The biggest benefit of an epidural is undoubtedly pain relief during labor and through delivery. After the 10 to 20 minutes needed for an epidural to take effect, many individuals find that an epidural provides them with an easier, less stressful birth experience.
Most women experience great pain relief with an epidural, but it won't be 100 percent pain-free. Many women report feeling pretty comfortable after receiving an epidural, but there's also some pressure felt when the contractions occur and you need to push.
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 epidural is administered once you are in active labour and works by numbing your pelvic region and everything below it while you remain conscious. However, you should be aware that it does not offer 100% pain relief.
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.
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.
Women who previously had a child, who usually have shorter labors to begin with, took about an hour and 20 minutes to complete the second stage of labor without anesthesia at the 95th percentile. That compared to four hours and 15 minutes with an epidural.
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.
Yes, childbirth is painful. But it's manageable. In fact, nearly half of first-time moms (46 percent) said the pain they experienced with their first child was better than they expected, according to a nationwide survey commissioned by the American Society of Anesthesiologists (ASA) in honor of Mother's Day.
When the needle is inserted, mothers feel a burning, stinging, sensation. After the area is numb, the epidural is inserted. The only thing mothers then feel is a gentle centralized pressure where the IV is. Mothers generally can still move their arms and legs.
Second Stage or Active Labor
The second stage is the most painful stage of labor. The baby passes through the cervix, through the pelvis and birth canal, and out through the vaginal opening. On average, it takes one to three hours from the time that the cervix becomes fully dilated to the birth of the baby.
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.
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.
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.
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.
Epidural Injection
This method usually provides pain relief for 1-2 hours, and once it starts to wear off, you can have a top up. The advantage of this method is that it can be used if you are almost fully dilated and you want to let the anaesthetic wear off so you can push during the second stage of labour.
You can get an epidural any time you want. However, you shouldn't wait too close to delivery because you need to make sure the anesthesiologist is available and have at least 30 minutes for it to be administered and take effect.
"Walking" epidural block. This type of epidural will lessen your pain, but you will still be able to move your legs. Most women are not really able to walk around, but they can move their legs.
They are generally very safe. After an epidural, you may still be able to move around in bed and push when you need to. If you have a long labour, an epidural allows you to sleep and recover your strength. If you're having a caesarean, you can stay awake and your partner can be there.
Common options for coping with pain include massage, water therapy, and breathing exercises. Music and calming smells (aromatherapy) can help relax you. Consider taking short walks and changing positions during labor—moving around can reduce pain.
Three to four pushing efforts of 6 to 8 seconds in length per contraction are physiologically appropriate (AWHONN, 2000; Roberts, 2002; Simpson & James, 2005). When the time is right for pushing, the best approach based on current evidence is to encourage the woman to do whatever comes naturally.
Truth: Pushing a baby out kind of feels like having a bowel movement since the muscles you use for both are exactly the same. And, of course, as you bear down, anything in the general vicinity will get eased out along the way — hence the pooping during labor.
The second stage of labor starts after your cervix has dilated (opened) to 10 centimeters (about 4 inches), and it continues until your baby finishes moving through your vagina and is born. During this time, you will push or bear down (like you do when you have a bowel movement) to help your baby come out.
While the experience is different for everyone, labor can feel like extremely strong menstrual cramps that take your breath away, get progressively more intense, and become so strong that you might be you unable to talk through them.