December 2013 Moms

Epidural debate

As a FTM I'm just still up in the air. Sure I've got a low pain tolerance, but because I've never been in labor and don't know how far along I'll be once admitted, I can't make up my mind. What are the pros and cons to going this route? I've talked to my doctors and nurses but they've all got different opinions.
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Re: Epidural debate

  • Ok thanks! I'm a mobile bumper so it's not something that it allows you the option of on your phone, but worthwhile to break out the laptop for!
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  • An iPhone, so yes if you can help direct me how to do that it will be life changing!
  • If your on the mobile app, scroll down to the bottom where it shows all the page numbers and there is a magnifying glass symbol. Click on that and it brings up the search option.
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  • It doesn't work on my iPhone either, always goes to the knot
  • I have known so many moms that say they are not getting an epidural and when the time comes they are begging for it. I personally knew I wanted one, and begged for it. I had contractions 24 hours before I got one and I was done with the pain! Good luck in your decision but I wouldn't worry to much about it. If your not to far along in active labor there is plenty of time to get one. I still felt the baby come up with the epidural I can't imagine how people do it without!
  • I didn't have one last time and won't this time.
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  • I said I wanted one all along but when it came down to the sticking point apparently I lost my mind and said no. I had an unusual birth situation though and for some reason it became super important to me that I be able to get up and walk around right away. Could have been the three days I had just spent in the hospital bed, could have been the magnesium still missing with me, who knows.

    The pushing sucked and if I have another one, and everything goes a bit more as expected, I will probably get one. Like PP said you don't get a medal or ribbon for going med free. Do what feels right to you in the moment!
  • KateVA said:
    I honestly don't get the appeal of 'going natural' - being rested and painfree when meeting my LO was priceless. In the end, you get a baby, regardless of drugs or no drugs. 
    This.  I had one with both my kids and will get one this time.  I went to 5 and 8 cm, and was so much more relaxed afterwards.  I was able to regroup and prepare for pushing vs. focusing on the pain.
  • KateVA said:

    I honestly don't get the appeal of 'going natural' - being rested and painfree when meeting my LO was priceless. In the end, you get a baby, regardless of drugs or no drugs. 

    I had one at my first and it wasn't that great. I still felt a ton of pressure and could not rest. I was very frustrated not being able to stand up. I had to have about five things attached to me. -- iv, blood pressure cuff, baby heart monitor, contraction monitor and catheter. I wanted to sit on the toilet but couldn't. When the baby was born, I felt the excruciating ring of fire. So I figure I will try to delay the epi so I can feel more freedoms and also I've heard it makes labor go faster. Oh, also it gave me a horrible back ache for my first two postpartum weeks. I couldn't bend over at all and I always needed a heat pack.

    So just saying that an epi is not always a glorious cure all. And you should be ready in case you're too late or it doesn't work.

    Op, You should post on the natural birth board. Women have many reasons to reject the epi.
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  • I got an epi the first time and it worked beautifully. This time I'm trying for unmedicated because I want to experience the natural benefits of birth, especially since I had issues with DD being alert enough to latch. I'd say research relaxation methods now so you have a plan.
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  • I can't search on my iPhone either.
    I had an epi with both my girls. My water broke with my 2nd and I had to be induced, the pitocin made my contractions horrid. I had one with the first because I was honestly just terrified. I think it's a good idea to do all the research you can. My SIL has had three babies without drugs, a coach, or anything but everyone is different. ( personally I think SIL is a freak of nature). Some people say they have had side effects from the epidural. I did not, and it didn't hurt. That is worth researching as well. The only thing with mine, the 2nd time I think the needle went in a little off and I wasn't completely numb, I felt a little pain while pushing, but it was probably good because I felt when to push, and labor was faster.
  • I'm a FTM also, and I know my pain tolerance is minimal, therefore I have the mentality of "GIVE ME THE EFFING DRUGS!!!!" I want a happy healthy baby, not a non existent medal. Although I do have appreciation for those that can do it, I just feel like it isn't for me!
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  • I would just keep an open mind. There are no hard and fast rules for delivery. Things change on the fly. You may think you'll need one and end up going without it, or are positive you will get it ASAP and it doesn't take or they can't even put in the needle/catheter (which happened to me). But even before I went into labor I just went into it thinking I would do the best I could, and when I couldn't take it anymore, I would ask for one. There is no "definitely" or "never" in L&D! (And there is also no shame in asking for meds if you need them and can get it.)
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  • If you are going to be successful in going through labor without an epidural you need to have a plan on how you are going to manage the pain. As a FTM your labor will most likely be not be short. Do research and find a method that seems like it will help you the most and then make sure that your dh and anyone else who is going to be in the delivery knows your plan and how to help you manage your pain. You don't want someone in there with you who is going to freak out and tell you to get an epi right away. If you go in and just wing it, you like most likely get an epi because you really don't have a pain management plan.
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  • Did anyone who said they were not getting an epidural day anything about a medal? Seriously? Did any of them even say anything mildly sanctimonious? If so, I missed it.
    I'm not going with an epi this time either, didn't last time. Certainly no medals involved. Or cookies/brownies. Now I do think there are those crazy biatches who feel they need recognition because they did it without drugs, but that's not really the lot of us.
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  • TheArmadilloTheArmadillo member
    edited October 2013
    Here are my midwifery practice's "rules" regarding an epidural, which I feel pretty accurately reflect my own views on it. 

    I prepped myself for going through labor without one, but then entered "Door Number 3" after being in labor for 48 hours and with only 6 cm of dilation to show for it. The epidural was suggested by the midwife, as she was worried that I'd be too tired to push. She was probably right. I got it and slept for a few hours, waking up an hour before they would have had to do a c-section under hospital rules (it would have been 48 hours since my water broke), and pushing DS out with 20 minutes to spare. It sucked, but all the midwives agreed that without the epidural, I likely would not have been able to relax enough to dilate fully, nor have had the energy to get him out once there.

    Door Number 1: Labor starts spontaneously, progresses with little to no intervention, there are no complications, and a spontaneous delivery occurs within 24 hours.  Strategies we use: Love, support, compassion, kindness, comfort, hydrotherapy, massage, nutrition, hydration, more love and encouragement. 

     

    Door Number 2: Labor begins spontaneously and progresses slowly but steadily.  Minor complications may occur with either the baby or the mother requiring some type of minimal to moderate intervention and additional time, but a spontaneous delivery occurs in 48 hours.  Strategies we use: Love, support, compassion, kindness, comfort, hydrotherapy, massage, nutrition, hydration, more love and encouragement.  You may also need nipple stimulation or Pitocin augmentation (Vitamin P), sterile water papules, analgesia, episiotomy, or vacuum extraction. 

     

    Door Number 3: Labor often begins with rupture of the membranes without spontaneous labor following.  It may begin very slowly and irregularly over several days or nights but does not get strong and progress.  Most times this indicates a malpresentation of the fetal head in relationship to the mother’s pelvis.  This labor can be very painful and demoralizing.  Strategies we use: Love, support, compassion, kindness, comfort, hydrotherapy, massage, nutrition, hydration. More love and encouragement.  More time. You may have already used nipple stimulation or Pitocin augmentation (Vitamin P), sterile water papules, and analgesia.  It is our opinion that, if you have been at it for more than 2 nights, we enter Door Number 3 and medical intervention is indicated.  In this situation we recommend deep epidural anesthesia and discuss management strategies with you once you are comfortable.  In the absence of other complications, our goal at this point is Primary Cesarean Prevention.  We will use whatever means necessary including, but not limited to, heavy epidural anesthesia, pitocin augmentation, and lots of time to help you give birth vaginally.  If there are further complications, as delineated below, cesarean section may be indicated.  

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  • I've always figured I'd get an epidural, because pain stresses me out and I don't want to be panicking when things get intense. I imagine that I'll be more focused and calm with the drugs, and that's a pleasant thought. Plus you can always have them turn the epidural down or off when it's pushing time and be able to feel a lot more.

    But one of the things I learned in childbirth class is that epidurals lower your blood pressure, and for some reason I've been having freakishly low blood pressure this whole pregnancy, and unless my bp goes up at the end a bit, I may not be a good candidate for an epidural. Plus, I do kind of like the idea of being able to labor and push in different positions.

    So yeah, a month ago I was like "give me all the drugs!" and now I'm like "well, maybe I can do this without them, and I'm at least going to try my best."
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  • My two cents -- don't be afraid of the epidural, but do be aware of anything and everything that can happen. Also, if you ARE considering it, look at how the hospital you're delivering at handles things. I say this because my hospital requires you to watch an eight minute video before you can even ask for an epidural -- which they encourage you to watch it ahead of time, naturally.

    I had an epidural the last time, but I'll be going with a spinal this time (RCS) because the epidural didn't give full coverage, and I had a whole pocket of pain just below the incision when things flopped and I went from vaginal to C-section. That pain had been present from fairly early on after getting the epi and for a few hours before things turned to the C-section, and no matter how much they upped the meds in the epi, it didn't go away. Now, after all was said and done, I was perfectly fine (and so was DD), but it is something to be aware of. The epi might not actually help with the entirety of the pain, BUT I'd say even with incomplete coverage, it's better than nothing!

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  • No debate here. I know I have a low threshold for pain so I'm definitely getting the epidural.
     
    Me too, but the epidural scares me so bad I am going to either ask for Demerol or some sort of anxiety/panic medicine first so I am not thinking about the epidural before I actually get it.  If they say no, I will be tough and just get teh epidural.  If they can help me out further than the epi, I am in. 

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  • I think you're smart to go med free if you have allergies.  The biggest problem I see (and have heard from OB nurses) is that it's an intervention that often leads to further intervention.  Last night our childbirth coach was telling us that they lead to C-sections 40-50% of the time in FTM.  The national average is up to 37% C-sections as it is.  And she was very much pro-epidural, having had them with two of her three children (the last one came too fast).  She was just giving us the numbers and letting us decide from there. 

    Even when they don't lead to C-sections, they can involve needing other drugs to offset their side effects.  In her words, the combination can lead to a lethargic baby for as many as 24 hours following birth.  I tend to take very few medications in general, and so it makes me wary of it for myself.


    The epidural/c-section link is corrolation, not causation.  If you are going to end up with a c-section, then that means you will have a long, slow labor without progressiing much before the doc decides to do the section. Naturally, those long slow labors are much harder and more painful and more exhausting, so those women would be more likely to opt for the epidural. Even if natural was the original plan.  I'm not saying there isn't some link, but its not as high as those numbers suggest. 

    Also, what other drugs would an epidural lead to? I'm honestly asking not being contentious, I've never heard that before.
  • Totally agree with PPs on the "you don't get a medal comment".  It's condescending. As we've been corrected many times to say "med-free" instead of "natural" when it comes to sensitivity towards those who do opt for meds during during birth, I'd love a little reciprocation too.  Please don't use the medal comment. 

    For the OP, this is a start on epidural pros and cons.
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  • lp0lp0 member

    Did anyone who said they were not getting an epidural day anything about a medal? Seriously? Did any of them even say anything mildly sanctimonious? If so, I missed it.

    I didn't see anybody say anything like that today but I remember a couple months ago that someone (I don't remember who) in a FFFC said that they felt they absolutely deserved extra credit for going med free. It sparked a pretty big flaming.
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  • LP0198 said:

    Did anyone who said they were not getting an epidural day anything about a medal? Seriously? Did any of them even say anything mildly sanctimonious? If so, I missed it.

    I didn't see anybody say anything like that today but I remember a couple months ago that someone (I don't remember who) in a FFFC said that they felt they absolutely deserved extra credit for going med free. It sparked a pretty big flaming.
    So because one person in one FFFC said that and already got flamed for it, it's necessary in every epidural post to make the cursory "you don't get a medal" comment? Mmmkay. Noted.
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  • lp0lp0 member


    LP0198 said:

    Did anyone who said they were not getting an epidural day anything about a medal? Seriously? Did any of them even say anything mildly sanctimonious? If so, I missed it.

    I didn't see anybody say anything like that today but I remember a couple months ago that someone (I don't remember who) in a FFFC said that they felt they absolutely deserved extra credit for going med free. It sparked a pretty big flaming.
    So because one person in one FFFC said that and already got flamed for it, it's necessary in every epidural post to make the cursory "you don't get a medal" comment? Mmmkay. Noted.
    I doubt it's because some random Internet stranger made a comment once but there are plenty of people (on TB and irl) who have no problem slamming moms who opt for drugs. This makes those mom defensive in general just like you're being defensive of the medal comment. It's a vicious cycle.
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  • LP0198 said:


    LP0198 said:

    Did anyone who said they were not getting an epidural day anything about a medal? Seriously? Did any of them even say anything mildly sanctimonious? If so, I missed it.

    I didn't see anybody say anything like that today but I remember a couple months ago that someone (I don't remember who) in a FFFC said that they felt they absolutely deserved extra credit for going med free. It sparked a pretty big flaming.
    So because one person in one FFFC said that and already got flamed for it, it's necessary in every epidural post to make the cursory "you don't get a medal" comment? Mmmkay. Noted.
    I doubt it's because some random Internet stranger made a comment once but there are plenty of people (on TB and irl) who have no problem slamming moms who opt for drugs. This makes those mom defensive in general just like you're being defensive of the medal comment. It's a vicious cycle.
    Preemptive snarkiness. Got it.
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  • Loolaide said:

    About as necessary as it is to falsely claim that epis lead to pitocin and c/s.

    ETA - not to claim that was you, but it was said above.
    My link above mentions this. Is it in dispute that there's a higher likelihood of needing pit and a c/s with an epidural? I thought that was medically solid. Please correct me if it's wrong.
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  • lp0lp0 member

    LP0198 said:


    LP0198 said:

    Did anyone who said they were not getting an epidural day anything about a medal? Seriously? Did any of them even say anything mildly sanctimonious? If so, I missed it.

    I didn't see anybody say anything like that today but I remember a couple months ago that someone (I don't remember who) in a FFFC said that they felt they absolutely deserved extra credit for going med free. It sparked a pretty big flaming.
    So because one person in one FFFC said that and already got flamed for it, it's necessary in every epidural post to make the cursory "you don't get a medal" comment? Mmmkay. Noted.
    I doubt it's because some random Internet stranger made a comment once but there are plenty of people (on TB and irl) who have no problem slamming moms who opt for drugs. This makes those mom defensive in general just like you're being defensive of the medal comment. It's a vicious cycle.
    Preemptive snarkiness. Got it.
    Whatever, it obviously rubs you the wrong way. Nobody was looking to start a fight and everyone was having a pretty civil conversation. It's a common saying used to help FTM's not feel bad about considering getting drugs during L&D not a personal attack on anyone.
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    "Happiness is like a butterfly; the more you chase it the more it will elude you but if u turn your attention to other things it will come & sit softly on your shoulder."

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  • I went in to the hospital with an open mind. Some may find that careless but I really wasn't sure what I would do. I decided to try to go without but ended up getting one at 8 cm I had back labor and it was so painful.

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