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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:
SafeMove · 17/11/2022 15:53

They are like this with any pain they deem gynaelogical or uterine. I have no idea why, they seem to think any pain in the area of the uterus has to be 'borne' rather than resolved. It's bullshit.

I have had endo pain that felt like Labour pain and was scanned and offered no pain relief and a gynae who saw blood pumping out of me and said 'it's not that bad' whilst it was splashing on the floor. Same with hysteroscopies and punch biopsies - they offer no pain relief and they really hurt. They look at you as though you are crazy to want analgesia when a bit of you cervix is being scraped away, opened or cut. Madness.

babyjellyfish · 17/11/2022 15:59

Apennyforthem56 · 17/11/2022 14:26

@Delatron I’ve had two children with no epidural, and it never crossed my mind to ask for one or need one. I was lucky. My mum has had three children with no epidural. My closest four friends didn’t have epidurals and didn’t want them. I see lots and lots of women who do not want or need epidurals, not just those women who have been to NCT and been pressured into thinking epidurals are the work of satan (don’t get me started on that one). That isn’t informed consent, that’s some weird NCT/cultural issue going on. Please don’t insinuate that nearly all women would choose to be pain free in birth. We’re all very different.

@babyjellyfish that explains some of those stats and is interesting. So is your current experience of private healthcare?

Private, yes, but there isn't really the same divide between public and private in France.

Doctors are self employed and they choose whether to charge standard tariffs or whether to set their own fees. Social security will reimburse the standard tariff and then it is up to your health insurance to cover any excess, or not, as the case may be.

So you might give birth in a public hospital but pay a surcharge if you have a specific doctor who sets their own fees, or pay for a private room for example. Or you might give birth in a private clinic in which case social security will still pay for everything they would have paid for if you had given birth in a public hospital, but you or your health insurance have to cover the extra.

When I gave birth last time the bill was about 8000 euros. Of that, just over half was the social security cost so we didn't have to pay any of it. We had to pay just under 4000 euros, of which about 2500 was medical costs and 1500 was essentially hotel costs. I had a six night stay in a private room. My insurance covered all of it.

If I hadn't had the private room our total bill would have only been 2500, and there are never more than two women to a room anyway.

So yes, private, but not even remotely comparable the cost of a private birth in the UK.

I only went private because I found a specialist doctor for recurrent miscarriage before getting pregnant with my son, and once I had an ongoing pregnancy I wanted to stay in the environment I knew with the doctor I trusted. If I hadn't had any issues getting and staying pregnant I'm pretty sure I'd have given birth in a public hospital and the bill would have been 0 except for perhaps a private room, which is more like 70 euros a night in a public hospital.

This time round if all goes well I plan to discharge myself much sooner.

EilonwyWithRedGoldHair · 18/11/2022 11:46

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 was told that despite being induced I would be encouraged to move around and it wouldn't be a problem at all. Except in reality if I so much as twitched the monitor would lose DS heartbeat so I was actively discouraged from moving at all. I was screaming for an epidural and they insisted on pethidine 'because that's what's in your birth plan' - yes, the birth plan made before I knew I'd have to be induced and the pain would be continuous agony with no breaks, there was no breathing through it and they had to take the gas and air off me as they said the baby wouldn't be getting enough oxygen. The pethidine just made me confused and did nothing for the pain, so they finally relented and let me have an epidural.

Ended up with birth trauma which nobody gave a shit about.

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