2nd Trimester

epidural anyone???

So are most of you opting for the epidural? I will be taking a child birth class on pain management options, but I have heard good and bad things about it. I guess I am afraid it will prolong my labor/contractions and I am hoping for a natural birth so i don't want anything to interfere (that I can control anyway!). I have also heard some say that they became too numb and could not feel to push? Anyone hear this as well? I'm going to try for IV drugs and then if the pain is too great, I guess I will ask for it, unless there is something else. What is everyone else doing for pain management?

Re: epidural anyone???

  • Just for clarification when you say you want a natural birth are you referring to vaginal vs c section or drug free?  Mostly this term is used for drug free (see the natural bump board) but since it sounds like you're considering other pain meds I didn't know if this is what you meant.

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  • I plan on using the epidural, if i get to the hospital and really think that I can go without it, I will go completely natural, but, I don't think that that will happen, I don't have a particularly high pain tolerance lol
  • I am back and forth.  I am hoping for a VBAC at least.  I am not good with pain so I will probably opt for it.
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  • I'm going for a totally natural birth. I'm hoping to avoid any drugs, and will be using an epidural only as a very last resort if I am simply too exhausted from a long, difficult labor to continue. I'm giving birth in a birth center so an epidural would only be an option for me if I am transferred to the hospital for some reason.

    After reading Ina May's Guide to Childbirth, I feel really confident that I can do it naturally. I am looking into Hypnobirthing classes to help with pain management.

    A lot of the girls over on the Natural Birth board have had awful experiences with epidurals if you are looking for people with experience about the downside. There are plenty of women whose epidurals made it nearly impossible for them to feel anything in order to push, but there are also those who found the break from pain helpful. Keep in mind that with natural birth, you do get a complete break from pain in between each contraction and your body releases tons of hormones to help you deal with the pain. 

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  • I think most women opt for the epidural these days.  Statistics show that it can slow labor, but that doesn't necessarily mean that it will for you.  Every woman's experience is different.  I've heard that if you wait until you're in truly active labor (e.g. at least 4 cm dilated) that there is less of a chance of it slowing your labor. There can be complications from an epidural - some of the most common ones I've heard here on the bump include it not working at all, it only working on one side, and I've read some bumpies posts saying they've dealt with headaches or backaches postpartum from it.  As far as not being able to feel pushing, that will have a lot to do with how much anesthesia is in your system at the time of pushing, some women say they can't feel enough to push effectively, some women say they felt the whole pushing phase as though the epidural wasn't there, and some say they felt just enough pressure to help them figure out how to push well.  Again, it is completely an individual experience.  And as always with any kind of drug, there is the potential for severe side effects but I don't what they are specifically in the epidural's case.  You simply have to get educated and make the choice you feel is best for you.

    As for me, I went completely drug-free with DS's birth and am planning for a repeat with this baby.  I took Bradley classes to prepare me and DH for the birth and had a great labor/delivery experience with DS.  If you're very serious about wanting a drug-free birth, I definitely recommend classes and/or hiring a doula.  But again, the kind of birth experience you want is a very personal decision and only you can make it.  The best you can do is educate yourself as much as possible and be an informed patient making the best decisions for you :)  Good luck! 

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  • I had an epidural with my DD and it was the best decision I made while in labor. I was 32 hours in and stuck at 4 cms, with back labor and pitocin contractions only 10-15 seconds apart. Got the epidural, slept a few hours, woke up at an 8. Turned off the epidural early enough that it mostly wore off and after almost exactly 38 hours I pushed for 20 minutes and felt it all. My epi experience was fantastic.

    This time I will go in with the same mentality as last time - if I need the epi, I'll get it. If I don't feel I need it, I won't. But I won't try IV drugs, I do not want to feel "loopy" during labor.

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  • I plan to have one, if the timing works out. As other posters have stated, the best thing you can do is fully educate yourself. A lot of websites (and mothers) on both sides of the argument can be biased. You have to do what works for you and your LO.
  • LOVED my epi.  It was virtually painless being placed, and I had to have it done twice. (mild scoliosis was prolly culprit for the ineffective first placement....it only numbed half of my body.)  In any case, I'd rather have a longer, more comfy tolerable labor than an insane amount of pain for a short while.

    It's all about what you find acceptable and your preferences. :)

    GL!
  • Can I make a suggestion?  If it is that you are afraid of the pain you believe you will feel, why not start now with learning coping methods.  There are so many things out there like hypnobirthing, relaxation techniques, position changes, using labor tubs or showers, ect.  I would also suggest that you look into having a doula, she is someone who will help you think of, remember, and try these methods during labor to get through it. Most of my clients are first time moms, and are terrified of the pain of childbirth. (I am a doula).  What I have learned from this though, is they let that fear guide them through their pregnancy and they enter labor with fear and panic instead of calm and confidence.  If I were you, I would really try to start now with plan to help build your birthing confidence. Yes, it can be painful.  Yes, there are lots of stories about lots of things.  But try not to let what happened to others get too into your head.  Your birth is individual.  Prepare you mind as well as your body to be strong, positive, and reassured.  You can also try posting up some affirmations that you read each morning and each night about how you trust your body and CAN give birth.  In the end, if you need/want to use medications, you will always know they are available at the hospital.  But I would suggest that you focus on getting prepared for the birth and not just making that decision now. 
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  • This is my third Dc and I will be requesting the epidural if I have time. The first time I didn't get it until I was at a 10 and it was awful because labor was long(26 hours) and I was on pitocin. I had the IV drug Stadol which made me feel very confused and drunk but I could still feel the pain, but couldn't think straight to figure out what was going on. I would never take that again..once I got the epi it was so much better and even tho I got it when I was at a 10, they let me rest and I could still feel how to push. The second time my labor was a lot quicker and I refused pitocin and it was much more manageable. I got the epi, but it didn't work that great. I felt everything while pushing but it was only 10 minutes to push so I managed. I think since it is my third dc, my labor will only be a few hours once I get to the hospital..I will still request one because it does make labor so much easier..
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  • I am planning for a homebirth VBAC - so no drugs for me.
  • Give me the epi! 
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  • In response to LisaJay09's comments:

    Just to clarify about Ina May's Guide to Childbirth, it in NO way suggests that giving birth is a typically pain free, blissful experience. For a very few women, it can be. But for others, not so much. The book simply explains more about labor and your body than in most books today (such as What to Expect While You're Expecting, which I have read) and provides many, many stories of women who gave birth totally naturally.  Many of them had very painful and difficult labors, but they got through it without meds.  The book simply points out that our bodies are made to do this and to handle the pain, and that most women are completely capable of doing so. 

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  • I went into labor my first time with the attitude that I would try my best to go without an epi.  However, I will be the first to admit that I didn't properly educate myself on pain management.  I took a class that covered among many things pain management options including some massage, positioning, and breathing techniques, but it didn't really go into how to have a natural childbirth.  I went into labor, remembered I am a wimp when it comes to pain, hit 4 cm and had an epi.  It did not slow my labor, it did NOT affect DD's heart rate, and I had no problems feeling what I needed to to push and no side effects afterwards.

    With my second I made the decision that I would do the epi again, and I did.  I was induced, so I was on pit already, so my labor didn't slow.  Again there were no problems with fetal heart rate, no difficulty when it came to pushing and had no side effects afterwards.   I am planning to have #3 with an epi.

    If you want a natural childbirth with no drugs, then you really need to educate yourself on that experience and how best to manage the pain.  In terms of the different pain medicine that you can have during labor, I chose the epi based on the usual effects on the baby.  Here is a decent though brief overview of types of pain meds often used in labor:  https://www.mayoclinic.com/health/labor-and-delivery/PR00105  and another one: https://www.babycenter.com/pain-medication-for-labor 

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  • I had an epidural with both my boys and could totally feel the need to push!  I think DH was more afraid of something going wrong (like the needle going in wrong) then I was.  I felt more relaxed and was able to enjoy the labor and delivery better.

    I didn't have any bad experiences at all with it. I am planning to have an epidural when I have #3 is September.  : )

     


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  • I'm just hoping I can have a VBAC as anticipated. I had an epi when I was induced with my twins (labored well but had to convert to c/s due to repositioning issues). I loved the epi! So if I do get to have a VBAC, I'll most likely get the epi again.
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  • Moi! Serve it up! I had one with my DD and since I was induced and the contractions came on like a truck I was literally begging for my anesthesiologist to come sooner rather than later. Everyone is different, but I could definitely feel when I needed to push (DD came out after 15 pushes or so) and I had a great epidural experience overall. GL
  • I had an epi with Sarah and it was bliss. I was progressing so fast that I only got it at 9 cm and I didn't even feel the epi go in as the contractions were hurting pretty badly. My birth was so quick and painless, a great experience. I'll have one again and earlier this time.
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  • Nope, hoping for a drug free delivery.  Taking Hypno Birthing class next month
  • Nope, I am going natural again as I did with my first son.  We took Bradley method classes in preparation.  If you are interested in natural birth, I would encourage you to check out the natural birth board as well, there is a lot of good advice available.  Congratulations and good luck!
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  • I am hoping not to get an epi and in fact am terrified to get one based on my previous experience.  My first delivery I was trying for drug free, but after 24 hours of labor I broke down and begged for one.  Unfortunately, I still regret my decision... the epidural was disturbed during a scare where they thought they couldn't hear the baby's heart... while they were shifting me around all of a sudden the epi stopped working on one side and I had insane nerve pain shooting down that side. I still feel the after effects of that 3 years later i.e. nerve pain in my spine if someone pushes against it and weakness if I sit too long.  I was in the process of scheduling an MRI to figure out the extent of the damage when I got pregnant with #2.  My doctors have told me that they can avoid the area of the last placement, but I am still nervous and so hoping to avoid the situation all together!  However, with that said I think I am in the minority and most epi's are business as usual! Good luck!
  • I think its best to go into it with a completely open mind. Like others have said, educate yourself so you understand your options as they arise, but I wouldn't decide prior to ever having experienced childbirth whether you will choose an epidural  You never know how your deliver will go- it may go fast. you may find the pain tolerable. you may need an epi.  Its impossible to know what to expect and how your body will handle it.  I went pain med free via water birth with my first and am still surprised about it.  I'd like to again, but won't rule-out drugs if this delivery doesn't go the same as the first.  You will know what you can or can't handle when the day comes!

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  • With my first L&D I had an epidural and it was fine until it was time to push. I did not know when I was having a contraction and could not push effectively so my LO had to be vacuum extracted due to his decreased HR. This was just my experience. The insertion of the epidural was nothing. I went natural with second child and plan to do so with this one also. GL
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  • No epidural for me. I have had 3 vaginal births. 2 were inductions, 1 occurred naturally. No pain meds for any of them and I plan to do the same this time around.
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