your baby and not painSmile
  • I'm planning to go med-free but reserving the right to change my mind should I be going into the 28th hour of labor and just getting exhausted. I have a doula to help with pain mangement and plan to labor at home as long as possible so that I am comfortable.  I believe that if you fear pain, it will be worse.  I'm going into this a little nervous because it's an unknown, but also excited that I'm about to join the sisterhood of mothers.



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  • I'm planning pain med-free again (last time I did it until I had a c-section, so aaalmost, ha ha ha), mainly bc it's in my interest as a VBAC to stay mobile as much as possible. 

    imagekcl22:

    At this point I'm keeping an open mind either way; if I go into labor and find the pain managable I'll try to tough it out, or get a systemic pain med administered.  If not I won't be disappointed in myself if I get an epidural.  I don't want to get my heart set on any one thing because I know it's totally unpredictable.  Just curious what others are planning and why?

    It sounds like you have a good attitude already, and I also think there's something to be said about waiting as long as possible to get an epidural - it's less likely to slow down labor if you get it later on. Have you looked into other ways to deal with labor? It's worthwhile to plan on ways to cope if you do want to wait and see on the epidural. hth!

    DS1 - Feb 2008

    DS2 - Oct 2010 (my VBAC baby!)

  • I'm opting for an epi. I just think I'm a big ol' baby :)
  • I'm planning to go med-free.  If I truly need an epidural, I'll get one, but I'd really like to go without, and I think I am prepared to do so.
      norathe girlsamelia
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  • I went pain med-free w/ DS (did need pit however) and I hope to again. I didn't like the risk factors associated w/ epidurals and I have several friends who had issues w/ theirs and didn't have a very positive experience. I also really wanted to be able to move around during labor and immediately after and I didn't want a catheter. I definitely did the "I can't do this anymore" thing during transition but luckily that was over pretty quickly and DS arrived shortly after - knowing I was near the end really got me through the tough parts. For me, the pain was manageable because I knew it had a purpose and I knew it wouldn't last forever - good luck with whatever you decide!
  • My goal is to get as far as I can tolerate with out the epidural and then try a low dose epidural and go up as I need to. I just dont want to get an epidural early and get completly stuck at 3 centimeters and then have to have a bunch of other interventions to get labor going forward again. I definitely don't want any narcotics.
  • imagenosoup4u:
    I'm planning pain med-free again (last time I did it until I had a c-section, so aaalmost, ha ha ha), mainly bc it's in my interest as a VBAC to stay mobile as much as possible. 

    imagekcl22:

    At this point I'm keeping an open mind either way; if I go into labor and find the pain managable I'll try to tough it out, or get a systemic pain med administered.  If not I won't be disappointed in myself if I get an epidural.  I don't want to get my heart set on any one thing because I know it's totally unpredictable.  Just curious what others are planning and why?

    It sounds like you have a good attitude already, and I also think there's something to be said about waiting as long as possible to get an epidural - it's less likely to slow down labor if you get it later on. Have you looked into other ways to deal with labor? It's worthwhile to plan on ways to cope if you do want to wait and see on the epidural. hth!

    Actually now that you say that I'm remembering a few things the instructor said.  She tried to cater to everyone as far as options but she seemed more enthusiastic about the natural approach.  She did mention waiting as long as possible for the epidural for that very reason.  I think going through a few hours of labor might serve as the rite of passage I'm looking for as far as childbirth!

    SO wants me to go natural (HA!) he's not pushing it or anything but I know he thinks it'd be awesome if I could.  I'm going to do some reading on breathing techniques and I plan to utilize music.  I have severe anxiety about plane travel and I need to listen to pink floyd dark side of the moon (random) to get through it. It's become my routine for flying.  I might do that in early labor!

  • Epidural!

    I had one with DD1, it was heaven. I'm planning on one this time as well unless I go crazy fast and don't have time for one.

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  • I took Bradley classes with DS #1 and did not have any pain meds despite 14 hours of Pitocin after having my water break at 35 weeks and not being in labor. Although I didn't have any pain meds, I don't really consider it a natural labor since it was induced. My hope is for this one to be 100% natural with no interventions and no pain meds. I am assuming since I made it with no epi last time I can this time too, especially if I am not induced and my water hasn't broken. I have heard constractions are much more bearable before your water breaks. Who knows though.
  • I would love to go med-free, and that is my plan, but I'm being flexible if things don't work out. I think the most important part of my birth plan is to labor at home for as long as possible. If I end up getting an epi, it will hopefully be "light and late". I really want to know what it feels like to have the urge to push and let my body naturally handle the labor, but if I am having back labor and am really suffering an epi is not out of the question for me.
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  • Just an epidural!
  • I was originally planning on going epidural-free, but I found out today that I need to be induced due to PIH, so that plan went out the window. Since I'll be induced I'll be pretty confined to the bed, so most of the pain-relief methods I was planning on won't be possible.
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  • We are hoping for med-free and working hard toward that goal by doing the 12 weeks of Bradley classes to "train" my body and mind to know how to deal with the pain. I am psyched to have my body (hopefully) do what it is (optimally) designed to do.

    If you think med-free might be a goal for you, know that people who prepare and learn pain-management techniques are vastly more successful at sticking to med-free that those who just wait and see how much pain they can handle.

  • I would like to go without an epidural and that's the only "plan" that I have. I had it with DD1 and I did not like it at all. I hated how I felt after getting it especially. I think it made recovery worse for me. Whats more..it's didn't really work during labor. It blocked the pain on half of my body and I felt everything on the rest. So just from personal experience I really don't want one again. I don't think they're bad at all..I just don't want another. My plan is to stay home as long as possible [we live 4 mins from hospital] and hope that I show up 9cms dilated and unable to get it lol. Otherwise I might cave.
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  • imagekaleqt:
    My goal is to get as far as I can tolerate with out the epidural and then try a low dose epidural and go up as I need to. I just dont want to get an epidural early and get completly stuck at 3 centimeters and then have to have a bunch of other interventions to get labor going forward again. I definitely don't want any narcotics.

    This is exactly my plan too.

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  • My plan is to go med-free, and I, like you, arrived at it pretty recently. I had always kind of thought of the epi as a given, but the more I researched it, the more I realized that not having any control over my body and not being mobile scares me more than pain. But, like many of the PPs, I'm trying not to put too much pressure on myself. If I change my mind because I can't take it or have complications, then I will deal with that as well.
  • I was wanting to go epi free. I started checking into different pain management choices that are drug free. Google and YouTube info about Hypnobirthing. Its super cool and makes a lot of sense. Now I have yet to use it because this will be my first, but I am hoping that based on what I have read and seen, that it works well if you practice your relaxation, breathing, and focusing. Hope this helps :)
  • I am hoping to go without an epi (and really don't want narcotics).  I hired a doula and am doing hypnobabies and reading some books on natural birth to prepare myself and re-frame my thinking about the birthing process.  But, because this is baby #1 for me, I just don't what it is going to be like so I am leaving my options open mentally.  I don't want to say I'm going to go natural for sure and then be disappointed in myself if that doesn't work out, if you know what I mean.  In the end, if my LO and I are healthy at the end of the process, I will be one happy momma.
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  • I'll be taking an epidural. Had a great experience with it when I had DS, and I hope to repeat it. I felt relaxed while in labor, and didn't experience any bad side effects. The immobility afterwards didn't bother me.
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  • I'm currently in labor and went with an epi. I was induced earlier on pit and went as long as possible, then after about 7 hrs and my water breaking, I had to give in and get an epi!! Best thing for me so far! Contractions were awful once my water broke. Now I'm feeling no pain, only some pressure when I contract. My back labor was more than I could handle though!
    Married in 2008.  Mom to 2 boys:  2010 and 2014
  • I had an epidural with my first, and it was a very good experience.  I could move around fine, I totally felt the contractions and the sensation of the baby emerging and I walked to the bathroom after getting my stitches without a problem.

    I went med free with my second, which was also an excellent experience.  I felt absolutely awesome immediately after the delivery - very energized and happy (it was 3:30am).

    They were both good experiences.  My only regret with having the epi is that I got it at 10cm (didn't know I was 10cm but when I moved to sit on the edge of the bed to have the needle put in, I had the urge to push - I didn't tell anyone because I thought they wouldn't give me the epi!) and then pushed for 2 hours - the first 90 minutes of which was very, very unproductive.  While the pain relief was incredible, I was frustrated with the pushing.  Had I known it would be 10 more contractions or 20 more contractions or whatever, I think I could have gritted my teeth through it.  The 'unknown' is what scared me.  

    You will be very proud of yourself if you go med free.  I'll do it again.

    promised myself I'd retire when I turned gold, and yet here I am
  • Same as DD1. No epidural, but definitely narcotics. It helps to have a quick labor when you go that route. ;-) DD1 was less than 4 hours of labor, so I'm hoping DD2 is even quicker. I deliver in a birthing center, so they don't really do that many epidurals. We'll see what happens. 
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  • I loved going med free with DD- It was an amazing experience and I was so energized afterwards. I will definitely be doing the same this time around. I went into the whole thing knowing it was going to hurt and just worked through the pain with the help of DH. 
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  • You can read about my birth experience above -- I had an epidural and love love LOVED it. I cannot speak highly enough about it. I didn't have a "permanent" catehter -- they just came by and did a catheter urine drain every time they thought my bladder was filling. You aren't immobile forever -- I was up and at 'em a few hours later, with just a slight numbness in one leg -- I assure you I would have been immobile far longer if I'd had to go through any more hours of the kind of labor pains I was having pre-epi. And how mobile do you need to be -- what are you going to do, run a marathon? All you do is sit around and hold your baby.

    I had NO side effects at all, and my baby was great. My labor was great, and I was able to relax and enjoy the experience because I didn't have to deal with the pain. It actually made me push more effectively, I think, because I could just concentrate on the pushing.

    I went into this with a "for each their own" attitude, and now I'm baffled why anyone would choose otherwise. (Please don't flame -- I know the reasons people choose natural -- I took a Lamaze class and they tried to beat my desire for an epi out of me -- but it just seems like no comparison now that I've seen both sides.)

    FWIW, I feel no less sense of accomplishment because I got pain meds. I don't feel weak or like I don't deserve something or don't have some badge of pain. I had an AWESOME birth experience, in large part because I had the epi and could enjoy myself. 

  • No epi for me.  Mine didn't work the first time around so to me it makes sense to prepare for it not working a second time.  Also, I'm a VBAC hopeful and I'm more likely to get my VBAC without an epidural.  Plus I like the idea of going med-free.  I made it through hours of Pitocin contractions without pain relief, so I feel pretty certain that I can deal with regular labor without pain meds.
  • I am going natural since I am having a home birth. I still think I would do it natural in the hospital though.
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