“Labor often intensifies after your water breaks, since there isn't a buffer between your uterus and the baby.” The act of your water breaking doesn't hurt (and if you've had an epidural, you likely won't feel it at all, unless the water reaches up your back), but expect those contractions to ramp up almost immediately ...
With an epidural, you might be able to feel contractions — they just won't hurt — and you'll be able to push effectively. There is some evidence that epidurals can speed the first stage of labor by allowing the mother to relax.
You can have an epidural at any time from the beginning of labour, but most women who choose one have it when they're around 5cm dilated, when contractions get more intense and painful.
An epidural causes muscle weakness in the legs, so women who have had an epidural in labour are confined to bed. This also means: an epidural can take away the sensation to pass urine so you will need a urinary catheter (a thin tube) to drain your urine.
Most people don't feel anything, especially if you are already in labor or got an epidural to manage painful contractions. Your baby also doesn't feel an amniotomy, and it doesn't hurt them in any way. People who haven't taken any pain medication may feel slight discomfort when the amnihook is inserted.
Some people describe the feeling as being like intense period cramps, others say it feels like a tightening or pounding feeling in your uterus or across your belly, others describe the feeling as being like very intense muscle cramps, while still other people describe contractions as being like the sort of wrenching ...
In most cases, however, an epidural will not be given until the mother is at least 3-4 centimeters dilated. Once the mother is fully dilated most doctors and hospitals will consider it too late for an epidural to be given.
Epidural and Urinary Catheters: You Can Have One Without The Other.
The potential for a quicker labor, delivery and recovery – For some people, a natural birth may go more quickly. While it depends on several different factors, like how relaxed you may be, in some cases medications can interfere with contractions and prolong labor.
A “regular” epidural injects anesthetics into the epidural space of your spine to block pain in your body, making you numb from the waist down.
Most of the time, you can walk within a half hour or so of your epidural injection. However, you will not necessarily be walking normally at this point. Most clinics and hospitals monitor you for 15 minutes to an hour after an epidural injection. During this time, they will likely ask how you feel.
Getting up and moving around may help speed dilation by increasing blood flow. Walking around the room, doing simple movements in bed or chair, or even changing positions may encourage dilation.
A common concern is that having an epidural early in labor slows down labor and delivery. “There is some evidence that it does slow it down by 20 minutes or a half hour.
How long it lasts: It can take from a few minutes to a few hours or more to push your baby into the world. It might take longer for first-time moms and women who've had an epidural. What you can do: Push!
Your contractions may decrease just prior to getting the urge to push. You should take this time to rest prior to pushing. The length of this stage varies with the position and size of the baby and your ability to push with the contractions. For first-time mothers the average length of pushing is one-to-two hours.
If you had an epidural for your labour and/or baby's birth, you are likely to have a urinary catheter (small tube) inserted into your bladder. This will remain in place for around 12 – 24 hours post birth, unless the doctor advises that it should remain in place for longer (48 hours).
You may experience some numbness after an epidural, which is caused by the anesthetic. This is most common in the arms and legs, and it typically goes away within several hours, potentially up to four to six hours. To avoid injury, remain resting until this numbness subsides.
Recent research has suggested that 6 cm of cervical dilation should be the threshold for the active labor phase, and it has confirmed that epidural analgesia (EA) is a safe method of pain relief during labor.
Complications from epidurals are extremely rare, and pushing with an epidural is generally not a problem because you will still be able to feel pressure (rectal pressure, that is!) despite not feeling any pain or contractions.
Epidurals are usually done during the first stage of labour. After an epidural, you'll need to stay in bed because your legs will be weak, and so that your health and your baby's health can be monitored.
Most women find the most painful part of labor and delivery to be the contractions, while some others may feel pushing or post-delivery is most painful. Pain during labor and delivery may also be caused by pressure on the bladder and bowels by the baby's head and the stretching of the birth canal and vagina.
While slightly more than half said having contractions was the most painful aspect of delivery, about one in five noted pushing or post-delivery was most painful. Moms 18 to 39 were more likely to say post-delivery pain was the most painful aspect than those 40 and older.
Transition phase of labor
The end of active labor is sometimes referred to as the transition to the second stage of labor. It's when the cervix completely dilates to a full 10 centimeters, and is the shortest – but generally considered the hardest – part of labor.
When your baby is ready to begin the journey through the birth canal, your cervix dilates from fully closed to 10 centimeters. This process can take hours, days, or even weeks. But once you hit active labor – about 6 cm dilated – it's usually just a matter of hours before you reach full dilation.