Anyone been induced without an epidural?

[BionicEmu]

I just have no idea what to do for the best.

I'm 35 weeks pregnant with DC2. DC1 was a very fast pre-term delivery at 34+1.

I have fairly severe spinal problems. I have kyphoscoliosis, disc degeneration and bony nodules on my vertebrae. Basically, my spine's screwed. When pregnant I can't have my usual pain relief (tramadol or morphine + epidural/trigger point injections.)

I am literally in agony. I can't do anything without crying. I'm 27 years old and feel like I'm 200. I just want the pain to stop. Saw my obstetrician this week, who is hopeful I'll go into labour very soon. But I'm going to see her at 37 weeks to discuss induction on the grounds of how much pain I'm in & how debilitating it is.

But, I can't have an epidural. Met the anaesthetist, he examined my back & said "no chance." (When I have the routine injections they use x-ray for siting.) My hospital don't do remifentanyl. I can have diamorphine, but have been warned it probably won't have much effect due to my opioid tolerance. So I'm left with gas & air. I had just that for my first labour, and it was fine, but it was all over in 2 hours!

If I end up needing a CS for whatever reason I've been told I'll be knocked out with a general anaesthetic.

Everyone I know who was induced had an epidural. So the thought of going through with this without one terrifies me. And what if I need instrumental help?

I guess I'm really just looking for any thoughts or advice on my situation. It just feels a bit like I'm damned if I do or damned if I don't.

I did it on gas and air! It flies by don't worry! xxxx

yes, it hurt but was bearable, had pethidine though which helped a tiny bit.
good luck!

I only used gas and air and had no problems.

Good luck!

I was induced with both dc, both without an epidural. Very different births - dd in back to back position, long labour. Ds much quicker. Neither much fun! I asked for an epidural both times but didn't get one.

yep. 2 of them. Was fine, pain-wise. Don't worry.
And good luck.
(Sorry you've been in so much pain. You're on the home strait now...)

2 inductions, didn't have an epidural with either. Gas and air and diamorphine with dd, g&a and pethidine with ds. Needed forceps with dd, but no assistance with ds.

Just noticed how long my OP was sorry. Feeling a bit sorry for myself as I've just spent most of Christmas Day lying on the sofa trying not to cry - couldn't even play with toddler DS.

But these are reassuring posts, thankyou! I'm trying to think along the lines of it'll only be a day or so hopefully at most of labour-pain, and hopefully only a few hours of extreme agony, so that vs. possibly weeks more of being like this makes it sound like an obvious choice. I just want the pain to stop though (I realise that sounds incredibly whiny!)

Induced for pg no.1 at 40+14 using just pessaries, with pethidine as pain relief just prior to transition. No problem, no intervention needed (did squawk a bit but it was ok really)
Induced for pg no. 2 at 39+1 - was a bit worse this time around as baby wasn't situated correctly, so had to have baby turned, membranes ruptured and syntocin drip - the drip --> increased need for pain relief so had gas and air. Not convinced it did anything and lots of screaming went on, but still didn't need an epidural.

You will be ok, honestly - especially if you go quickly at the end! I had about 30mins of squawking with no. 1, and about 45 mins of screaming with no. 2.

Also very sorry for your pain levels - I had mild SPD this time around and was very glad to have the baby out (although it was being managed pretty well by my osteopath) - sadly it hasn't completely gone, but at least I don't have the weight of the baby on it any more!

Had an induction with DS2, had my waters broken and then had the drip. I was fine on gas and air although because they misjudged how long I would be in labour I did have pethodine, but it was pointless because I actually gave birth before it started working (DS2 was born asleep!) If they hadn't been convinced I'd be in labour for another 4 or 5 hours (rather than the 45 minutes it actually was) I wouldn't have bothered, the gas and air was fine.

Don't worry.

If your last labour was tgat quick this one should be easier.

I've had two inductions & delivered without an epidural. Most women do.
It is possible to have an instrumental delivery without an epidural if push comes to shove.

Good luck!

I was induced! 41+2, had waters broken and the drip. No epidural for me and dd was born 4 hours after.

Hi Emu, I was induced and had to have the old ventouse baby hoover as the cord was round neck and arms. Had paracetamol all day, followed by gas and air once things got too much. It hurt of course, but it doesn't sound half as bad as some of my friends' stories!

Good luck, you'll be fine
Xxxx

DS2 was an induction at 35/36 wks. Had the pessary and a sweep, read hello magazine, waters broke and 1st contraction at 2pm, DS2 born at 3pm. Just a paracetamol and gas and air. Needed stitching afterwards and that was done on just a local injection (which didn't work) and gas and air (which made me giggle through the pain!).

I won't lie, labour was painful but it was manageable and mercifully quick. Far far easier then the 12 hour epidural/ventouse/forceps debacle that was DS1.

If you had a previous quick labour chances are you'll have another.

Oh god, thankyou all so much! You're making me feel lots more positive about this

Last labour was fairly easy really, had no idea I was in labour until a doc thought he may as well check and discovered I was 7cm dilated. Was just a bit uncomfortable up to that point, certainly wasn't asking for any pain relief. Doc accidentally broke my waters, then it hurt a lot more, but DS born less than 2 hours later.

Gas and air after pessary and water being broken after pessary didn't work.

I was induced on drip and had epidural. BUT I am a wimp when it comes to pain and I know three women at local Mums group who were induced just on Gas & Air. Good luck and hope you go into labour very very soon - horrible to be in so much pain.

Would you take remifentanyl if it was available? i wonder if it will work on you given your opiate resistance? If you think it will I'd seriously consider changing hospital in yolur shoes (i may do this myself).

I was induced using syntocinon drip. I wanted to avoid an epidural if possible but quickly reaised I'd need one. They tried 5 times and it didn't work, not one bit. So I had 12 hours of labour with only G&A. Personally I didn't find it manageable. It was pain like I never knew existed. I really wouldn't wish it on anyone. I don't want to scare you, but as you seem to be making a decision based on what's being posted here I think it'd be unfair for you to make that decision in the absence of any negative experiences IYSWIM.

My baby was big (9lb 4oz) and i expect this made it more painful. Also the MW was awful IMO. She seemed to have never heard of active labour, and just wanted me on my back. I suspect this is because she had me on continuous monitoring because of the drip, and wasn't experienced enough to deal with monitoring unless I was lying down on the bed. As a result I felt totally unsupported.

I'm not particularly worried about instruments as far as pain is concerned. I had an episiostomy last time, and ventouse delivery. I didn't feel the pain either, tbh the pain from labour was much worse (sorry!)

I'm now pregnant again. They couldn't explain why the epidural didn't work last time (the anaethesist actually came an apologised to me the next day!) so I have to be prepared that the same thing might happen again this time.

Here's my plan for not experiencing the same level of pain again:

1. if I need to be induced, find out what the options are. Does it have to be the syntocinon drip? I've heard that's more painful. What are the options?

1. If it is the drip, I want to ask why it hurt so much last time. I heard the anaethesist mutter "Jesus give her a chance" when checking the levels of the drip. Are there choices/different approaches here?

1. I need to find out if patient-administered remifentanyl is actually available at the hospital. They've said they do have it, but as you may know, the reason many hospitals don't do it is because your breathing needs to be monitored by a nurse/midwfe as it's an opiate. AFAIK, even if they have it in the cupboard it's no use if they are short-staffed, they won't give it to you. I want to find out if my hospital does actually use it in practice. If not, I will seriously consider moving to the larger, better staffed hospital in the next town. I suggest you at least consider the same if feasible.

1. My birth plan is very short. If i have to have continuous monitoring & drip, the most important point, is that I want to be able to move about, even if hooked up to a drip (not on my back basically). I will ask the MW when I meet her if she's happy to support active labour while I'm on a drip / being monitored. If she's not, I will insist on another midwife - it is our right to do this. (Didn't work last time however as it was Christmas and they were very short staffed. But I'm hoping if I insist from the outset we might have a chance!).

If all that fails, and I have to go through the pain again, so be it.
It was awful, sure, but it's not forever - eventually the pain stopped, and in the end we got our baby.

I hope that helps. i'm not trying to scare you honest! It must be so difficult to be in so much pain, i really feel for you. I felt i had to post though as I was totally unprepared for the pain i experienced last time, and think you should make an informed choice. It would be unrealistic to think it is always managable, although it's certaily encouraging to hear it can be!

It's also hopeful for both you and me that we're having our second babies, it should hopefully be an easier / shorter labour (fingers crossed!)

aufaniae - my experience of the drip makes me think it hurts more simply because your body hasn't had time to naturally work itself up to that level of contractions, you don't get a chance to 'warm up' iyswim, or gradually get accustomed to your contractions increasing.

aufaniae - to add my experience of the drip, I would say that the worst thing about it in terms of difference to not having it is that I got no respite between contractions with the drip, they all just seemed to roll together like waves - the new one was starting as the previous one receded. Without the drip, I got a couple of minutes' break from the contraction pains. I think that made it a lot harder to deal with; plus my DS2 was a bit stuck, so I wasn't managing to push him out like I had with DS1 until I was rolled onto my back, when his head dropped clear of the anterior lip and I got him out in 2 pushes and 1 minute, surprising everyone.

Well at the weekend I was induced, straight to drip, contractions huge. Half an hour of active labour, pph with removal of clots as an emergency straight after with no time for pain relief... not pleasant but it's amazing how you forget!

I would try and induce naturally which may well not work but might make your body more ready for induction this making it more likely to work without resort to syntocinon which I would not recommend without epidural. So acupuncture, eat lots of dates, reflexology, sex if you can bear it, just orgasms if not, nipple stimulation. Positive thoughts!

Yes, OP. My 2nd birth was an induction at 35 weeks (pessary), and it was very fast and I just had some gas and air.

All very best wishes to you, you poor thing.

Yep, twice. First one was with the drip and ended in forceps had diamorphine. Second was just the pessary (was 35 weeks) and only had gas and air

I was induced with both my labours. The second one I was planning to go in the pool but the baby had occasional dips in heartbeat so I ended up just on gas& air. It was fine though the last half hour was pretty intense. Moving around and bouncing on the ball helped a lot.