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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

EPIDURAL? Help me get it! can any hospital guarantee me one?

123 replies

ESEMEF63 · 23/01/2020 23:24

I've had 5 babies before, now with the 6th on the way I'm not prepared to go through birth without an epidural, I know birth and the pain for me is HORRENDOUS!
Problem is I've tried 2 hospitals in Manchester (where I live) and both have the same issue and 'hospital policies'' - wont give me an epidural till at least 5cm, and will only check me every 4hrs, so if I come in too early (as I dont want to miss the epidural either) then they find me 3.5cm open, they wont check me again for 4 hrs and by then i could miss the epidural which has happened past 2 times! I begged them to check again sooner but they wont. Another time, my labour wouldn't progress past 3.5cm for 12 hrs, I was in agony, (really bad back pain & contractions but only 10 mins apart) but they wouldn't even admit me onto the labour ward yet as i wasn't in 'established labour' so couldn't get any pain relief or Gas & Air which I begged for. when I did get onto labour ward the anaesthetist 'wasn't available''........
I'm panicking now, why cant I successfully get an epidural when needed?! Anyone know a hospital with high rates of Epidural given? Should i go PRIVATE? do they have enough experience with epidurals and will they give it earlier on? Maybe I should give birth in Belgium or some other country where I heard it is standard procedure to set you up for epidural soon after arrival!. HELP

OP posts:
wibdib · 24/01/2020 16:43

With ds1 I was induced, at a large London teaching hospital, in complete agony and telling the midwives etc that my pain was at 11/10, begging them for an epidural and they kept making fluffy noises about soon... Finally someone different came in, so I was like thank god, I’m finally getting my epidural. Oh no piped up one of the midwives, we haven’t even requested them yet and there’s at least an hour’s wait if not two of people in the queue in front of you.

I was seriously pissed off that they were ignoring me, they were saying that they weren’t expecting me to give birth for another 8 hours or more so tough, the pain was going to get a lot worse, I just needed to toughen up and so on. At that point I have no idea how I managed to carry on or was going to carry on as I couldn’t imagine the pain getting any worse.

Around then I started to push - and was told off as I wasn’t supposed to be ready to push for hours - the induction wasn’t working, they were thinking they would need to pump in more induction drugs next...

Needless to say, I carried on pushing and ds was born a short while later. Luckily somebody had decided to check even though I wasn’t due to be checked for another couple of hours and seen that I was fully dilated so legitimately pushing.

Afterwards one of the team said that while things had been really slow to start it had then effectively turned into a precipitous birth as it was so fast for the majority of it, and that it must have been really painful, I should have told them Shock. When I had picked my jaw off the floor and pointed out that I had been telling them for over an hour that the pain was off the scale bad (despite tens machine on full and lots of gas and air), and been ignored - what else was I supposed to do given that I was in agony and struggling with everything - they didn’t have an answer other than to say that everyone says they are in pain and just thought that I was exaggerating to jump the queue and that basically it was my own fault for not having a textbook labour and dilating 5 or 6 times faster than ‘normal’.

Second time around - different hospital. Booked a private midwife even though I didn’t want a home birth. She had worked at the unit before becoming a private midwife, and still did agency shifts there a couple of times a month to keep her registration up to date.

She knew my history, was very wary that I could easily have another very fast birth. And when I went into labour at an out patient appt, the consultant wanted me to go home to relax and wait to see what happened, she could already see the way things were going and had mobilised the outpatient midwives - to get a porter to wheel me to the labour ward (other side of the hospital!) as well as to have the basics ready for me to give birth in outpatients as it was looking fast.

In the end I just made it to the labour ward, ds2 was born less than half an hour after the consultant had said there were hours to go...

However with my amazing private midwife there, she was able to advocate for me and also check me, say I was crowning, that it was going to be the most painful point, to deep breathe the gas and air etc etc and it was much easier even though it was still crazy painful, because I knew the end was near and I felt supported.

Which is basically a very long way of saying while you might not be able to have a private anaesthetist in an nhs hospital, you can sometimes find you can take a private midwife who will be able to make a massive difference. Plus mine would only do it by being invoked with all my other appointments and tests and was able to come to me and do lots of them which made life much easier too!

Thedogscollar · 24/01/2020 16:51

Quite a bit of midwife bashing on this thread eg: dismissing women's fears refusing pain relief/epidurals. I have been a midwife for 25 years now all of them in a high risk consultant unit. I can tell you that I have never ever heard or seen any of my colleagues over the years refuse any women pain relief in any form.
I have been on many study days over my 25yrs discussing pain relief in labour both low risk and high risk labours and yet again these midwives I have met came from all areas of the UK all very compassionate midwives.
We are not all uncaring as is often portrayed on MN. I always advocate for my women only the other day asking anaesthetist to review lady whose epidural was not working at all. The anaesthetist was adamant it was working so I invited her to come and discuss that with the woman who was screaming out in pain.
Luckily we got the epidural resisted with the next oncoming anaesthetist and it did work and my lady was pain free. We are not all uncaring we try our very best to make everyone's birth experience the best it can be whatever the circumstances.

EvilEdna1 · 24/01/2020 18:34

Maybe natural methods like hypnobirthing are worth a go given that epidurals don't provide adequate pain relief for 1 in 8 women. So even if they are readily available there is no guarantee they will work.

TheNoiseHurts · 24/01/2020 18:40

You don't need a bloody test before an epidural.
You also don't have to wait 4 hours before being checked.

Anyway, if this is what your hospital insists on the quite simply, I would be researching what hospital had normal procedures and would be rocking up there to have my baby and refusing to move.

TheNoiseHurts · 24/01/2020 18:40

*blood test

OrangeSlices998 · 24/01/2020 18:43

Actually many anaesthetists want a recent full blood count (FBC) to know what your platelet levels are like. So if that’s standard practice where you end up giving birth, ask for that blood test on admission so it’s already done ahead of you needing an epidural.

MrsStrangerThing · 24/01/2020 18:45

Suggesting a c section to someone who has had 5 vaginal deliveries for no reason other than to get an epidural is a fucking joke

Clearly you haven't read the thread. Those suggesting a section, where doing so in response to op saying she 'cried for years' over the trauma of her previous births. THAT is justification to suggest a caesarian.

OP, sorry, but I think you are being a bit unrealistic, it just isn't possible for anyone to guarantee that you can have an epidural at the exact timing that you want it. That doesn't mean staff are being dismissive - it means they are being realistic. No one can guarantee anything when it comes to labour!

cavabiensepasser · 24/01/2020 18:46

serialtester - Fuck off.

OP, make a huge scene and a massive fuss, like I did. Force their hand.

Hypnobirthing is a load of whale songy woo bollocks. You deserve whatever pain relief you require to get through this.

DO NOT BACK DOWN, do not allow them to talk you into unnecessary suffering. Fingers crossed for you.

CastleCrasher · 24/01/2020 18:47

Going private will help, but even then it's not going to be a guarantee unfortunately! I'm Shock at 4 hours though. Dc2 was two hours from first twinge to all over, and that's not exactly unusual!

firstimemamma · 24/01/2020 18:56

"I was actually thinking of calling 999 and complaining I need pain relief and no-ones is giving it"

Op I hope that everything works out for you but please don't do this. 999 is for emergencies like only.

Urkiddingright · 24/01/2020 19:04

Crikey, typical MN painting the OP as the sole reason the NHS is struggling. Do you know how many people smoke? Drink excessively? Are obese? And you’re blaming this one woman because she dared to have more than the standard 2.5 children? Ridiculous.

Anyway, an elective c section is actually very safe OP but I understand your reluctance to have one. It’s not a pain free option in that you have a week or two afterwards where you need help to move around etc but the actual birth itself is far easier than any vaginal birth I have had. Also a lot less riskier than the vaginal births I had where I almost died or my baby did but there you go...

I liked the control of my elective c-section, the fact I was in a theatre surrounded by experts who were solely there to help me. You just don’t get that during a vaginal delivery, they all rush in at 100mph once it’s already started going wrong.

Greybeardy · 24/01/2020 19:11

@TheNoiseHurts it is very definitely sometimes necessary to do bloods before siting an epidural to ensure that there isn’t an increased risk of epidural haematoma and consequent paralysis. This is particularly the case for women with elevated BP, pre-eclampsia & HELLP.

@OrangeSlices998 if someone is unlucky enough to have a reason for platelet dysfunction/clotting abnormalities getting ‘that blood test on admission’ may not be adequate as things can change quite impressively even in a few hours in labour so the bloods may need repeating before an epidural can safely be sited.

(DOI: anaesthetist)

TheNoiseHurts · 24/01/2020 19:15

Actually many anaesthetists want a recent full blood count (FBC)

I assist epidurals on a daily basis and I honestly haven't experienced one anaesthetist ask for a full blood count of bloody test before hand.

Different hospitals have certain procedures, and if there's one thing I know for sure, is that every anaesthetist has their own way of doing things.

Therefore I would be rocking up at a hospital that didn't have those rules in place.

Actually as a patient (or client, depending on the hospital!) having a baby I've had two epidurals and asked for one but changed my mind and not one of them required a blood test.

They are the very same anaesthetist I work with though.

(OP, have your baby in Brighton 😁)

TheNoiseHurts · 24/01/2020 19:17

I see GreyBeardy.

So you're saying I wouldn't have required a blood test because I wasn't at risk of those things?
Makes sense.

IndecentFeminist · 24/01/2020 19:20

I had morphine during a previous labour, definitely not pethidine. Awesome stuff. 👌

OrangeSlices998 · 24/01/2020 19:21

@Greybeardy Fair enough. Just offering a suggestion, if it’s normal on admission surely that would suffice for a few hours later if an epidural is then requested?

@TheNoiseHurts Every epidural I was the midwife for I was asked for a recent blood test, and often particular anaesthetists refused to do one without. A London thing maybe?

EmbarrasingOne · 24/01/2020 19:23

I had a baby Tues and I would loved to have had an epidural or something. They were honest and said. There's a queue and your 5cm already..
minutes later I said I need to push and she dismissed it.
1 push.. Nothing.
2 waters went
3 head crowning
4 head out
5 born

30.min after requesting anything lol

Levatrice · 25/01/2020 08:25

They might not need a recent FBC to place epidural but they will still review the last antenatal FBC results for the platelet levels. And then take an FBC at the time of epidural when they put IV access in.

Littlemissdaredevil · 25/01/2020 20:56

My advice would be that if you are unhappy about your previous labour to complain to your Trust. I complained to my Trust about my last birth. My complaint was upheld on all the points I raised. One of the points i raised in my complaint was that I was denied ANY pain relief despite repeatedly asking/begging for pain relief during my induction of my back to back baby! The midwife told me I didn’t need any pain relief as I was doing really well with my breathing! It is important that women do provide feedback on their maternity care.

I was told that if you want an epidural to request it as soon as you arrive at hospital. I would also make it clear at your 36 week appointment and in your birth plan that you want an epidural.

NotYourHun · 26/01/2020 10:53

Actually many anaesthetists want a recent full blood count (FBC) to know what your platelet levels are like. So if that’s standard practice where you end up giving birth, ask for that blood test on admission so it’s already done ahead of you needing an epidural.

Having had so many babies previously, IV access will be high priority for the midwives caring for OP. It’s standard practice to take an FBC and G&S when putting a cannula in.

OrangeSlices998 · 26/01/2020 10:56

@NotYourHun Having had so many babies previously, IV access will be high priority for the midwives caring for OP. It’s standard practice to take an FBC and G&S when putting a cannula in.

Indeed, and as a midwife I would absolutely do this. But if as OP mentions she’s been admitted in early labour they may not site a cannula at that time hence my suggestion of asking for the bloods to be done.

Greybeardy · 26/01/2020 11:57

@TheNoiseHurts - yes - that probably explains your experience.

@OrangeSlices998 - sometimes things do change disappointingly quickly. Clearly in a generally straightforward pregnancy this isn’t the case, but for some women, as you know, delivering babies is physiologically/medically much more challenging. @TheNoiseHurts - yes - that probably explains your experience.

@OrangeSlices998 - sometimes things do change alarmingly quickly and in that case a test within 1-2 hours is required.

Most anaesthetists actually quite like making pain better. Almost everything we do though has the potential to cause significant harm and so when we do ask for investigations before performing procedures is usually because we’re trying not to kill/paralyse/otherwise maim the patient(s), not just because we’re being jobsworth’s!

Greybeardy · 26/01/2020 11:59

Oops...not sure what happened to that post! It wasn’t supposed to be quite so repetitive! Confused Blush

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