Do I have to get an epidural if I am in labor?
No. Whether you get an epidural or any other pain control, is entirely up to you. We will never pressure you to get an epidural or any other kind of pain management.
That said, for a few women with certain medical conditions, an epidural may be recommended for the safety of the mother or baby. This is because controlling your pain, can reduce potential risks caused by elevated heart rate or blood pressure. Your care team will discuss any potential health concerns with you and talk with you about your risks and options.
Is there anyone who can’t get an epidural?
Some patients may have medical conditions, such as certain bleeding disorders, where an epidural is not safe or isn’t recommended. For patients who have had prior back surgery, it may not be possible to insert the catheter due to implants or scar tissue in the area, or an epidural may be less effective. Your obstetric anesthesiologist will discuss your condition and work with you to find other options for managing your pain.
Can an epidural cause permanent paralysis?
No. The epidural is inserted into a part of the lower back at hip level. This location is well below the end of the spinal cord. The needle is nowhere near the spinal cord, so it is not possible to be paralyzed by this procedure.
Can an epidural slow down labor?
Large studies have confirmed that having an epidural does slow down labor, extending the pushing stage by about 15 to 20 minutes. Many women decide that they would prefer to have a slightly longer delivery with no pain than to deliver faster with pain, but the choice is always up to you.
Does an epidural increase the likelihood that I will need a C-section or other mechanical intervention, like forceps or a vacuum extraction?
No. Today’s epidurals do not increase the risk of C-section, forceps, or vacuum.
Will having an epidural diminish my ability to fully experience my child’s birth?
While every birthing mother’s experience is subjective, we do not believe that having an epidural diminishes your birth experience. While the epidural numbs your pain, it does not eliminate all sensation in the lower body. You will be completely conscious of the birth of your child and will be able to feel sensations like pressure and pushing during delivery. You will not be sedated and will be able to be completely present and alert to hold and bond with your child immediately after the birth.
Do I have to wait until I’m at least 4 cm dilated before I can ask for an epidural?
No. It’s almost never too early or too late to start an epidural during childbirth. You can request an epidural at any point, from the very beginning of labor right up until the baby is crowning. The best time to get an epidural is whenever you feel you’re ready for it.
What if I change my mind?
It’s OK to change your mind. While we recommend mothers think about and have a plan for pain management before they go into labor, you can change course at any time. Some mothers begin their labor hoping for a natural delivery and request pain control when the birth doesn’t go as planned. Others start out thinking they will want medication but find that labor progresses so quickly they don’t end up needing it. There is no one right way to give birth, so the important thing is that you feel supported in whatever pain strategy works for you.
Schedule an appointment online, or call 800-TEMPLE-MED (800-836-7536) to meet with an OB/GYN at Temple Health.