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Pregnancy

Talk about every stage of pregnancy, from early symptoms to preparing for birth.

Labor pain relief options

99 replies

northernnomad · 29/09/2014 15:07

Doing my birth plan this week and had thought I was pretty decided on epidural but wanted to get feedback from personal experiences first. Did anyone manage with other combinations or with nothing at all?

Also, where there other things that anyone feels helped them get through the experience?

OP posts:
WhyOWhyWouldYou · 30/09/2014 13:03

greenstone for gas and air to work and not make you sick you must breath it deeply and slowly. Shallow or fast breaths apparently mean it either wont work or will make you dizzy and sick. That's what they said in my antenatal class last time and big, deep slow breaths of gas and air worked wonders for me during contractions. Oh and to breath it as soon as you feel the beginnings of a contraction and stop as soon as the contraction dissipates.

TreadSoftlyOnMyDreams · 30/09/2014 13:05

Birth 1 - 39+1; All the drugs going, followed by EMCS
Birth 2 - 37+1; Unplanned VBAC [ELCS booked in for 39 weeks] with G&A, spot of local for the post forceps internal stitching.
Two back to back labours [which no sodding midwife mentioned until afterwards] and two "stuck" children. 'Twas speculated that I have a small pelvis in my notes from DC1.

So - the drugs. I had of course post NCT course planned to have DC naturally in the gentle manner of a ping pong ball delivery, drugs as a last resort but it was not to be. Hindsight is wonderful and I don't give a fiddlers elbow now but it really bothered my after my first labour.

Paracetamol and a warm bath at home does actually help matters along. Two words of warning - when you get out of the bath having reached the magic minute combination when you can head to the hospital you obviously lose that pain relief. It can be a little panic inducing so if it all looks good, head to the hospital a little before depending on distance. The second is I was using my iphone to time contractions and the battery died at 2am. Had to get out of the blinking bath and find an extension cable [DH asleep as was driving me mad] before settling back in.
If there's a lull, and you doze a little you can get a little cold in the bath.
Candles at the ready instead of the drone of the bathroom extractor fan.

Tens machine. DH thought they were a bit bollocks so slapped the pads on, turned it up to max, pressed boost and gave it some welly. I shot across the room in the manner of a speeding penguin from a cannon and he barely survived the experience. He gave it away to a mate with a sports injury before I could could reciprocate on his testicles so I didn't try it with DC2. Certainly couldn't deal with it after my Einstein hair moment.

Waters broke at 5am, didn't sleep until about 1-2pm the next day when I was still only 6cms, on my knees and cross-eyed with tiredness and a kindly midwife suggested I have some and have a snooze for a bit. Worked like a charm but unfortunately I was still at 6cms and not the magic 10cms when I awoke 3-4 hrs later. Sad Contracting every minute throughout but didn't feel a thing. Bliss. An NCT friend vommed for England when she had some though and didn't sleep a wink.

Same kindly midwife suggested I "might like to consider an epidural" when I came around as decision was made then to add some inducing drugs to the mix and see if I could progress. I think that was about 4-6pm. Drugs were gradually ramped up to the max dose but dilation had stalled and the epidural had worn off by 3.30. Failure to Progress was called and DC1 born by CS at 4.20am. Baby fine - no issues at any point. I felt fully recovered at 4 weeks.

Things moved much faster with DC2 and as I had agreed to continuous monitoring as a principle I headed to hospital once waters were gone with DC2 hoping my ELCS could be brought forward. Got in line while emergency cases were dealt with and was almost fully dilated on just G&A by the time the theatre was free so I carried on with the notion that I would do it "properly" this time and have a speedy recovery and all that jazz. DC2 not born until a full 4 hrs later, and I took 12 weeks to be able to sit down/walk normally due to internal bruising. DH reckons that DC2 was also stuck and only that DC2 was smaller, that she was delivered "naturally".

I found the pain manageable with just G&A but my two DC's were 7lbs 6 and 6lbs 6. Full respect to anyone delivering a 8lber and above. That has got to smart more.

In theory the pethedine should have left my system in time to push had I dilated. No idea what effect inducing drugs have on a baby. 5 yrs ago now. DC1 was very dopey, a poor feeder and lost a lot of weight. My milk took 5 full days to come in by which time she was on formula and BF and it was all terribly fraught.
In theory DC2 should have been much better but maybe due to her size, she was equally rubbish and I had to express all her feeds for 12 weeks.

The most important drugs are the ones you get when you leave hospital!!

TheJourney22 · 30/09/2014 13:30

TENS machine. Got to 8cms at home on my own :)

harrowgreen · 30/09/2014 13:36

Gas and air made me want to vomit.

An epidural was fine once it was in: you have to lie still for a while whilst having contractions very close together, which is difficult. It meant I had to be coached during pushing since I couldn't feel anything and meant I had to have a catheter.

To be honest, having no pain relief (as I did with #2) was much better. No additional fiddling around (such as the catheter), up and walking within minutes, alert baby etc etc. It was tough but achievable and is what I'm planning with this one.

Don't assume that you need pain relief: you may not.

canweseethebunnies · 30/09/2014 13:36

Genuine question: is it even possible to state in your birth plan that you want an epidural? I was under the impression that it was down to mid wife's discretion/ availability of anaesthetist/ luck of the draw when you request an epidural on the NHS.

Not really relevant to me, as I'm opting for an MLU, but just wondered how much 'choice' there really is? I asked my midwife about writing a birth plan and she basically said don't bother! This is my second baby, and I get the impression that round here, the MLU are anti-intervention, natural birth promoters, but if you get transferred to the hospital delivery suite, they won't even read your birth plan , and you'll get what you're given. Maybe I'm cynical!

Greenstone · 30/09/2014 14:08

Thank you for the tip WhyOhWhy! I'll try to remember that if I give G&A another go.

beccajoh · 30/09/2014 14:15

Epidural was bloody marvellous, but it wasn't my first option. I used a TENS but not sure it was especially helpful, possibly a bit distracting. Gas and air was shit. Did nothing for the pain and made me feel like crap. I didn't want pethidine and I was feeling out of control and unable to cope by the time we arrived at the hospital, so had the epidural. My waters broke before I had any contractions and I was in a lot of pain from the get-go, so after 24 hours (and only being 4cms) I just needed the pain to stop!

HalloumiToastie · 30/09/2014 14:22

Hot bath and TENS for early labour (obv not at the same time!).
Gas and air did nothing for me. Was induced and had very painful contractions so midwife recommended an Epidural. I'm very glad she did but through the pushing stage they were no longer prepared to top it up - at that point I wished I'd had some other form of pain relief.

Thurlow · 30/09/2014 14:24

Greenstone, I stated on my birth plan that I'd probably like an epidural if one was available. Which I got. But not that anybody actually read my birth plan!

TwoLittleTerrors · 30/09/2014 14:29

canwesee I didn't bother with a birth plan the second time round. First time I put in no pethidine (medical reason) and active labour. But tbh so much of labour I found from the first time round is just going with the flow. So second time I just left it blank! I don't know if they are anti intervention. I was in the MLU this time and they wheeled in the G&A when I started hyperventilating without me asking. I think they are pretty good at reading what the woman needs. I Was confident I can ask for more pain relief if I needed it in labour anyway. I never did zone out at all in both labour and was in control. I think it's easier the second time round because you know how you will act in labour. For first time mums its probabky more I portamt to write a bith plan or let your birth partner know what's your preferences are.

DinoSnores · 30/09/2014 14:31

This is a nice website by obstetric anaesthetists:

www.labourpains.com/

I had one at home without any analgesia. I was induced early with another and had an epidural. Both lovely deliveries.

This time (if this baby ever comes, now overdue), ideally a waterbirth or a homebirth with little intervention, but I'm very open minded.

One thing that really, really surprised me is that TENS machines work! I never believed it would make much difference but I used them both times and it was great.

PassTheAnswers · 30/09/2014 14:32

Paracetamol and draining the hot water tank at home by having scalding hot showers for the first bit of labour. Was worried about getting stuck in the bath and being upright was better than sitting down.

Codeine tablet at 5cm when I got sent home (again) and then g&a and the water pool when finally admitted at 7cm. Water was blissful and would happily have stayed there! G&a made me feel slightly tipsy but took the edge off.

Had my waters broken and coped for a bit longer but ended up on pethidine which for me was my worst nightmare as had a horrible reaction to it. No progress on dilation so put on induction drip and epidural as wasn't coping after 4 days of contracting.

Epidural was fine and just left pressure of contractions until they had to do an emcs. Bit different from my 'natural as possible with just water and g&a' birth plan

TwoLittleTerrors · 30/09/2014 14:34

But I have to stress I had silent labours both times and that's why I'm confident I could tell them what I want. If you did go a bit primal last time maybe it's a good idea to have it written down! I was ina consultant unit for DD1 and a MLU for DD2 and both times they read my birth plans. I knew they did because they asked me.

LadyLuck81 · 30/09/2014 14:37

I laboured in the pool and the warm water ended up being my only pain relief. I found I nabaged well and didn't need anything else. In my birth plan I stated that if I wasn't coping I wanted to be offered pain relief options but that didn't become necessary.

ChickenFajitaAndNachos · 30/09/2014 14:47

I really wanted to try without any pain relief and managed this for DS1 and 3 and had 2 paracetemol for DS2. I found having a bath worked well for me. Also being bent over the bed or on all fours for the contractions but on my back for the pushing.
The main thing for me though was trying to remain calm and saying to myself this baby will come out and it will be over at some point.
I didn't go to the hospital too early either and arrived at 7 cm for DS1 & 3 and 10cm left it a bit too late for DS2.

inconceivableme · 30/09/2014 15:45

I had just TENS and back massage from DH for a long time. Couldn't use water in hospital as had a small bleed so wasn't allowed to. Ended up with stalled labour so had pitocin drip to augment labour. Managed to get to fully dilated and pushing with just gas and air. Baby was back-to-back and labour was v long (70hr +) and I ended up in theatre for forceps with a spinal block. With hindsight, an epidural might have been a good thing as I could have rested. That said, used properly, the gas and air is great stuff. Read up on breathing techniques in advance. If you can use water, definitely give it a try. I only hear good things about it. Good luck!

antarctic · 30/09/2014 16:04

For DC1 (long labour) I used tens, gas & air and epidural. All good for different stages.

For DC2 and DC3 (short labours) I had gas & air only.

I LOVED gas & air! Was on it for 14 hours non stop with DC1!

fatlazymummy · 30/09/2014 16:23

First birth - (induced by myself using castor oil) I had pethidine followed by gas and air. Labour lasted 10 hours.
2nd birth - I was only in hospital for the last 5 minutes. I had gas and air for the 2 or 3 contractions it took to push him out.
3rd birth was at home, very quick. I had gas and air for the last few contractions.
Gas and air doesn't really remove the pain but it does take the edge off it.
I definitely didn't want epidurals and water births just seem pointless to me, so I wouldn't have asked for one of them either.

Eliza22 · 30/09/2014 16:27

Was given Paracetamol. Nothing else available despite a rather elaborate birth plan.

BeyondRepair · 30/09/2014 16:29

Pain relief didn't work and I was not given the epidural I asked for so second time had a section, much better experience

LetticeKnollys · 30/09/2014 16:58

My birth was originally a home birth, but the midwives had me transferred into hospital after 12 hours when I got stuck contracting but not dialating for hours and hours and then the baby showed signs of distress. (My situation is unusual, so if anyone out there is thinking of a HB please don't let me put you off).

At home I was completely in control and labored away in the bath with no problems, I could have carried on fine.

In hospital I lost my shit when I ended up needing all kinds of interventions flat on my back with my feet in stirrups and had an epidural (I would have needed one anyway in the end because I ended up with a big episiotomy and violent forceps delivery - OH tells me it looked violent, anyway Wink).

Honestly, the epidural worked amazingly and I don't regret having it at all in my situation. I say that as a bit of a birth-hippy. I could still feel the sense of touch in my body but just without the pain. I am definitely glad that I had that and not pethidine because I felt very strongly that I wanted to be mentally present during the birth of my child, which the epidural allowed me to be while taking away the pain, which had reached silly amounts in my situation. I tried G+A but, since it doesn't ease the pain just makes you feel high and given my feelings above, I gave up on it pretty quickly.

LetticeKnollys · 30/09/2014 17:04

Fatlazy I thought exactly that about water births too, but then in the end I had to be dragged out of the water so I had to eat my words. Grin

mjmooseface · 30/09/2014 17:25

A very hot bath in the hospital bath for about 2 hours was pure heaven! This was after hours of walking around the deserted hospital corridors, listening to my music and bouncing on a birth ball in the waiting room.

That was all. By the time I got in my room and the gas and air was sorted out, it was too late and had no effect on me.

OracleOfDelphinium · 30/09/2014 17:27

Concentrating on breathing helped me, along with TENS machine (planned home birth). I managed on that until DS's head was visible. If he hadn't then become very seriously stuck, I'd have had no pain relief. As it was, I ended up with gas and air, spinal block, epidural, ventouse and forceps, and was grateful for all of them. By then, I was exhausted and things were going badly wrong. My birth plan said in capital letters: NO DRUGS.

More than the drugs, though, having my mother there (along with DH, though I wasn't that fussed about him being there) probably saved my life and DS's. She was the one who gave consent (DH was desperate to stick to my birth plan for my benefit - but DM was right not to). I'm not sure how I would have coped without her. Hers was the only voice I could hear that night.

The moral of that story is that you need to be prepared for anything, and all that matters is that you and your baby are ok in the end!

TwoLittleTerrors · 30/09/2014 18:06

oracle your story is exactly why I think we should go into labour with an open mind.