The use of an epidural will most likely not have any great effect on your ability to push, with the most likely complication being a lengthier pushing phase. That said, many women gladly trade a few extra minutes of labor with the pain relief provided by the epidural for the alternative.
Difficulty pushing and potentially prolonged labor – For some individuals, the epidural's strong impact can make it hard to feel contractions and push during delivery. Also, if the baby is in an abnormal position relative to the pelvis, an epidural may make it more challenging for the baby to move out of this position.
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.
The American College of Obstetricians and Gynecologists considers 3 hours or more (especially with a first time mom and/or those with epidurals) to be perfectly normal.
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.
Abstract. Background: Studies have shown increased incidence of severe vaginal lacerations (third and fourth degree) in women under the influence of epidural analgesia.
While it may be comforting to know an epidural is available, it can also be a source of anxiety for many women. Fear of the procedure, as well side effects including numbness, can cause some women to avoid pain medication completely. But doctors say there is little to fear.
The most common description of the level of pain experienced was extreme menstrual cramps (45 percent), while 16 percent said it was like bad back pain and 15 percent compared it to a broken bone.
Most women will feel increased pressure in their perineum, rectum, and low back at this stage. For many women, the rectal pressure feels the same as having a bowel movement. As the baby's head begins to appear, you may feel a stretching or burning sensation.
Pushing can be one of the most intense and exhausting parts of the labor and delivery process—and it can take anywhere from several minutes, up to a few hours to push your baby out.
The Urge to Push With an Epidural
Sometimes this urge is overwhelming and women describe it as something that their body is doing and they have no control over it. Other times, it simply means that it feels better to push, particularly at the peak of a contraction, than it feels to not push.
This means that you may have a very different pain experience from even your mother or sister. It's important to remember that the pain of childbirth is a manageable one, and both medicated and more holistic pain relief measures like visualization and massage are available.
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.
Pain During Labor and Delivery
Pain during labor is caused by contractions of the muscles of the uterus and by pressure on the cervix. This pain can be felt as strong cramping in the abdomen, groin, and back, as well as an achy feeling. Some women experience pain in their sides or thighs as well.
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.
Laboring down is the process of not actively pushing once the second stage of labor and intense contractions begin. Some people wait one to two hours before pushing, which allows the baby to naturally move down the birth canal. Laboring down has risks and benefits.
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.
Deliver in an upright, nonflat position.
There are a number of delivery positions that might reduce the risk of a vaginal tear during childbirth. Rather than lying down flat during delivery, deliver in an upright position. Your health care provider will help you find a comfortable and safe delivery position.
Occasionally there are circumstances where women can't get an epidural. Occasionally we see this in women who have a low platelet count. Additionally, women who are taking blood thinners (such as heparin) to prevent a blood clot during pregnancy should not receive an epidural within 12 hours of taking that medication.
Due to the amount of pressure caused by your baby's head on your perineum, it is unlikely that you will feel any tearing. But everyone's birth is different and some women may find that they feel a lot of stinging, especially as the head is crowning (when your baby's head can be seen coming out of the birth canal).
You may request an epidural at any time during your labor. However, it is important to remember that it may take up to 15 minutes to experience pain relief from an epidural. In late first stage of labor when women have more intense pain, a spinal or combined spinal- epidural (CSE) technique may be performed.
Epidural is one of the most effective methods for pain relief during delivery and childbirth, and it has minimal side effects on both mom and baby. It works quickly and can begin to relieve pain within 10 to 20 minutes . Most women who have an epidural feel little or no pain during labor and delivery.