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Epidural for Labour at North Bristol NHS Trust
Introduction to Epidurals
An epidural is a regional anesthesia that provides pain relief during labour and childbirth. It is administered by an anaesthetist who will insert a needle and a small tube, known as a catheter, into the lower part of your spine. Through this catheter, medication is delivered that numbs the lower part of your body, allowing you to remain awake and alert while significantly reducing pain.Why Choose an Epidural?
Many women opt for an epidural during labour to manage their pain effectively. The procedure can provide continuous pain relief throughout labour, which can be adjusted depending on your needs. While some women experience minimal pain, others may find contractions overwhelming, making the epidural an attractive option for comfort and ease during childbirth. It allows you to rest during prolonged labour and can help conserve energy for the final stages of delivery.How Epidurals are Administered
At North Bristol NHS Trust, a trained anaesthetist will perform the epidural in a sterile environment, usually in the delivery room. You will be asked to sit or lie on your side, and you'll need to remain still while the anaesthetist cleans your back with an antiseptic solution. The anaesthetist will then inject a small amount of local anesthetic to numb the area before inserting the epidural needle and catheter. Once the catheter is in place, it will be taped to your back, and medication will be administered.Possible Side Effects and Risks
Epidurals are generally safe; however, as with any medical procedure, there can be side effects. Common side effects include a drop in blood pressure, itching, or shivering. In rare cases, more serious complications can occur, such as a severe headache caused by a leak of spinal fluid or an infection. Your anaesthetist will discuss all potential risks and side effects with you before administering the epidural.After the Epidural
Once your baby is born, the catheter will be removed, and any numbness should gradually wear off over the next few hours. You will be monitored to ensure your blood pressure and overall condition remain stable. You may experience temporary soreness at the insertion site, but this usually resolves without any lasting effects. The maternity team at North Bristol NHS Trust will provide you with all necessary aftercare and instructions on postpartum pain management.Contact Information
For more information on epidurals and other pain relief options during labour, you can contact North Bristol NHS Trust's maternity services. They provide comprehensive support and resources to ensure a safe and comfortable childbirth experience. Visit their official website or talk to your midwife to discuss your birth plan and pain management preferences.Frequently Asked Questions
What is an epidural?
An epidural is a type of pain relief used during labour where an anaesthetic is injected into the space around your spinal nerves.
How does an epidural work?
An epidural works by numbing the nerves that carry pain signals from the birth canal to the brain.
When is the best time to get an epidural?
You can request an epidural at any point during labour, but it is most effective once labour is well established.
How long does it take for an epidural to work?
An epidural typically starts to provide pain relief within 10 to 20 minutes after it is administered.
Can everyone have an epidural?
Most women can have an epidural; however, certain medical conditions may prevent its use. Your healthcare provider can advise you based on your specific situation.
Are there any risks associated with epidurals?
Epidurals are generally safe, but they can carry some risks such as a drop in blood pressure, headache, or in rare cases, nerve damage.
Will I still be able to move around after getting an epidural?
An epidural may limit your ability to move around. In some cases, you may require assistance or need to stay in bed.
How will an epidural affect my baby?
An epidural has minimal effects on the baby. However, it may slightly increase the duration of labour and the likelihood of needing assisted delivery.
Can I have an epidural if I have a tattoo on my lower back?
Having a lower back tattoo usually does not prevent you from having an epidural, but it is important to inform your anaesthetist.
What happens if the epidural doesn’t work?
If the epidural does not provide adequate pain relief, adjustments can be made, or other forms of pain relief can be considered.
Will an epidural increase my chances of needing a caesarean section?
There is no strong evidence to suggest that having an epidural increases the likelihood of needing a caesarean section.
How long does an epidural last?
An epidural can be topped up to last as long as needed during labour. After the delivery, the effects usually wear off within a few hours.
Can I eat or drink after having an epidural?
You may be advised to avoid eating but sipping clear fluids is generally allowed. Your healthcare team will provide specific instructions.
Who administers the epidural?
An epidural is administered by a trained anaesthetist.
How will an epidural affect the pushing stage of labour?
An epidural may weaken your urge to push, and sometimes additional assistance like forceps or a vacuum may be required. Your midwife or doctor will guide you through this stage.
Useful Links
Useful links from: Having an epidural in labour at St Michael's Hospital
- NHS - Pain relief in labour Detailed information about various pain relief options during labour, including epidurals, provided by the NHS.
- National Childbirth Trust (NCT) - Epidurals Comprehensive overview of epidural pain relief in labour, including how it works, benefits, and potential side effects, from the NCT charity.
- Bristol University Hospitals - St Michael's Hospital Maternity Services Official page for maternity services at St Michael's Hospital, Bristol. Includes information about pain relief options available.
- Tommy's - Pain relief in labour Advice and information about different pain relief options during labour, including epidurals, provided by the charity Tommy’s.
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