Labors do not always go as we plan -- whether you're planning to get all the drugs as soon as you walk in the door or go completely natural, you should know the basics of epidurals.
It’s 3 a.m., and I’m startled awake by a phone call notifying me of two new admissions. I inhale a cup of hospital coffee that I pray was actually brewed on this shift, as I shuffle down the hall from my call room. As I round the corner, I hear the primeval screams coming from the unit and quicken my pace. Based on the wails of pain, I am expecting to see a baby crowning as I walk in the room.
Despite careful preparations, labors do not always go as we plan. Whether you are planning to get all the drugs as soon as you walk in the door or go completely natural, you should know the basics of epidurals.Epidurals work by placing a small tube in the space beside the spinal column. Medication is placed through the tube that numbs the nerves and provides pain relief to the lower part of your body, while still allowing you to feel pressure.
that they do not. Epidurals often increase the length of time you need to push because it can be difficult to feel the contractions, but in large studies the cesarean section rate is not increased.My patients often ask me if there is a point where they can’t get their epidural. At my hospital if we have time to place an IV and get your labs results; then you can get an epidural if you can remain still enough for the anesthesia team to safely place it. This is likely dependent on the facility.
If you have had surgery on your spine or your spine is abnormally shaped you may not be able to get an epidural. At our facility, the anesthesia team tries to evaluate patients before delivery and look at the x-rays so that they are aware ahead of time if epidurals are safe option for them
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