Most women who have an epidural feel little or no pain. About 1 out of 100 women need additional painkillers if they have an epidural. To give you an idea of what this means: About 28 out of 100 women need additional painkillers during labor if other pain relief options (not an epidural) were used first.
Does labor still hurt if you have an epidural? It's normal to worry that you'll still feel some pain even after you've been given an epidural. Most women experience great pain relief with an epidural, but it won't be 100 percent pain-free.
Understand that not every epidural is exactly the same. Some women feel more sensation on one side than on the other, and some women still feel a small degree of pain, especially in their back. Some can move their legs, while others are completely numb and have lost all control over their legs.
The main symptom of epidural-related back pain is numbness or tingling around the injection area. Additionally, it is widespread for people to feel sore on the back a few days after epidural However, this pain and uncomfortable feeling should be gone within a few days after the epidural.
With no epidural or narcotics on board, most birthing parents rate active-phase labor a 10 on the pain scale of 1 to 10. With pain management techniques taught in childbirth education, however, laboring parents can greatly reduce the intensity of the pain they experience.
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.
It's normal to experience temporary back pain or tenderness at the site of your epidural. This usually goes away within a few days. This belief likely stems from the fact that many people who go through childbirth experience back pain after labor and delivery — whether they've had an epidural or not.
The biggest difference between spinal blocks vs epidurals is their amount of pain relief: spinal blocks provide total pain relief, while epidurals provide partial pain relief. The reason for this difference is that the former is an anesthetic, while the latter is an analgesic—no sensation versus no pain.
You'll likely still feel the pressure of your contractions (which will be helpful when it's time to push) and be aware of (but not bothered by) vaginal exams during labor. And you'll still be able to feel your baby moving through the birth canal and coming out.
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.
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.
For women with epidural anesthesia who do not feel the urge to push when they are completely dilated, delay pushing until the urge to push is felt (up to 2 hours for nulliparous women and up to 1 hour for multiparous women).
If you don't want an epidural, but aren't opposed to other forms of medical pain relief, you might consider trying nitrous oxide. The nonflammable, colorless gas does not actually reduce pain or take away the sensation of a contraction, like an epidural. Instead, it relieves anxiety, which helps you tolerate the pain.
Even though labor and vaginal birth can be hard work, they are generally easier on a woman's body than a cesarean. Recovery after vaginal birth is usually shorter and less painful than after a C-section, and allows the woman to spend more time with her baby.
The proximity of so many nerves also means that the injection is more likely to be painful compared to other procedures. Since the needle will have to pass through several nerve clusters and straight into the spinal column, patients are likely to feel some level of pain and discomfort even if anesthesia is used.
Myth: An epidural can interfere with the birth experience. Fact: Some women express fear that their legs will be numb and they won't be able to walk, feel a contraction or push properly. In fact, your legs should not be so numb that you do not feel them.
A cesarean is done with a spinal block or epidural anesthetic. If you've been laboring and a cesarean is needed, you may already have an epidural, so that can be used. If a scheduled cesarean is being done, a spinal is used to provide a faster block for the procedure.
A woman can get an epidural at almost any time in labor if she can remain relatively still; however, an epidural is generally not given if the baby is close to being delivered. Some women have heard they need to be dilated (meaning the cervix opens in preparation for birth) a certain amount before an epidural is given.
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.
Epidurals don't fail very often. Almost 90% are successful, with a failure rate of a little over 10%. There are several reasons why an epidural might fail: The catheter may not be in the right place for the medication to numb you appropriately.
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.
Cluster Headaches
I've had patients say it's worse than labor pain or burns.”
Some people describe labor contraction pain as intense menstrual cramps that increase in intensity. "It starts out like menstrual cramps—and the crampy sensation progressively gets worse and worse," Dr. du Treil explains.
Many women described pushing during labor as a relief, while others found it painful. "There is a ton of pressure, and once you start pushing it hurts so bad to stop." "My contractions were manageable but the rectal pressure was intense! It was relieving to push and incredibly relieving to push him out."