December 2013 Moms

Epidural debate

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Re: Epidural debate

  • My plan right now is to try to go meds free, but not to the point where I feel like a failure if I do opt for the epi.

    I had an epi with DS and I hated how I was stuck in bed with it, with back labor that I could feel the whole time. Because i was stuck in bed, I couldn't really do much that would alleviate the pain. I had a rough induction last time and I'm hoping for a little more control over this birth.
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  • I'm of the opinion that, in this matter, people should do what's right for them.  Unless you've gone through this before, you have no idea how contractions are going to feel and what your pain tolerance really is.  Personally, I'm going to see how it's going, how fast labor is progressing, and how painful it is before making my decision.
  • 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.

    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.
    This was going to be my question. Just because someone chooses to go med free doesn't mean they are doing it for the recognition. There are an entire host of reasons people don't receive pain meds. Let's not turn this into Heros and Villians.
    Nope, not when I had posted that, but I will be shocked if there isn't a couple of comments about how we were meant to do this, I can handle the pain, blah blah blah on page 2 and 3.
  • I'm allergic to everything and plan to go med free just so I don't have to worry about having a reaction while giving birth. I don't think going med free gets you an extra cookie or anything at the end though.
    This is me, too. :(
    Glad to know I'm not the only one with this issue. I will say though the number of people that have said "but its different since its in an epi" and that I should just get it is very annoying. DH and MIL all say it and it drives me nuts!
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  • Loolaide said: zou bisou said: 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.
    Everything I've read shows that births with epis more often include those interventions, but it's a chicken and egg situation.  I had pitocin before my epi, but it would show up in those stats and could lead people to believe that the epi meant I needed pit.  Same with nicu time - I needed that because my baby was post term, not because of the pit or epi.  People often get the epi after a long, painful labor, in hopes of giving birth vaginally instead of having a c/s and, guess what, that last ditch effort isn't going to work.  Plus, people who end up needing c/s almost all get an epi/spinal, except for the ones who are put under.
    Anyway, I'm not saying there isn't correlation, and I'm not even saying there's no causation.  But the statistics that people throw around are really misleading, based on conversations I've had with multiple nurses and doctors.  
     ETA - this nih article states that epidurals administered during active labor (they say once the woman is >4cm) do not appear to cause increased c/s risk.  But apparently it doubles the risk before that point.  That is still far less than what is usually bandied about. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1481670/ Ding Ding Ding!  with an epidural the amount of medication in the
    mother's bloodstream is extraordinarily low, and in studies the presence of medicine found in the infant is almost non-existant.  
    Epidurals are more commonly asked for during difficult or complicated labor leading to higher "intervention" stats.  it's like saying more women have high risk pregnancies in hospital setting than home births.  well duh, if you are high risk you need to be at a hospital.
    only 1 percent of women who receive an epidural (over 2.4 million women) experience the dreaded "spinal headache mentioned repeatedly here.  
    in studies done on women who A- planned to breastfeed, and B- had an epidural, no reduction in successful breast feeding was observed.  Women were surveyed 6-8 weeks after birth.

    i do not think that everyone should have an epidural, but I do believe that everyone should be educated on all the pain management options available at their hospital.   Birth has so many unknowns that I truly feel that knowing all your options is best.
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  • kron28kron28 member
    edited November 2013
  • This is all super helpful. I'm on the fence right now but plan on reading up as much as possible.
  • As everyone has already said, it is up to you. I decided I was going to try without when I had DS. I also knew that if I needed it, it was available. I did end up getting one and don't regret it.  I will be getting it or a spinal this time for my RCS. I went into L&D with a pretty open mind on my expectations so it really is up to you.
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  • lp0lp0 member
    @Chillpr - our hospital didn't give us cake but we got a special steak and champagne dinner. It would have been really nice if MIL wasn't literally standing over us ruining it.
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  • LP0198 said:

    @Chillpr - our hospital didn't give us cake but we got a special steak and champagne dinner. It would have been really nice if MIL wasn't literally standing over us ruining it.

    I feel you on that -- we got a special champagne dinner too, and ours was also ruined somewhat because BIL and DH's cousin (who is kinda weird anyway) came to visit right before they served it and didn't take the hint to leave. Needless to say I didn't really get to enjoy it. I told DH that NO one is allowed to come visit during our celebratory dinner this time.
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  • Question - what if you can't get an epidural, but have to have a c-section? I couldn't get an epi last time due to my scoliosis, so I'm assuming nothing has changed and I won't be able to this time either. So my plan this time is to try for med-free with the option of IV meds if I just can't take it, but on the off chance I needed a c/s, how would they administer the pain meds? Would I have to be put under entirely? I do plan to ask about this at my next appointment, but just wondering what others knew about that in the meantime.
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  • swirl25 said:

    Question - what if you can't get an epidural, but have to heither a c-section? I couldn't get an epi last time due to my scoliosis, so I'm assuming nothing has changed and I won't be able to this time either. So my plan this time is to try for med-free with the option of IV meds if I just can't take it, but on the off chance I needed a c/s, how would they administer the pain meds? Would I have to be put under entirely? I do plan to ask about this at my next appointment, but just wondering what others knew about that in the meantime.

    I also couldn't have an epi due to scoliosis surgery I had. I was told I also couldn't have spinal either. If I have to have c-section I would have to go completely under.
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  • I'm a FTM too. I would like to try to do it without. I was thinking of having one do I wouldn't feel the burning ring of fire but I have heard from a lot of friends you still feel this. I guess I'll see how it goes and take it step by step!
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  • Eggerkr said:

    I'm a FTM too. I would like to try to do it without. I was thinking of having one do I wouldn't feel the burning ring of fire but I have heard from a lot of friends you still feel this. I guess I'll see how it goes and take it step by step!

    The ring of fire is soooo close to the end that you really won't care about it, you'll be so ready to have the baby out, epi or not.
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  • MamaGrilloMamaGrillo member
    edited October 2013
    I think this has been said before, but the most practical birth plan, medical indications aside, is the one in which you keep an open mind.
    Mine was : med-free, but epi option if I felt like it was too much. Labour was slow so I was given Nubain overnight to help me sleep. The next day, labour was still slow, so they suggested Pit. The plan in this case was to get the epi. So we did. She went into distress after labour was about 20 hours along, and they suggested vacuum suction or cs. My chiro had advised against vs. We chose cs. Turns out she was sunny-side up, and she was so stuck!
    I don't know if we made all the right choices, but in the end, we made the choices we believed would give us our baby without any harm.
    All subsequent births were RCS. I feel like I'm going to pass out and throw up, but they've got it covered. I jump when they give the lidocaine, because I have no pain and there is a needle actually going into my back, and I want to smack the anesthesiologist for saying don't jump /:) , but oh well.

    Open mind, and yet, if you feel strongly enough about one way or another, make sure you have a support system in place to cheer you on.
    Good luck with whatever you decide!!

    Edit: oh, bonding was no problem... Even though I only got to hold her in recovery for the first time.
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  • I'm a FTM too. I would like to try to do it without. I was thinking of having one do I wouldn't feel the burning ring of fire but I have heard from a lot of friends you still feel this. I guess I'll see how it goes and take it step by step!
    The ring of fire is soooo close to the end that you really won't care about it, you'll be so ready to have the baby out, epi or not.
    I had a second degree tear and still didn't really feel the ring of fire
    It honestly must not have been that bad....I really don't recall feeling it either!
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  • lp0lp0 member

    Loolaide said:



    LP0198 said:

    JaxxM said:


    kron28 said:

    I had epi, after 4 hours being in labor. Right after I got my epi they check me and I was at 7.  The pain was so bad when I had to wait for the epi.  There is no way I would have made it to 10 and push out a baby, that took almost hr to push.  Yes, the next day my legs swell up and I looked like I had elephant legs for couple of days.  As well, I read if you have a natural birth you have that instant bond, with my daughter it took the next day to have that instant bond and I read that has to do with all that extra drugs in my blood. But, again this time around there no way I am not going have a epi, I only wish I got it as soon as I got to the hospital.  I had to wait for him to finishing giving his rounds to over women, which was over 2hr wait. Oh, I didn't feel anything when it was time to push, just a tight knot under my breast, but that didnt really hurt.  They had to tell me to push, I didnt have a clue, because I had no pain.

    your ability to "bond" with your baby has absolutely nothing to do with drugs.  Bonding can take hours, days, weeks and even months regardless of med-free or epi.
    This! Not being able to bond with your baby due to an epi is the most ridiculous thing I have ever heard. Please do not spread garbage like that unless you have research to back it up. There are a lot of FTM's on here who don't need extra worry over bogus information.

    If they gave her pitocin that can most definitely mess with your natural hormones, taking away the typical rise in endorphins. I had pit for 24 hrs and once my son was born I can tell I did not have a surge of endorphins like I should have. I actually felt kind of emotionless. And I have no doubt it's because pit messed with my body's natural response to child birth and the hormones it is supposed to create.

    https://www.ncbi.nlm.nih.gov/m/pubmed/3160639/

    They're talking about the epi, not
    pitocin.  


    She said "extra drugs in my blood." Like I said, if she received pitocin that would definitely fall under the "drugs in my blood" category.

    Also, I'm not saying that you're supposed to have an immediate bond with your baby, I'm saying that naturally there should be an increase in endorphins making you feel extremely happy and content, making you feel like you have a connection with your baby. Pitocin, which is commonly used with Epis, can interrupt that from happening. But just because you've had pit doesn't mean that your hormones won't work just fine. It probably depends on how much pit you've received


    Again, I'd love to see some credible research that supports this.
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  • My first time, I enrolled in prenatal yoga and used those techniques to get through labor with no meds. Proper breathing, comfortable positions, and knowing how to rest between the contractions was useful. It made labor & delivery easy because once it was over it was over... I plan on doing the same thing with this one.
  • lp0lp0 member
    kron28 said:
    I had epi, after 4 hours being in labor. Right after I got my epi they check me and I was at 7.  The pain was so bad when I had to wait for the epi.  There is no way I would have made it to 10 and push out a baby, that took almost hr to push.  Yes, the next day my legs swell up and I looked like I had elephant legs for couple of days.  As well, I read if you have a natural birth you have that instant bond, with my daughter it took the next day to have that instant bond and I read that has to do with all that extra drugs in my blood. But, again this time around there no way I am not going have a epi, I only wish I got it as soon as I got to the hospital.  I had to wait for him to finishing giving his rounds to over women, which was over 2hr wait. Oh, I didn't feel anything when it was time to push, just a tight knot under my breast, but that didnt really hurt.  They had to tell me to push, I didnt have a clue, because I had no pain.
    your ability to "bond" with your baby has absolutely nothing to do with drugs.  Bonding can take hours, days, weeks and even months regardless of med-free or epi.
    This! Not being able to bond with your baby due to an epi is the most ridiculous thing I have ever heard. Please do not spread garbage like that unless you have research to back it up. There are a lot of FTM's on here who don't need extra worry over bogus information.
    If they gave her pitocin that can most definitely mess with your natural hormones, taking away the typical rise in endorphins. I had pit for 24 hrs and once my son was born I can tell I did not have a surge of endorphins like I should have. I actually felt kind of emotionless. And I have no doubt it's because pit messed with my body's natural response to child birth and the hormones it is supposed to create. https://www.ncbi.nlm.nih.gov/m/pubmed/3160639/
    They're talking about the epi, not pitocin.  
    She said "extra drugs in my blood." Like I said, if she received pitocin that would definitely fall under the "drugs in my blood" category. Also, I'm not saying that you're supposed to have an immediate bond with your baby, I'm saying that naturally there should be an increase in endorphins making you feel extremely happy and content, making you feel like you have a connection with your baby. Pitocin, which is commonly used with Epis, can interrupt that from happening. But just because you've had pit doesn't mean that your hormones won't work just fine. It probably depends on how much pit you've received
    Again, I'd love to see some credible research that supports this.
    I included a link in my first post
    If I remember your link cited a single study conducted in 1985 on only 18 women. I can't say that I'd put a lot of faith in something like that. 
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  • lp0lp0 member
    @thepriceisright - I didn't want to quote again since that is already a giant quote tree.

    In regards to your last response on how you reacted to your bay after delivery, it didn't have anything to do with pit blocking endorphins. If you look back at my response (I believe on page two) I mentioned my girlfriend who felt horrible after L&D because she didn't even want to hold the baby. She did not have pit but was so traumatized (her words not mine) from the experience that she didn't want anything to do with her DS. I've heard this from both moms who have had drugs and drug free births.
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  • And now we know why I posted what I did, way back in the beginning. 
  • lp0lp0 member
    KateMW said:
    And now we know why I posted what I did, way back in the beginning. 
    Lol :)
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  • @loolaide Thanks for posting the study link.  Looking at some studies quickly, it sounds like a firm conclusion is hard to make.  This says c-sections are significantly increased. This one says there's no difference at all.  This one says they'll increase labor length and chance of needing instrumental inventions. This one says there's no effect on the need for those kind of interventions at all. This one says it increases the likelihood of pit.  I couldn't find one that showed it doesn't too keep showing the trend here, but there's got to be one that shows it doesn't increase the need for pit.   The chicken and the egg idea is an interesting theory.  There's probably a degree of truth there.  Overall it looks like we're in the murky territory where depending on the preference of thinking, you can grab a study to back it.
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  • Loolaide said:
    zou bisou said:
    @loolaide Thanks for posting the study link.  Looking at some studies quickly, it sounds like a firm conclusion is hard to make.  This says c-sections are significantly increased. This one says there's no difference at all.  This one says they'll increase labor length and chance of needing instrumental inventions. This one says there's no effect on the need for those kind of interventions at all. This one says it increases the likelihood of pit.  I couldn't find one that showed it doesn't too keep showing the trend here, but there's got to be one that shows it doesn't increase the need for pit.   The chicken and the egg idea is an interesting theory.  There's probably a degree of truth there.  Overall it looks like we're in the murky territory where depending on the preference of thinking, you can grab a study to back it.
    Actually, what I posted wasn't a study, but an analysis of a number of scientifically valid studies that had been recently published.  Did you read it?

    Anyway, I agree with Lisa.
    I did.  Sorry I used the word study instead of meta-analysis.
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  • I am not trying to scare anyone.  I am 100% for epi because do not like pain. Perhaps, I used the wrong words, perhaps it was pitocin. I don't know what it was but when I saw my DD she could have been someone else baby.  She ended up swallowing meconium so they took her away from me and put her into intensive care.  The next day when I breast fed her than I became the mother bear. Anyways, I didnt tell anyone because I felt like was a bad mom. I watch all those baby shows and mom's are crying the minute they see their babies. Anyways, a few months later I saw on TV a woman talking about what happen to me. Not feeling anything for my baby the minute she was born.  The lady was blaming that on not having a natural birth without any drugs. Anyways, just wanted people not to feel bad if this happens to them. My DD is four and she still sleeps with me. Other words I am very close to my DD. It was only for a day.  Again, would not give birth to my next baby if I did not have an EPI. Plus, how could I scare anyone we all know having a baby isnt an easy thing. Hurts like heck! As well, thanks "the price right" for sticking up for me. The truth to be said I would like to have my baby in the bath tub at home, so I would have spend the night without my DD, however I cannot handle the pain.

  • Epi for me!

    My hopsital says that only 1/4 of births are med free which means for me, the unmedicated mamas are much more vocal.  I would have guessed it was 50/50.

    Personally, I want to be awake and not totally exhausted for my first few hours with baby. The epi will let me rest in between contractions. Plus, I am a wuss and want to avoid ALL pain to every extent possible.

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  • onewayticketonewayticket member
    edited November 2013
    Please don't say ridiculous things like I'm trying to scare FTMs... I realize the debate is about Epis and all I said was that pitocin can cause you not not have the natural spike in endorphins. That has been scientifically proven. But it's not black and white and doesn't mean that if you had an epi and pit you're not going to feel an amazing natural high afterwards. Obviously everything is a case by case basis and every woman and delivery is different. Someone else mentioned that they had the same issue I did with not having that natural high after delivery and I was just saying it could be due to pitocin if she had it. No one ever said it should be a magical instant bonding moment full of rainbows and puppies, but that kept getting repeated as if that's what I said.
    When asked to back up this statement you included a study involving 18 people. Is that your "scientific proof"?
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