Epidural - What is is . . .

An epidural is a continuous pain relief option during labor and birth. A small plastic catheter is threaded through a needle into the epidural space, and the tubing is then connected to a pump which infuses medications (anesthetics/narcotics) into the epidural space which coats the nerves and numbs the sensory input of pain from the diaphragm down.
For most mamas, an epidural can be a safe and effective option for pain control during labor - but here are some things to keep in mind:
🔸Optimal times to receive an epidural are typically after labor is well established in order to reduce the chances of labor stalling and needing additional labor augmentation with medications. (Consider waiting until you are 5-6 cm before considering an epidural)
🔸Once you decide on an epidural, it is not an instant gratification of pain relief: the nurse must make sure your bloodwork is back (they check your platelets to be sure your body will handle the procedure), be sure that you have an IV line and fluids on board, and will need to call the anesthesiologist to the floor.
🔸When anesthesia arrives, they should describe the procedure, the risks, and the benefits - if you're too distracted by contractions, be sure someone is there to ask good questions on your behalf.
🔸You will need to be able to sit up on the edge of the bed during the procedure, your support person can be in front of you.
🔸Once the epidural is in place, your nurse will lie you down. The medication gradually saturates the nerves starting at the lower end of the spine and working up. Your toes and legs will start to go numb, and then the contractions will begin to get more manageable. Most mamas are comfortable within 30 minutes of administration.
Maybe you're planning to have an epidural. Or maybe you will find yourself needing one. Either way, educating yourself on the process can empower your ability to birth beautifully with your epidural!
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