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Childbirth

Share experiences and get support around labour, birth and recovery.

Will I be denied an epidural for a 'likely to be quick' 4th baby?

47 replies

Worriedthistimearound · 17/12/2013 21:00

That's it really.
4th baby, first girl and I have this overwhelming desire for it to be calm and enjoyable.
Other 3 have been quick and straightforward and I've never had more than G&A. Even with no1 I got to hospital just an hour before he was born.
I want to get there and request an epidural straight away. I do understand that the anaesthetist may be tied up in theatre so that may be that but I don't want to face a midwife telling me that if it's not true simply because she thinks I can do it without. I'm sure I can but I really don't want to. I guess I don't want to be fobbed off. I did ask for one with my first and was told it was too late as I was 8cm on arrival but I've since been told by an obstetrician that this is nonsense.
Just want to know my chances really.

OP posts:
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VoodooChimp · 18/12/2013 08:44

I had an epidural and an EMCS after an incredibly slow labour and still had the uncontrollable shaking after DD was born, also uncontrollable vomiting throughout. Also not being able to get out of bed for several hours afterwards to pick up your baby or even get a drink of water isn't very nice. Neither is the catheter.

DowntonTrout · 18/12/2013 08:49

I Had an epidural with my 2nd. I didn't really like the restrictions it placed on me, not being able to move about etc. it was a fairly fast labour too (5 hours from 1st contraction)and I think it was probably too late by the time i had the epidural, it affected me pushing.

With my 3rd it was so fast that I barely made it to the labour ward. Someone shouted "This woman is having a baby in the corridor! " and I realised it was me, the head was already out. So do be prepared that the labours get faster and that there may not be time.

AnythingNotEverything · 18/12/2013 08:56

I had one long slow labour with epidural, and one quick labour (less than 5 hours from ARM to baby) on G&A.

My second labour was calm and lovely. I could move around freely, and as soon as DD was born I was pretty much back to normal - no funny feelings as the drugs left my system. I out my faith in my body knowing what to do. I was only examined once during labour and was trusted to start to push when my body told me to.

I think your reasons for wanting an epidural are valid, but that there is probably a more suitable solution. I'd discuss this again with your midwife.

lottieandmia · 18/12/2013 08:58

I had an epidural with my first and it slowed everything down and made it more traumatic. It also stopped my natural contractions, I needed a drip and then when stage 2 began they refused to top up the epidural because they said I wouldn't be able to feel what I was doing. It was pure hellish agony! The anaesthetist told me I may experience side effects from it for up to 6 months which actually turned out to be 6 years! I would get a painful, throbbing sensation in my back at the site of the injection.

Sorry, I know that sounds really negative but my two other births which I had no pain relief for we're much much easier and less traumatic. I do think you need to weigh up that although an epidural can be a pleasant experience for some, once they put it in you will be totally at the mercy of the staff who decide how they are going to run your labour and you will be out of control because you cannot walk.

I think hypnobirthing is very effective btw. Good luck with everything.

Ushy · 18/12/2013 10:37

I completely understand Worrieds view - I found natural childbirth brutal and horrific without an epidural - the epidural transformed it into calm and peaceful experience. I wasn't at all at the mercy of staff. When you are calm and not in pain you are much more in control.

Worried, I would ask for an interview with the anaesthetist. Our local hospital (where I now live) will give an epidural to anyone who requests it. So it is possible. I know people who have had one (or a spinal) in the second stage of labour.

lottieandmia · 18/12/2013 12:13

But that was my point, however negative I probably sounded. For you, Ushy the experience was calm and happy but it doesn't always turn out that way. You are at the highest level of intervention when you've had an epidural and how it turns out from then on depends on the doctor in charge of your case and the midwives on duty. And the pain I experienced when my epidural wore off and they refused to top it up was more brutal than anything else I ever experienced.

I'm not saying don't have an epidural but just to consider the various outcomes.

Bue · 18/12/2013 12:29

I know people who have had one (or a spinal) in the second stage of labour.

With a third baby this is not remotely possible, however. The baby will be born within minutes. Possibly even seconds! There is absolutely nothing wrong with having an epidural with a fourth baby if time allows (I have looked after one woman who was having her sixth baby who requested one, but she started pushing while the anaesthetist was doing his 'talk' with her). However I think it is more realistic to consider a variety of options in this scenario.

Worriedthistimearound · 18/12/2013 12:43

Thank you all so much for your views and for sharing your experiences. Zulu, thank you also for giving me the medical pov.

Maybe I'm being over anxious or over thinking it all. I've struggled to do the whole bond and latch on thing each time as my body is shivering and shaking uncontrollably and I still feel out of it for the next hour or so. It's interesting to hear from Zulu that having an epidural wouldn't stop that happening. I'd assumed it was adrenalin as you said but as a response to the pain rather than a response to childbirth.

I am going to look into hypnobirthing as I'm definitely up for anything that will help me feel calmer and more in control.
Lottie, the idea of having an epidural and the pain sounds horrific! At least without the epidural I can move around or use the pool for pain relief. What an awful experience for you.

OP posts:
Worriedthistimearound · 18/12/2013 12:45

Yes, I guess as I pushed for only 3minutes last time it will be similar or shorter this time! Crumbs!

OP posts:
mummywithLplates · 18/12/2013 18:39

Hi op, I had an epidural and had terrible shakes after actually giving birth and all the staff put it down to all the adrenaline going through my body.

ZuluWarrior · 18/12/2013 22:13

Good God - where does the time go? Grin.

I think it's difficult and sometime inaccurate to compare labours with and without epidurals because in the vast majority of cases epidurals are used in first labours which are inherently the ones that are longer, more difficult and more likely to end up with a CS or forceps. So the side effects are higher too IYSWIM.

So, epidurals. The facts are:

1 in 10 don't work the way we want. So, they don't work at all, work on one side or miss out a bit.
1 in 100 can cause a post-dural puncture headache. A sometimes incapacitating headache that can last a few days and make you able only to lie flat when you're meant to be looking after a newborn. Not dangerous, but traumatic.
The terrifying nerve damage side-effects (the worst being paraplegia) are hen's teeth and IMO not worth even thinking about. But they do exist.

Also, they can cause transient low blood pressure and make you feel shit, or even distress the baby a bit. They can slow down labour and result in an increased likelihood of needing a hand at the end.

BUT (and this bit is partly my opinion)

When they work they are AMAZING. They are usually not hard to put in, and within a few minutes you can be pain-free. Labours, especially the first one, are often long and exhausting.

I've seen hundreds of women go from distressed to smiling (or more often asleep!) in half an hour. The serious side-effects are rare. I think that if your expectations are realistic (bearing in mind the ones that don't work perfectly) they are a fabulous choice.

However, OP, I still don't think it's the right thing for you, if you have another fast labour. If it's a slower one, however..... Smile.

ZuluWarrior · 18/12/2013 22:15

DISCLAIMER: I did my second and third labours without an epidural, in a midwife led unit. In retrospect I have no major regrets, but by FUCK they were sore Grin. The first was rotational forceps so I had the shaking, pain afterwards and catheter, but they were as a consequence of the back-to-back labour and forceps, not the epidural.

NomDeClavier · 18/12/2013 22:22

I also get shaky after labour. With DS I put it down to G&A. With DD it was the same despite no drugs and hypnobirthing. I can't catch or even hold my baby after, even though I really wanted to. Both times I had skin to skin and just lay there shivering while I got stitches and then shivered while they examined the baby. The only thing that calms it is time.

DS latched himself on while I was in shock. DD I just lay there thinking 'what the fuck, I haven't had drugs, I should be calm' and she just lay there on my chest while we oth came to terms with her being born!

lottieandmia · 19/12/2013 00:57

I got the headache you mention Zulu but I was given a pill in the hospital which seemed to help. The reason I was in so much pain was that I suddenly had to get used to a syntocinon drip after the epidural wore off and it was not replaced. Zulu was it really necessary for the staff to let the epidural wear off? When it did I couldn't push anyway.

OP, I hope you find a solution for you that makes this a good experience.

lottieandmia · 19/12/2013 00:59

I agree that 1st labours are more likely to be more complicated anyway. I was induced for dd3 and I was worried about the dreaded drip but all I needed was the gel and dd popped out 2 hours later. This, after the midwife said my cervix was hard and it would probably take a few days.

NigellasDealer · 19/12/2013 01:03

epidural is nasty and messes your back up for years afterwards ime

simpson · 19/12/2013 01:04

I had an epidural for my first, although still a quick birth as I felt out of control dealing with the pain etc and I still encountered the shaking/shivering etc and also I was in quite a bit of pain afterwards because of the catheter.

With my 2nd DC, I wanted an epidural for the same reason but tbh there was no time as she was born literally 20 mins after getting to the hospital. T h I felt much better afterwards and was on my feet quicker and did not have to stay in hospital overnight.

simpson · 19/12/2013 01:05

Nigella - agree totally unfortunately. Still feel the effects of mine and DS is 8 Sad

NigellasDealer · 19/12/2013 01:07

same here simpson..... only mine are 15 now.....and if you go to the osteopath (my favourite people) one of their questions is 'have you had an epidural?'

4athomeand1cooking · 19/12/2013 07:42

Thanks Zulu that is great advice. Grin

ZuluWarrior · 19/12/2013 12:45

Lottie, did they stop the epidural because of the headache? Sorry to hear that. It can be nasty Sad.

lottieandmia · 19/12/2013 14:19

No, the headache started about 6 hours after I gave birth. I had to lie flat as you describe and the doctor said it was to do with the epidural.

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