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Childbirth

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

Talk me through a Spinal Pls Ladies.

9 replies

Lunamoon23 · 10/12/2024 16:41

Basically exactly that .... I'm having a Caesarean on Thursday! I'm petrified...
one thing I'm particularly anxious about is the procedure itself but also the spinal.. I have a big fear of needles. I can't watch blood tests being done and always use Elma numbing cream beforehand. The thought of a giant needle going into my spine is triggering me awfully....

How much does it hurt? How much will I feel? Will it hurt after?? Any tips on how to stay calm during? My husband will be allowed with me while I have it done.

OP posts:
merryandbrightdelight · 10/12/2024 16:44

Best of luck op!

I've had 2 with both ELCS. Both times the area was cleaned and marked, and I was given a pillow and asked to squeeze forward into it while they did it. I didn't feel a thing! I did cry as they were marking me up, but as they were doing it it was instinct to stop, as they have to be careful when putting it in.

Unexpectedlysinglemum · 10/12/2024 16:51

I barely remember it I was a bit scared but just did deep breaths I don't think I felt anything apart from being cold in my gown. The only thing I remember was the iv drip going in my hand which was a sharp very unpleasant but very quick pinch.
Ensure music is playing relatively loudly or you'll hear them snipping your skin

UpUpUpU · 10/12/2024 16:53

In my trust they use local anaesthetic on the skin first and it's a mostly painless procedure. You will be well looked after and supported.

Lola2PC · 10/12/2024 16:57

I didn't feel pain with the spinal at all as they numb the area. Getting the cannula in my hand was worse! Good luck x

Greybeardy · 10/12/2024 17:07

it isn't a 'giant' needle - it's actually very thin. We put local anaesthetic into the skin before doing the spinal to make it more comfortable. There is a lot of patient information and IIRC a video of a spinal anaesthetic on the labourpains.org website (which is run by the Obstetric Anaesthetists Association). The anaesthetist will also go through the procedure with you on the day.

Dyra · 10/12/2024 21:40

To give you a (probably not quite so by the time I've finished writing) quick run down.

So you're in theatre! Hello! The anaesthetic nurse (and anyone else in the room) will greet you. They'll get you to sit on the edge of the bed and confirm your identity. You'll be asked this multiple times in the day. We're not trying to steal your information (though anyone asking your mum's maiden name might be...) but positive patient identification is extremely important, and while everyone might be there for the same operation, it's vital to have the correct patient we're expecting.

If you haven't had one put in already, next up is the cannula. Definitely have the EMLA cream. Squish your husband's hand, close your eyes, and keep breathing. It'll be over before you know it. Much like the spinal and the C-section itself! After that is some monitoring being attached (BP, finger oximeter, ECG), your back exposed, pants removed, and it's spinal time.

Your anaesthetist would have gone off at some point to go and get scrubbed, and will be getting all the paraphernalia they need ready. It's all behind you, so keep looking at your husband, chatting with everyone in the room, sing along to any music playing in the theatre (if I get my way it's Christmas music, but you're the patient, so you get to choose!).

Spinal itself. First up you've got to have your back sterilised. In my trust we spray you with a sterilising solution. IT. IS. COLD. Do not listen to anyone who tries to tell you it's 'refreshing' or 'cool'. No it isn't. Freezing is the word. Alternatively you might have the same solution painted on. Same deal.

Once it's dried (doesn't take long) a sterile drape is stuck to your back, and the anaesthetist will feel your hips and the bones in your back to find the perfect spot for the spinal. "The Position" is then assumed. Hug your pillow, chin to chest, drop your shoulders, and stick your lower back out like the angriest cat that ever catted (or prawn that ever prawned I guess). Some local anaesthetic is injected. It stings a bit, but rapidly goes numb. Steady breathing, try to stay relaxed, test how well your husband's hands withstand crushing forces, sing your favourite song. Hypnobirthing affirmations might help too.

Now it's the spinal needle. As Greybeardy says, it's actually a very thin needle, just slightly long. Nothing huge about it at all. But thanks to the local, nothing should feel sharp or painful. You might feel some pressure, but if it's painful, let the anaesthetist know and they can inject more local. Once the space is found the good drugs are injected, needle removed, we get you to lay down, and all done!

You might feel a warm sensation going down your bum and legs when the drugs are injected. You may find you start to get some tingly pins and needles feeling not long after.

Hope my essay helps a little.

Best of luck on Thursday!

SquigglePigs · 10/12/2024 21:42

I hate needles too and was terrified of that bit.

In reality I barely felt it and the fact you can't see it helps a surprising amount!

Hope all goes well for you.

LimeCookie · 10/12/2024 21:44

Honestly I’ve had two, it really is ok. The bit I found most uncomfortable was when they ask you to lean forward over a cushion to do it, I found it so uncomfortable on my bump to lean forward, more so than the spinal itself! Honestly it really is ok. Totally understand being terrified, that’s absolutely normal. Just try your best to be calm and kept breathing through. Night before was the worst for nerves so just be ready to know what calms you down. On the day itself, I just wanted to get it done. You really will be ok.

Lunamoon23 · 10/12/2024 22:07

@Dyra thank you, that was really helpful to read. I'm just praying they find the right spot first time round 🤞🏼 xxx

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