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Pregnancy

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

Losing sleep over epidural

59 replies

Mumwithqs · 08/12/2023 05:29

I've been awake since 4am worrying about giving birth and pain relief.

I had an antenatal class yesterday and they've unintentionally terrified me. Originally I was going to go with the flow and take whatever I need at the time, but the MW made having an epidural sound absolutely horrific.

She was strongly encouraging getting it early as there might be nobody available when you want it.
She said it increases the need for assisted birth.
She said it affects baby.
She said you need to stay completely still whilst it's administered, even though you'd be in a lot of pain.

I was already anxious about pain and tearing and now this has made it 10x worse. I'm not sure what type of advice I'm looking for but I'm really upset about it.

OP posts:
herbygarden · 13/12/2023 22:16

I can 100% say my epidural felt like heaven. I was terrified by the thought but it was wonderful.

Clm22 · 13/12/2023 22:19

I had an induced birth and thought about getting the epidural when i was put on the hormone drip as I was advised contractions were stronger. When it came to it and the drip started I decided to wait and go with the flow. The pain became intense over the next hours and I decided to go for the epidural later on. They were busy administering another one when I asked and waited an hour. When they finally came in I was 10cm and pushing so it was too late for anything. So it does happen. It’s just luck of the draw whether the ward is busy or not.
in the end I needed stitches so ended up with a spinal afterwards anyway!
From what I’ve heard from other ladies who had one in labour they are great! But I have also heard that they can lead to more interventions (could have been my nct class at the time to be fair)

jelly79 · 13/12/2023 22:24

I had an epidural both deliveries and I was grateful for it. It allowed me to rest and then experience the birth with a clearer head x

FatMumSlimDad · 13/12/2023 22:28

I'm grateful I coped without epidurals as honestly the fear of that was worse to me than the fear of a drug free birth.

Anyway you give birth is going to be scary, painful and unpleasant in some form in my opinion.

My aim was always to cope as best as I could but never to rule anything out.

I'll always be hugely grateful how fortunate I was to be able to deliver naturally every time and realise I'm taking from a privileged position in that respect.

I have friends who've had epidurals and C sections etc and to be honest we all had different pros/cons. End of the day once you're pregnant you know it's got to end with the baby coming out somehow.

So try not to stress too much. Before long it'll be a sort of hazy hormone/drug fuelled memory and you'll be living in a world of nappies and sleepless nights. And you'll have a birth story to tell!

Midwives in my experience are amazing people and I hope you'll look back and feel proud of yourself!! Xxxx

Borgonzola · 13/12/2023 22:32

Epidural was the best thing I did, definitely would have it again

TheChristmasElfCanGoNow · 14/12/2023 07:50

I had to have a spinal block in order to have an epidural because my waters didn't break and so I was sitting on an inflating balloon and couldn't keep still. It was still the right thing to do at that point in my labour and I'm glad I did it.

Sorry to hear she's put the wind up you but honestly it was fine.

Baby ended up being a ventouse delivery because the waters hadn't broken so she was finding it hard to make progress. No short term or long term effects at all.

MargotBamborough · 14/12/2023 08:14

I had one in both my births.

The first was an induction for reduced movements with a badly positioned baby, and ended up in an emergency C-section.

The second was an easy VBAC. I had the epidural at about 3cm dilated just as I was getting into active labour, then lay down and had a nap, and when the doctor came to examine me an hour and a half later I was almost fully dilated and ready to push. The anaesthetist made the initial dosage quite low at my request because I wanted to stay mobile but I dilated so fast after having the epidural I didn't have time to walk around or anything. It had more or less worn off by the time I came to push which was good because I wanted to be able to feel what I was doing. The pushing was hard work and a bit scary but for me not really any more painful than doing a particularly big poo when you are constipated. It stung a bit, yes, but it was really not that bad compared to the contractions before I had the epidural.

Regarding what this midwife told you, there are a couple of things you need to bear in mind. Firstly, in the UK, a lot of maternity units and in particular a lot of midwives are very anti epidural. There is a belief that the best way to give birth is with no pain relief other than a bit of gas and air. This belief is entirely cultural. There are other countries where the cultural belief is that it is completely unnecessary for a woman to suffer potentially agonising pain during childbirth when safe and effective pain relief is available, and the vast majority of women have an epidural, regardless of how their labour is progressing. I live in one of those countries, and my general impression is that there are a lot fewer women who seem traumatised by their experience of giving birth. (There is also a higher birth rate, although that might have more to do with the fact that having three or more children is incentivised through the tax system.)

The other thing to bear in mind is that any statistics which seem to show a correlation between epidural use and birth complications are inherently unreliable if they are from the UK. The reason for this is quite simple. In the UK it tends to be women who are having long and difficult labours, or women who are being induced with syntocinon, who have epidurals. Women having quick and "easy" labours generally just have gas and air. In France, where I live, most women have an epidural just because they want one even if they are having a quick and straightforward labour, like I did, and here there does not appear to be any correlation whatsoever between epidural use and emergency C-sections, instrumental deliveries or other unwanted outcomes. The rate of emergency C-sections is lower here and the rate of instrumental delivery is about on a par with the UK.

You do need to stay still while the needle is being placed but it doesn't take long and they will try to do it between contractions. You aren't in any pain between contractions so the only time this is a problem is if your contractions are too close together.

The epidural doesn't affect the baby in any way, that's a load of nonsense.

If you want an epidural I would advise getting it fairly early on. I got mine at 3cm dilated which was just at the moment my contractions went from manageable to unpleasant. I got it within about half an hour of asking for it, which was just as well because my labour progressed very quickly after that. If I'd had to wait two hours it would have been too late because I would have been fully dilated and ready to push. I think it is generally a good idea to wait until things are properly under way (i.e. you are in active labour) because it reduces the risk of the epidural slowing things down. But if you're going to have an epidural it doesn't make sense to labour for hours and hours and only get it when you're already exhausted. An early epidural allows you to conserve your energy and morale for the second stage of labour, which will improve your chances of having an unassisted delivery.

I also recommend keeping the dose quite low so you can still move around and still feel something. I could still feel the contractions after mine but it really took the edge off the pain. I felt really calm and in control. I could have got up, leaned against the bed, changed positions, sat on a birthing ball or even walked around a bit. I just didn't have time because in the end my cervix dilated really quickly while I was lying down having a rest. All the stuff about staying mobile and letting gravity help your baby come out sounds like common sense, but just to reassure you, you don't have to be standing up and twerking for your baby to come out. Plenty of babies are born in a perfectly straightforward manner to mothers who lie on a bed the whole time.

The choice is yours, OP. But for me it was definitely the right choice and I would do the same again if I ever had another child.

MargotBamborough · 14/12/2023 09:54

By the way OP, this isn't the advice you asked for, but in my case I'm pretty sure that what made the biggest difference to the outcome between my two births was my baby's position. My first baby was head down but brow presenting and my second was head down and nicely tucked in.

I don't know how far along you are but would really recommend avoiding the sofa as much as possible in the last part of your pregnancy. Sit on a yoga ball whenever you can. Walks are also great for helping get the baby into an optimal position and for starting/strengthening contractions when it's time to go into labour. I had a sweep at 40 weeks and a few irregular contractions overnight, lost my mucus plug etc, but the following afternoon when nothing was happening I thought, "Right, time to get this baby out!" and went on a good brisk walk for a couple of hours and I really think that helped get things moving properly.

Also anecdotal but I drank a lot of red raspberry leaf tea and my second stage was very quick indeed. One of those "can't hurt, might help" things, I think.

letmeeatinpeace · 14/12/2023 10:01

I was really anxious before giving birth as I have bad needle phobia, and anxiety around medical / hospital stuff. It sounds weird and counter intuitive (specially with all the 'positive birth' stuff around), and might not work at all for you, but what really helped for me was to prepare for the worst! Basically, I wanted to know all the scenarios and various pain relief options so I totally understood the process and what choices I could make - because you do have the right to choose, but it's best to be informed ahead of time as you won't be totally with it in the moment!
At the same time, I also had to accept that much of the process was going to be out of my control, and much will be down to luck.
I was so prepared for the birth to be a total car crash and feel like the worst thing ever that I was actually surprised it didn't feel as bad as I had imagined (and I don't have a high pain threshold). I don't know if that was the mindset I went in with, or just luck.

I ended up mostly using the Tens machine - it was amazing!! If it weren't for the Tens I would have probably got an epidural. It really helped take the edge off during the contractions. Gas and air was great too. The worst of the contractions lasted probably 4-5hrs (from being 6cm dilated to giving birth) - if it had lasted longer, I may have gone for other relief.

At one point (transition stage) I said I couldn't take it much longer, and I wanted an epidural. But then I remembered that I might be constrained to a bed, and I remember thinking the idea of being still in a bed was worse than the pain (I know it sounds weird). I really wanted to be mobile, and basically crouching, moving, squatting. I think my body must have known it needed that, as it turned out the baby was in a tricky position and took a LOT of pushing (2hrs+) to get him out . If I had had an epidural it would be likely I would have also needed some assistance (eg ventouse/ forceps) as I doubt he would have come out from pushing lying down in bed. But again, that would have been fine - epidural and ventouse is NOT a bad thing (and midwife should not be scaring you about it), it's what's needed to get the job done in some circumstances, it just didn't feel right for me in the moment.

To give a sense of the pain - to me, the contractions felt like really bad period cramps combined with really bad trapped wind. Painful, but not insurmountable. Sounds insane, but I actually found the first couple of days of breastfeeding more painful than the birth - I wish they could send us home with some gas & air for that bit!

If you're really worried about the pain, and worried that there might not be availability for the epidural when you want it, maybe look into pethidine injection - the midwife that led our antenatal class opted for this during her own labours. I think they can vary the dose.

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