Epidurals are usually placed during the first stage of labor when you are having regular contractions. Epidurals are usually placed while you are in a sitting position, or you may be lying on your side. Epidurals for labor are placed in your lower back, known as your lumbar spine.
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).
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.
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.
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.
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.
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.
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.
If you are bleeding heavily or are suffering from shock, you will not be given an epidural for safety reasons. 2 Since many women tend to have lower blood pressure with an epidural, this may be made even more dangerous with the lowered blood pressure of some of these problems.
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 about really severe complications? 1 in 168,000 women will get bleeding around the spine called an epidural hematoma. This is potentially serious. The risk of a persistent nervous system injury after an epidural in labor is 1 case per 240,000 women (in bold because it's the biggie most people worry about).
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.
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.
However, if you're later in your labor or if you have an epidural and can't really feel things and you suddenly feel a ton of pressure, like you need to have a bowel movement, you need to call your labor nurse ASAP.
The epidural is administered on an out-patient basis, so there is no reason for you to stay in hospital overnight. Epidurals are administered under a local anaesthetic. This means that you will be awake, but you may also be offered some kind of sedation.
The average labor lasts 12 to 24 hours for a first birth and is typically shorter (eight to 10 hours) for other births.
If you're both doing well, you'll usually be ready to go home somewhere between 6 and 24 hours after birth. You may need to stay a bit longer if: you've had an emergency caesarean section.
Second Stage or Active Labor
The second stage, also called active labor, is the pushing stage of 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.
The aftermath of the root canal can affect your daily activities for a couple of days, make it difficult to eat, and require pain medication. Women who have needed root canal say it is worse than childbirth.
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.
In previous years, traditional childbirth recommended hair removal on the pubic area before delivery. However, modern childbirth finds that it's not necessary to shave your pubic hair before delivery. Clinical research shows that shaving or not shaving pubic hair doesn't necessarily affect birth.
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.
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.