Meet the Other Phone. Only the apps you allow.

Meet the Other Phone.
Only the apps you allow.

Buy now

Please or to access all these features

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:
SaveMeFromMyBoobs · 16/11/2022 19:11

@russetmellow i was clear that was from my experience not a medical standpoint. Several people have also said it meant they couldn't push, others didn't have that problem. Doesn't make saying it can make it harder to push 'misinformation'.

I'm glad you had a good experience, I know many that didn't.

ancientgran · 16/11/2022 19:11

I visited a friend when she'd just had her baby. The woman in the next bed was lying flat due to an excrutiating headache. She'd had an epidural and had to have something I think they called a blood patch? Blood something anyway. I suffer from migraines and it put me off and I was one of the ones pushed to have an epidural, the anaesthetist came and tried to get me to have one. Only afterwards did I realise they could see things were going badly and I ended up with EMCS and had to have a general as no time for an epidural. Not sure if I would have had the epidural if I'd realised what they were thinking.

Herejustforthisone · 16/11/2022 19:12

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 ?

Quite. I went one step further and went in there knowing I wanted an ELCS and wasn’t taking no for an answer. 😌

It’s really not uncommon to hear of this kind of dehumanising of women in labour. I wonder if they get off on the power of the woman being so dependent, if it’s financially motivated or if they think women are so addled with pain, that they can speak to them like shit and they won’t remember.

ByeByeMr · 16/11/2022 19:12

It makes me wonder if it's just because they don't like to ask for a doctor/anesthetist.

Loungingstevens · 16/11/2022 19:16

I really wish I had an epidural. I held out and then it was too late. The intense pain sent me into shock and impacted that early stage with my child.
when I was close to being put on an induction drip the following time, I was told they would not do it without an epidural having been administered first. They were clear it was absolutely essential. Strange how much it differs..

sageandrosemary · 16/11/2022 19:19

Mine was awful, both during and afterwards, but I wasn't discouraged, or at least I don't remember being...

I had diamorphine with my second and found that to be far better.

tirednewmumm · 16/11/2022 19:20

That's so weird I didn't experience anything like that. I was also leaning towards epidural once I became high risk and knew I couldn't move about. I asked for it as soon as I was moved to the drip and no one batted an eye they did it all at the same time

Peoniesandcream · 16/11/2022 19:22

I had to have an emergency epidural and forceps after pushing for 5 hours with baby facing the wrong way, following the drip induction. It went upwards as well as down and I was unable to feel anything under my eyes for 24 hours. Couldn't hold my baby properly without assistance. I think they tend to put them off because following one you're more likely to need an assisted delivery and have more complications plus you'd be lying in bed all that time. But the choice should be yours and I don't like how many midwives delay pain relief etc until its too late.

Rhino94 · 16/11/2022 19:23

that doesn’t sound very supportive, it should of been explained better about the risks related to epidurals and they shouldn’t of made you feel so bad about wanting one, that being said I had an epidural with my first and this lengthened my labour and in the end had to go to theatre for forceps( was on the verge of a c section if this failed), the recovery was awful and I had a small amount of birth trauma too. With my second I decided to not go down the route of an epidural and just had gas and air, the birth was really quick as I could move around and bounce on the ball, yes i it was very painful and I felt everything ( I knew I had torn) but the experience was so much better and recovery was quicker.

seekingasimplelife · 16/11/2022 19:25

It's a financial cost issue disguised as being for better health outcomes.

Cost of midwife time v suitably qualified anaesthetists. There will be one on call, of course, usually in case emergencies. But nowhere near sufficient staffing levels to provide an epidural to meet demand, if the midwife didn't dissuade all but the most persistent.

Fiona8121 · 16/11/2022 19:30

I really wish i'd had an epidural. Instead endured 3 days of labour, 2 in hospital. 4 and 1/2 hours of pushing and my daughter caught sepsis during the whole process. I was so tired at the end I just couldn't go on. I was discouraged from having an epidural prior to labour which in hindsight makes me so cross x

MsCactus · 16/11/2022 19:31

russetmellow · 16/11/2022 19:05

This isn't true about back pain. I had an epidural and no back pain, same with my 3 sisters and 2 sisters in law. Don't spread misinformation like this please.

I was going to add to this - back pain is extremely common after pregnancy, the weight on your tummy over nine months makes muscle imbalances, and you should go see a postnatal physio to strengthen your back and stop the pain.

There's no link with epidural and back pain. If this was the case, everyone who had a C-section (also performed using epidural) would have chronic back pain too, and they don't. But yes back pain after pregnancy in general is v common

russetmellow · 16/11/2022 19:32

SaveMeFromMyBoobs · 16/11/2022 19:11

@russetmellow i was clear that was from my experience not a medical standpoint. Several people have also said it meant they couldn't push, others didn't have that problem. Doesn't make saying it can make it harder to push 'misinformation'.

I'm glad you had a good experience, I know many that didn't.

Every single person I know that had an epidural or spinal block has had back pain for life afterwards. so how many people was that? It sounds pretty unlikely people had back pain for life

Winniewonka · 16/11/2022 19:38

When I gave birth 30 something years ago, I remember having a tour around the hospital as part of an ante natal group. We were told that we wouldn't be having an epidural as they didn't have enough anaethesists. Sounds harsh but in those days you could stay in hospital for as long as you felt you needed. Average of about 5 days to allow you to rest, bond with your baby and get help with anything that you felt you needed e.g. breastfeeding.
I am shocked how quickly new mothers are expected to leave hospital these days.

miltonj · 16/11/2022 19:41

Ocampa · 16/11/2022 18:26

I hate it when people say that epidurals don't always work. It's such bullshit that thst's a problem. My first epidural didn't work so they inserted another one. They can't do this endlessly but 1 epidural not working isn't a problem, they can do another one.

But that's just not how it happens in realty in lots of cases.

LadyApplejack · 16/11/2022 19:43

I was merrily denied one all the way through my incredibly long, drawn-out, painful birth (which required instruments). I'm still very bitter about it. Assume it's to do with cost vs me being young/fit/healthy.

SaveMeFromMyBoobs · 16/11/2022 19:45

@russetmellow a lot actually. Some from epidurals for vaginal birth, come converted to emcs, some for elective csec, and some who had a spinal block for other reasons such as hip/knee ops.

One guy had damage to his knee, they decided to replace, due to additional medical factors decided to do a spinal block and sedate instead of general. Developed back pain straight after. Suddenly has to stretch it in the morning, aching when temp changes, easily aggravated and stiffens when he sits too long. He was in his 30s.

ChillysWaterBottle · 16/11/2022 19:46

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.

That isn't what I was told by the doctor who came to see me in the post natal ward. She explicitly told me the reason they were reluctant to give me the painkillers I needed (by the drip not orally) was because they were much more expensive. She wrote me a prescription for what I needed and the midwives still argued with me. To be fair it may be entirely up to doctors not midwives. But they were clear that cost was a factor in me not getting the right pain relief.

WalkingOnAcorns · 16/11/2022 19:46

Scottishskifun · 16/11/2022 18:43

Epidurals increase the liklihood of medical intervention being required such as forceps or emergency c section. It also slows labour down which means too early and you prolong labour meaning the mother is exhausted and again increases the chances of intervention.

It also doesn't come without risk as its a spinal tap.
It also contains a opiate unless your notes had about a reaction and they had sourced a opiate free version.

Your not any less of a mother for having a epidural.
medical intervention prolonges recovery and can cause a lot more trauma, epidural increases the risk of that hence there is a good reason for midwives to see how things go.

An epidural is absolutely not a 'spinal tap'.

Herejustforthisone · 16/11/2022 19:48

@SaveMeFromMyBoobs the back pain is likely to be from pregnancy itself, not the spinal block/epidural catheter, or perhaps they just have shit posture. Your post is speculative, fear-mongering nonsense.

I don’t know anyone with recurrent back pain from spinals/epidurals, and I know many people who had them. 🤷‍♀️

Herejustforthisone · 16/11/2022 19:49

God, there are some total thickies on this thread with no knowledge of obstetric processes or pain relief, but a clear agenda…

Herejustforthisone · 16/11/2022 19:50

SaveMeFromMyBoobs · 16/11/2022 19:45

@russetmellow a lot actually. Some from epidurals for vaginal birth, come converted to emcs, some for elective csec, and some who had a spinal block for other reasons such as hip/knee ops.

One guy had damage to his knee, they decided to replace, due to additional medical factors decided to do a spinal block and sedate instead of general. Developed back pain straight after. Suddenly has to stretch it in the morning, aching when temp changes, easily aggravated and stiffens when he sits too long. He was in his 30s.

This is just your speculation. If it’s true.

Why are you trying to put women off effective and safe pain relief? It’s weird.

Imissmoominmama · 16/11/2022 19:51

When I had my son, the two babies in the ward whose mums had had epidurals were both delivered by forceps, and both had issues after birth.

I think, where possible, a natural birth is better for the baby initially. Maybe not for mum though, so the midwives have to balance this.

newrubylane · 16/11/2022 19:51

bloodyeverlastinghell · 16/11/2022 18:33

I think you have to be more closely monitored with an epidural and they cost money. I had two "natural births" too early, too late, too smashed on pethidine to advocate for myself to get an epidural although I asked both times. Then I had twins, with twins there is a much higher risk of needing to do an emergency section so they like you to have a nice early epidural to facilitate that if necessary. When it suits them it's considered completely necessary. It was by far the better labour as it was calmer, pain free and I wasn't off my face on gas and air/ opiates.

When I had my twins it was going smoothly and they did say that I didn't have to have the epidural, though they would normally recommend. In the end I had the line put in and a test dose to make sure it was working ok, in case I did need to go to theatre, but I chose not to use the pain relief because I was already struggling to know when/where to push because my contractions were actually really manageable. Obviously the injection itself carries risks, and it was probably the worst bit of my labour, because it took them seven attempts, and I was scared because you have to want them when a contraction is starting so they don't stick the needle in then, and mine were quite sudden so not much warning. The only worse bit was the actual crowning - the only very painful bit, for me, but it only lasts seconds. I had a tear and an episiotomy and honestly had no idea about either.

ChillysWaterBottle · 16/11/2022 19:51

Because they have a weird fetish for pain is my only conclusion with the amount the midwives let me suffer during my birth and long recovery on the ward. I was in agony and begging for pain relief for days and they were fucking awful. To be fair, they initially delayed my requested epidural for 14 hours due to not having enough staff on the ward (this came out as the reason in birth reflections later), so with all the under staffing and covid etc maybe that's why.

Swipe left for the next trending thread