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.
Be it the needle, the procedure or whatever, some mothers are afraid of the epidural enough that they would prefer to avoid it. While some try to overcome the fear by taking a childbirth class or reading information about it, they remain more fearful of labor with an epidural than without.
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.
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 ...
They can also give relief to women experiencing long, grueling hours of labor. Numbing medication or epidural anesthesia is injected into your spine, blocking the nerve impulses from lower spine segments. This helps decrease sensation to the lower half of your body.
In most cases, however, an epidural will not be given until the mother is at least 3-4 centimeters dilated. Once the mother is fully dilated most doctors and hospitals will consider it 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.
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.
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.
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.
When your baby's head crowns, you will experience a burning or stinging sensation, often referred to as “the ring of fire,” as your baby stretches the vaginal opening. As soon as you feel this sensation, stop pushing!
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.
But if you're close to 10 centimeters dilated the research suggests it's not an issue. Evidence suggests it's more of a theoretical fear that just adds additional stress and in some cases results in an epidural (or a higher dose of epidural) to mask that urge.
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.
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.
Faster Recovery Time
Women who choose an unmedicated birth may benefit from an easier postpartum recovery. While every labor unfolds uniquely, some women find they feel significantly better after an unmedicated birth compared to a medicated one.
Its conclusion was that those with epidural anesthesia had a 1.95 times greater risk of perineal tearing than those who did not.
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.
You may experience some numbness after an epidural, which is caused by the anesthetic. This is most common in the arms and legs, and it typically goes away within several hours, potentially up to four to six hours. To avoid injury, remain resting until this numbness subsides.
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. An epidural does not increase your risk of needing a caesarean section, but it may prolong the second stage of labour and increase your chance of needing an assisted delivery.
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.
In most cases, however, an epidural will not be given until the mother is at least 3-4 centimeters dilated. Once the mother is fully dilated most doctors and hospitals will consider it too late for an epidural to be given.