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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

To ask why midwives try to prevent / discourage you having an epidural ?

328 replies

stripyspider · 16/11/2022 17:20

I recently had my daughter, ( six weeks old). I knew from the outset of the pregnancy I wanted an epidural, (I don't cope with pain well). Everyone I knew who had one, (including a midwife friend), spoke excellently of them, and had no side effects. Also, what was an important factor was, unlike pethidine, epidural does not cross the placenta and effect the baby.

However, at any antenatal appointment I had, (including the birth planning appointment), my midwife kept telling me I should see how I do, and kept saying, " but you might Suprise yourself and cope so well with gas and air you won't need an epidural," "be so much better if you didn't have one." She then kept telling me I should try and wait as long as possible before having one.....the implication being, that I was being a bit of a wimp for wanting/ being set on an epidural.

I just couldn't work out why it would be better for me to exhaust myself by going through hours of agony unnecessarily, ( which could potentially lead to PTSD/ birth trauma), when the hospital have epidurals that are proven to work, and don't have any ill effect on the baby ?

My anxiety was peeked by the fact a friend of mine had her first baby at the same hospital a few weeks before I had my daughter. She was also clear from the outset she wanted an epidural, and faced the same attitude of "well you are being a bit of a wimp," by midwives, ( she had such bad tokophobia she was referred to the mental health midwife, and the mental health midwife tried to persuade her against having an epidural when making a mental health birth plan !) In the end, this friend went to hospital , was found to be 2cm dilated and was sent home even though she was crying in agony and begging for pain relief. She returned a few hours later and had dilated to 9cm really quickly, so was then told it was too late for an epidural and she had to give birth with nothing. She is very traumatised and upset by this.

I tried to explain to my midwife I was worried about similar happening to me, and she just dismissed it and said, "but your friend is lucky she managed the majority of her labour at home and had an intervention free birth, that is a good thing. Don't worry yourself stripyspider, don't let your friend scare you, she actually had a good experience, and some people like to moan for nothing, she sounds like one of those people"

Anyway, in the end I went 13 days overdue so needed to be induced via drip. Even the NHS website states that induction via drip is likely to be a lot more painful than natural labour, and you may want to request an epidural at the start. I thought if this was standard NHS advice, it would be pretty mainstream.

The midwives kept trying to dissuade me from having an epidural before the drip ,saying it was an "unusual choice," and why would I not want to wait a while to see how it goes ? They also stated that an epidural at the beginning would prevent me from having an active birth and be able to move around.

I pointed out I was hardly likely to be bouncing on birth balls up the corridor given I was canulated, attatched via wires to a massive drip and several monitors, ( and therefore waterbirth would be out regardless). They said I should start the induction and try pethidine first, I pointed out I didn't see why it would be better to try pethidine when I have a family history of reacting extremely badly to opiate medication, the anaesthetists had already told me pethidine didn't really do anything to relieve labour pain and , unlike an epidural, could transfer via the placenta to the baby. In the end , they did agree to allow me to have an epidural before the induction drip started, but I was really upset to hear them laughing about how I was "demanding an epidural," in the corridor. When the shift changed, the next midwife said to me she would have likely had an epidural as she's not good with pain, but would have waited until 4/5 cm dilated. When I asked what the benefit of waiting was, she just shrugged her shoulders.

When I was actually giving birth , they invited a student doctor in to watch, ( he was on placement), and even said to him, ( in front of me ), "sorry you don't get to see a more normal/ natural birth."

I feel like i've been made to feel like a failure and not a "real," mother/ women for wanting an epidural, even though there appears to be nothing to suggest an epidural is damaging to baby at all.

Why are they so, so , so keen to stop you having one, ( to the extent of telling my tokkophobic friend she didn't need one). The only reason I can think of is it costs the NHS more as you have to stay in hospital longer with an epidural , but is there more to it ?

The being made to feel pathetic has really knocked my confidence as a mum tbh.

OP posts:
Peashoots · 16/11/2022 17:25

I’m sorry this was your experience. This isn’t the norm, and I can’t imagine why you were discouraged so much from an epidural. It doesn’t make you a wimp at all.

Peashoots · 16/11/2022 17:26

Also it’s absolutely nothing to do with costs, genuinely 100% none of the care midwives provide is influenced by costs to the nhs. None whatsoever at all.

onmywayamarillo · 16/11/2022 17:27

I think it's because your labour and giving birth is better and less complicated without one

Usernamen · 16/11/2022 17:28

Peashoots · 16/11/2022 17:26

Also it’s absolutely nothing to do with costs, genuinely 100% none of the care midwives provide is influenced by costs to the nhs. None whatsoever at all.

This is really interesting - please can you elaborate?

OP, I’m sorry this happened to you. The comment to the student doctor in particular was appalling bedside manner.

Peashoots · 16/11/2022 17:29

Usernamen · 16/11/2022 17:28

This is really interesting - please can you elaborate?

OP, I’m sorry this happened to you. The comment to the student doctor in particular was appalling bedside manner.

What would you like me to elaborate on?

Peashoots · 16/11/2022 17:29

onmywayamarillo · 16/11/2022 17:27

I think it's because your labour and giving birth is better and less complicated without one

Less complicated, yes; better, no. Each woman’s experience is unique and some people prefer to be pain free. If someone is desperate for an epidural, they won’t have a better experience with only E tonic during labour.

Somuchgoo · 16/11/2022 17:30

onmywayamarillo · 16/11/2022 17:27

I think it's because your labour and giving birth is better and less complicated without one

How is it 'better' to be in pain?

And yes, there may be a higher rate of interventions, tears etc, but at least you don't feel them. Would I rather feel myself tearing or not? Shockingly, not...

Blossomandbee · 16/11/2022 17:31

I found the opposite, I didn't want one and they were very pushy about me having one from very early on.
I think they encouraged you to see how you cope as there's a higher chance of intervention if you have one. You need to be monitored closely and you can't move around which helps labour progress. It's probably unusual for someone to ask for one before contractions have started, not that that makes it wrong.

Usernamen · 16/11/2022 17:32

Peashoots · 16/11/2022 17:29

What would you like me to elaborate on?

The point about costs not being a factor in any way in the NHS. I would love this to be the case btw, as I won’t be able to afford giving birth privately when the time comes. Can I request to have a c-section for preference, for example (I presume this is costly due to consultant care)?

OhmygodDont · 16/11/2022 17:33

They generally try to discourage due to have a better outcome without one. Once you start in the pathway of things like epidurals your chance of needing assistance goes up which can ultimately increase risk of needing an emergency section.

if you are however at the stage of being induced I don’t see why they held off though.

Anotherdayanotherdollar · 16/11/2022 17:33

It begins the cascade of intervention, and reduces the liklihood of having a normal delivery.

@somuchgoo it's not really would you prefer to feel yourself tearing or not, it's more would you prefer to reduce your chance of tearing/needing an epis

stripyspider · 16/11/2022 17:34

Somuchgoo · 16/11/2022 17:30

How is it 'better' to be in pain?

And yes, there may be a higher rate of interventions, tears etc, but at least you don't feel them. Would I rather feel myself tearing or not? Shockingly, not...

Exactly, both my friend , ( the friend who also desperately wanted an epidural, but was refused as she was sent home at 2cm and came back at 9cm), and I had second degree tears. She felt everything, I didn't. She now has serious birth trauma and PND she attatches to the birth and being forced to go without pain relief until it was too late.

OP posts:
hiyaqwerty · 16/11/2022 17:34

When I gave birth to my first 2 children 8 years ago. Epidural was encouraged by the midwives? I didn't take it tho.
I gave birth few months ago, and the midwife was completely against me having it, I was screaming in pain for it, and she kept saying to me she 'thinks I don't need it as I previously didn't take it during labours and feels I can cope with the pain'

She said this a few times to me. She mentioned had this been my first pregnancy, she would've allowed me to take the epidural as I don't know the pain of labour, but because My body has been through it, it will cope. 🙄🙄🙄 8pm shift change, told the new midwife I want epidural, she sorted it out straight away.

I feel like to save nhs resources they are discouraging epidural, as a qualified doctor has to come to administer it.

Peashoots · 16/11/2022 17:35

Usernamen · 16/11/2022 17:32

The point about costs not being a factor in any way in the NHS. I would love this to be the case btw, as I won’t be able to afford giving birth privately when the time comes. Can I request to have a c-section for preference, for example (I presume this is costly due to consultant care)?

All the care I provide is based on clinical evidence and the woman’s preferences and wishes, cost doesn’t even enter my head.
You absolutely can request an elective caesarean for any reason you wish, as per NICE guidance that is your right. Obviously it if more expensive than a vaginal birth, but you can request one for any reason and won’t be denied one. 😊 your midwife will support you with this.

Blossomandbee · 16/11/2022 17:36

It's possible they didn't want to promise you or your friend that you could have one as part of your birth plan. There isn't always an anaesthetist available to administer one.

Twizbe · 16/11/2022 17:36

Epidurals are great, but it's true that not every woman needs or wants one.

I think there are 2 reasons they tell you to wait and see.

  1. if it's you're first baby you've no idea how you'll labour. You could be super fast and not need anything or have time for anything involved like an epidural (that was me)

  2. they are not risk free and they don't always work. It's best to see how you go in labour to know whether the risks are worth taking.

For you, I'd really suggest doing a birth debrief and for your friend too.

smelliphant · 16/11/2022 17:36

I had two inductions with a drip, and I had very much the same experience. The first time, I'd been in agony for at least 24 hours. I was 5cm dilated when taken up to the labour ward, and when I asked for an epidural, the response was 'Oh but that's such a shame - you're doing so well!" I didn't feel like I was doing well - I was in so much pain, but I didn't have a choice, so obviously I'd just been getting on with it!

PigLightingBastard · 16/11/2022 17:37

Because it starts off with just an epidural and then it's forceps or ventouse or C-section because you can't walk or move. And then you need more care afterwards because you are catheterised and can't get out of bed to pick up the baby.

RudsyFarmer · 16/11/2022 17:37

That drip is torture so I feel your pain. You should have been offered an epidural if they were going to give it to you. I had to Labour without pain relief having been given the drip and it was the worst pain I’ve ever experienced.

Mexicola · 16/11/2022 17:37

Do not feel pathetic or less of a woman/Mum.

Firstly I do not and will not ever give a shit about other people’s opinion of me.

You’re entitled to pain relief, that’s what it was invented for.

I’d like to see one of them have their legs sawn off with no anaesthetic and see how they get on.

They didn’t want you to have one as they have to arrange for an anaesthetist etc and it’s a lot more care for them rather than someone who just gives birth woth gas and air.

wishing3 · 16/11/2022 17:38

Did your labour go okay in the end OP? Sounds stressful.

Halloweenshock · 16/11/2022 17:38

is it ‘better’ for the mother to feel pain and be traumatised? If there is concrete research that says you’re twice as likely to tear with an epidural let’s see it. Without concrete proof, I’d say the reluctance to give one is due to the midwives cba to find an anethetist and the wrong wrong wrong thinking that a ‘natural’ birth is in some way better.

the thinking that a ‘natural’ birth is better is what has led to dead babies and dead mothers, as inquests have since shown.

Coyoacan · 16/11/2022 17:40

I have a very small social circle and yet have two friends who were harmed by an epidural. One was in discomfort for just a few days but the other one had to live with headaches for over two years because they pierced the dura mater

W0tnow · 16/11/2022 17:40

It can lead to a cascade of interventions, and an awful migraine if not done properly. I think ‘see how you go’ is excellent advice. It is nice to be able to get up after and shower, or go to the toilet. It’s also handy to be able to ‘feel’ what is going on so you know how to push. I think if you decide you need one at the time, you should have one.

Halloweenshock · 16/11/2022 17:40

PigLightingBastard · 16/11/2022 17:37

Because it starts off with just an epidural and then it's forceps or ventouse or C-section because you can't walk or move. And then you need more care afterwards because you are catheterised and can't get out of bed to pick up the baby.

But this isn’t a bad thing if that’s what the mother wants!

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