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Childbirth

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

If forceps are needed is there usually time for an epidural first?

58 replies

ALS17081982 · 11/05/2018 21:51

I've got a back to back baby and from my reading tonight it sounds like forceps are common with this position. I've not done any research into forceps because it is my absolutely worst childbirth fear. What I want to know is, if the consultant says forceps are going to be needed, will there be time to have an epidural first (if I haven't already!)? Thanks

OP posts:
Racecardriver · 11/05/2018 21:58

I already had an epidural thank god but there definitely wasn't time. There was about a fifteen seconds interval between Doctor looking mildly concerned and the doctor telling me to push hard as he had his arm up my freshly smoked vagina pulling my son out. Would recommend getting an epidural ASAP.

BexleyRae · 11/05/2018 21:58

I can't answer about epidural, but DD was back to back and I didn't have forceps. But i doubt there woild be time for epidural to be honest

BarryTheKestrel · 11/05/2018 22:01

DD was back to back and I had forceps. But I was taken to theatre for a trial instrumental with the potential for a c section so was given a spinal block then.

It does entirely depend on the situation. If it's desperate there probably won't be time and you probably won't care as long as you and baby come out of it alive.

MilkTwoSugarsThanks · 11/05/2018 22:01

No, I had to have a local anaesthetic for when I was cut. 😱

RainRainGoAwayy · 11/05/2018 22:01

DS was back to back. I had ventouse instead of forceps. No epidural but did have episiotomy so I presume they put a local anaesthetic in.
I thought forceps were more likely with back to back position if you had had an epidural - may be wrong though.

diamondsandrose · 11/05/2018 22:04

Nope!
I had forceps , episiotomy and a huge tear just on gas and air. I maybe got some kind of local injection somewhere? No idea, I just thought they were trying to kill me.

But maybe if they know in advance you are likely to need them then this will be part of the birth plan. My baby just had a massive head and I'm quite petite.

It wasn't fun but my baby is now 10 and if it wasn't for those forceps he might not be here! It certainly did the job

LunaDeet · 11/05/2018 22:13

As far as I was made aware, if you want an epidural then you have to wait for the anaesthetist to become available which could take some time. I think that’s why you have to inform the midwives early if you intend to have one. I don’t think there would be time. It would already have to be in place before 2nd stage of labour I guess.

Applejack70455 · 11/05/2018 22:22

Would have one as soon as possible! I had forceps but had been on the drip for a day and already had one in. Then they spent an hour sewing up the war zone. Not sure how I could have handled it without one.

hampsteadholly · 11/05/2018 22:26

You can usually have a spinal block.

DrGreeneChairLean · 11/05/2018 22:28

My baby was back to back and 5 weeks early (so had no idea what position he was in) pushed for 2 hours and then was given a spinal and taken into theatre for forceps delivery, so weird to be signing consent papers for possible c section whilst still pushing!

NameChange30 · 11/05/2018 22:32

How many weeks are you?
Baby could still change position. Google Spinning Babies for tips on encouraging it.
I’ve heard back to back labour is more painful so if baby is still back to back when you go into labour you will probably want an epidural anyway. I would advise getting one. Then you already have it in case you have to have an EMCS or instrumental delivery.

Anotherdayanotherdollar · 11/05/2018 22:32

It depends on the situation. In order to be at the stage where you know you'd be needing forceps you'd have to be fully dilated. In an emergency situation there might not be much time.
How many weeks are you? Have you time to try encourage baby to turn around?

NinaMarieP · 11/05/2018 22:42

As PP have said it would depend on how early a need for foreceps was identified and whether an anaesthetist was available. If they said high foreceps were needed that has to be done in theatre and they would do an epidural in case they failed and a c section was needed.

I had a low foreceps delivery because I was exhausted (also with an hour of stitching in theatre after) with just gas and air and a local anaesthetic injection, though that was more for the episiotomy.

I won't lie - having foreceps inserted was probably the worst part of the whole labour and delivery, but after 5 hours of pushing it was necessary and I had actually begged for them. The gas and air took away pretty much all the pain but there was a lot of pressure and it just felt bloody awful. It was pretty quick though, I thought she was still on the first one and didn't know how I could cope with the second but the second was already in. Once they were in it was one push/pull and his head was out, but he was about as far down as he could go without crowning already.

In a nutshell - they were pretty awful but doable without an epidural and over quickly.

okilydokily · 11/05/2018 22:55

Both my babies were relatively big (I'm petite) and back to back. I needed forceps with DS. Was in labour for 18 hrs then pushed for 4 hrs, then DS got stuck so forceps came out. I begged and pleaded for an epidural but it was too late. The anaesthetist was busy dealing with other patients. I had a local anaesthetic injection and G&A. I'm sorry to say, it was completely horrific. I felt like I was being disembowelled. It was shocking, brutal and extremely painful. I wish I'd opted for a C section, or an epidural at the very least.

ALS17081982 · 11/05/2018 23:53

I'm 37 weeks tomorrow so I might have some time to encourage the baby to move but I want to be realistic and prepare for a back to back labour.

I'm so disappointed, I've been doing hypnobirthing and planning for a water birth with minimal pain relief and no interventions and now I feel like that's never going to happen and I need to rip up my birth plan and just get used to the idea of requesting an epidural and anything that brings with it.

OP posts:
ALS17081982 · 11/05/2018 23:55

My baby's head is also on the 97 centile according to a growth scan I had around 33 weeks so I think that together with the back to back position is bad news for labour!

OP posts:
NameChange30 · 12/05/2018 00:23

I’ve heard that growth scans can be very inaccurate but even so with that head measurement I would be asking for an ELCS especially if baby is still back to back closer to due date.

I also did hypnobirthing and was hoping for no/minimal interventions but would have seriously considered ELCS in this situation, it’s far preferable to a complicated vaginal delivery which may end in EMCS anyway.

FeatheredTail · 12/05/2018 08:01

Baby can change from back to back to a better position whenever - it's not the same as having a baby in breach lie. Lots of babies change position during labour. Lots of babies change position during the night.

Try to remember to sit upright and leaning forward in the last couple of weeks of pregnancy and during labour - that will help your baby stop using your back as a hammock!

I had shallow forceps and a back to back labour with my first - it was extremely painful and long (3 days of contracting) but the epidural was amazing.

gryffen · 12/05/2018 08:13

I had forceps and episiotimy with my first (requested as I felt her stuck) so only got numbed up and she was delivered safe with no injuries to her or me.

If forceps are needed very doubtful you will have time for an epidural but ask beforehand as sooner they know the sooner it's organised.

OhTheRoses · 12/05/2018 08:47

I had a posterior first labour. It was 8-3/4 hours and I delivered a 7.5oz baby at 36.3 with a small tear that did not need stitches.

A posterior labour is a different level of pain to a straightforward labour and I had an epidural about four hours in. Why wouldn't you. We aren't in ore Crimea days anymore and there is no need for childbirth to be brutal or to leave serious birth injuries.

I too was terrified of forceps but our problem was a dopey midwife who thought a falling heartbeat was due to a dodgy monitor. After the third dip my husband opened the door and yelled for a dr. The senior midwife arrived and the red button was hit. The room filled with people. The midwives got me on a birthing stool to push vigorously while the registrar got equipment ready. Baby had cord wrapped round his neck and it had to be cut while he was still inside. Too far down to push back for a section. I did manage to push him out on one last push. He was very blue and took ages to resuscitate. In doing so I burst a blood vessel in my eye and suffered a prolapsed bladder.

My advice is to speak to a senior midwife or registrar/consultant if necessary. Ask for figures for instrumental delivery and sections after exhausting labours for pisterior presentation. Have a discussion about staffing, 1:1 care and likelihood of that being provided by an experienced and kind midwife. Also ask if a portable scan can take place in very early labour to check position of baby and the cord. With that level of information you can make an informed decision about whether to elect for a csection.

DD's birth ran more like that. She was breach for a v long time and was a planned section until the day before when she turned. The consultant said it was my call. I said I could not justify non essential surgery but only if he could promise me an experienced midwife and an epidural on request. He did. DD ended up being induced at 41.3. It was a slow start and I refused the syntocynon drip until the epidural was in place (why suffer pain in the first world). Labour started during the 20 mins it took for the anaesthetist to arrive and the drip wasn't switched on. The epidural was though. DD arrived less than two hours later. Pink, fat and screaming. 8.13 - no stitches. It was a completely non traumatic labour due to the experience of midwives and high quality of care.

If I had to do it all again I'd have elected to have a csection the first time round. It took me years to realise how traumatic that birth was and the impact it had on me.

Birth isn't a fairy story of gently panting out a baby and risks in the 21st century are easily and safely avoided and there doesn't have to be massive trauma.

Ultimately birth and the fourth trimester are very small parts of being a mother and women need to be encouraged to be kind to themselves and to take calculated risks. It isn't a competition and those early weeks are exhausting. It's important to be rested and well cared for beforehand.

Good luck. Apols for mega long post.

Joinourclub · 12/05/2018 08:54

I had forceps with no time for an epidural. It was absolute agony, but it was over very quickly.

KittyVonCatsington · 12/05/2018 08:55

I disagree there isn’t time!

I had been pushing for nearly 5 hours on just crappy gas and air-had tried ventouse and being on the drip to ramp up contractions and nothing. She was back to back with her hand a little stick.

At 18:15 I was wheeled into theatre. At 18:30 I had the epidural (had to stop temporarily whilst I had a contraction and they held me!)
At 18:40, with forceps and two pushes, she was out.
This was in 2015.

Perfectly possible to have an epidural for the forceps, OP! Good luck!

Wolfiefan · 12/05/2018 08:57

Don't despair OP. Back to back doesn't always mean forceps. My first was a back to back baby. I had a water birth. The only difference was more pain in my back during labour (DH poured water from the pool over it. Bliss!!) and I pushed for longer. No intervention needed.

CountFosco · 12/05/2018 08:59

DD2 was back to back when I arrived at hospital 5cm dilated. She turned during labour. No forceps, no epidural.

Bobojangles · 12/05/2018 09:00

I'm opting for an elcs this time because my forceps birth was so horrific (7months recovery, 12 weeks with an open gapping episiotomy) and that was with an epidural. I wouldn't be happy to try vbac if forceps looked like a likely outcome (or even a possibility, my midwife and physio told me last time not to do it again as they caused so much damage)

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