Phew. It used to be common for doctors to turn down or stop the pain medication flowing in an epidural during labor if progress slowed down. This practice was particularly common if the pushing stage of labor was prolonged.
Does an epidural slow down labor? There's no evidence that an epidural will slow down labor, but getting one may extend the length of the second stage of labor by an hour or more with your first baby and less with subsequent children, according to some research.
In some cases, an epidural may not give you enough pain relief. In other instances, epidurals can cause a drop in your blood pressure, slowing your baby's heart rate. Not being able to walk during labor is also a risk of epidurals.
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.
Can epidurals slow down labor? “They do not,” says Neely. “Older studies suggest that epidurals cause women to push less effectively and cause labor to last longer. It was thought that if an epidural was placed before 4 centimeters dilated, it would cause a woman to need a C-section for delivery.”
Delaying pushing once the cervix is completely dilated is not indicated, even for nulliparous women receiving epidural analgesia, as it does not decrease the rate of spontaneous vaginal delivery.
Doctors have to wait until the cervix is at least 4 centimeters dilated before doing an epidural. Otherwise, the epidural will slow the process down too much. However, once the cervix becomes fully dilated it is too late for an epidural to be given.
Concerns About Added Risks
For some mothers, even the possibility of a smaller risk that is more common, like a drop in her blood pressure isn't worth it. There are others who worry about problems like fetal distress.
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!
With epidural anesthesia, pushing can be delayed up to 2 hours for nulliparous women and up to 1 hour for multiparous women (Hansen, Clark, & Foster, 2002; Simpson & James, 2005).
Until recently, women have been asked to start pushing as soon as the cervix has dilated to 10 centimeters, but as long as you do not have a fever and your baby's heart rate is normal, there are many benefits to waiting to push until you feel the need to push.
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.
An epidural can generally be performed at any stage; it is never too late. This is, however, not the case if baby's head is crowning (within the birth canal).
Your cervix needs to open about 10cm for your baby to pass through it. This is what's called being fully dilated. In a 1st pregnancy, the time from the start of established labour to being fully dilated is usually 8 to 18 hours.
Although it is the shortest phase, the transition phase is the most challenging. Transition typically lasts 30 minutes to 2 hours as your cervix fully dilates from 8 cm to 10 cm. Contractions will last roughly 60-90 seconds with only 30 seconds to 2 minutes between.
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 ...
What's the ring of fire in pregnancy? The ring of fire refers to the burning, stinging sensation you may feel when your baby's head presses on and stretches your vaginal opening. (You may not feel it if you have an epidural.) Though it's painful, the ring of fire lasts just a few minutes.
You can still feel some pressure of contractions, but you don't have constant pain going through your entire body. Study participants said having an epidural had a positive impact on their birth experience, changing their challenging situations into something manageable and even enjoyable.
Loss of bladder control
After having an epidural, you may not be able to feel when your bladder is full because the epidural affects the surrounding nerves. A catheter may be inserted into your bladder to allow urine to drain away. Your bladder control will return to normal when the epidural wears off.
Women that receive an epidural should be encouraged to use a peanut ball or other positioning aid during side-lying positions for enhanced labor progress. Squatting can decrease pain during contractions, open up the pelvis, and allow the perineal muscles to relax.
The average labor lasts 12 to 24 hours for a first birth and is typically shorter (eight to 10 hours) for other births.
The most common reason for telling a women not to push is that her cervix is not fully dilated. Often when a baby is in an occipito posterior position the woman will feel the urge to push before the cervix is completely open.
Purple pushing, coached pushing, holding your breath, all mean basically the same thing. Mothers being instructed on pushing causes them to hold their breath and push down into their bottom. Another more normal and less exhausting option would be “breathing or bearing down” working with the contractions.