Epidural is a pain-relieving shot that some pregnant women get when they’re giving birth or before having caesarian section
It’s an injection that goes into your “epidural space,” which is right outside of the membrane that protects your spinal cord and this gives a longer-lasting pain relief while helping you stay more alert and mobile.
This anesthetic usually blocks the pain from labour contractions and during the birth very effectively. With an epidural, you can usually move and can push your baby out when you need to.
An epidural is only done by an anaesthetist.
Before deciding to take epidural, you should have an idea of Epidural Procedures and Disadvantages
Procedures for having Epidural
- Before an epidural, you will usually have a drip of fluids put into your arm.
- You can sit up and bend forward over a pillow, or lie on your side curled up into a ball. This makes it easier for the needle to be inserted into the right place. You will be asked to stay still.
- Your lower back will be washed with cold antiseptic. A small amount of local anaesthetic will be injected into the skin of your lower back.
- A needle will be inserted between the bones of your spine into the space around your spinal nerves.
- Your anaesthetist will insert the epidural needle when your contraction stops, so it is important that you tell them when you have a contraction.
- A small soft plastic tube will be inserted and the needle will be removed. That tube delivers the anaesthetic that will numb your pain.
- It usually takes between 5 and 30 minutes for your pain to be relieved by the epidural.
You usually only have an epidural during the first stage of labour – but it can be given at any stage of labour.
Advantages of Epidural
- It is usually very effective
- It is generally very safe
- You can often still move around and push when you need to
- If you’re having a caesarean, you can stay awake and your partner can be there.
Disadvantages of Epidural
For medical reasons, not everyone can have an epidural, you might need to have fluids given to you through a tube in your arm, and will need to have your blood pressure monitored.
- You might lose feeling in your bladder and need a catheter (tube) in your bladder to help you pass urine
- You might lose feeling in your legs for a few hours
- It might slow down the second stage of labour
- You might not be able to push and need help to give birth
Risks and side effects
An epidural is effective and fairly safe. But there are some risks.
- Some women feel cold or itchy.
- A small number of women get little or no pain relief.
- Some women get weakness in the legs; it wears off after a few hours.
- There is an increased risk of needing forceps or a vacuum to help with the birth.
- Very rarely a few women get permanent nerve damage.