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Having an Epidural in Labour at St Michael's Hospital
The experience of childbirth can vary greatly, and pain management is an important aspect for many expecting mothers. An epidural is one of the most effective forms of pain relief during labour. Here’s what you need to know about having an epidural at St Michael's Hospital in the United Kingdom.
What is an Epidural?
An epidural is a form of regional anaesthesia which involves injecting medication into the space around the spinal nerves in your lower back. This numbs the lower part of your body while allowing you to remain conscious. It is commonly requested by women in labour to manage pain during childbirth.
When Can You Have an Epidural?
At St Michael's Hospital, epidurals are available 24/7 to all labouring women who desire one, provided there are no medical contraindications. You can typically request an epidural at any point during labour once you are in established labour (usually when contractions are regular and your cervix is dilated to around 4 cm).
How is an Epidural Administered?
Once you decide to have an epidural, an anaesthetist will explain the procedure and ask for your consent. You will be asked to sit up or lie on your side and curve your back. The anaesthetist will clean the area with antiseptic, inject a local anaesthetic to numb the area, and then insert a needle followed by a small, flexible tube into the epidural space. Medication is then administered through this tube to relieve pain.
Benefits and Risks
One of the main benefits of an epidural is significant pain relief, which can make the labour process more manageable. It can also allow you to rest if your labour is prolonged. However, there are risks, such as a drop in blood pressure, headache, or, in rare cases, nerve damage. The healthcare team at St Michael's Hospital will closely monitor you and your baby to ensure safety.
After the Epidural
Post-delivery, the epidural will be gradually reduced, allowing sensation to return to your lower body. The staff at St Michael's Hospital will continue to monitor you for any side effects and provide the necessary support to ensure a smooth recovery.
Support and Information
St Michael's Hospital offers comprehensive prenatal classes that cover pain relief options, including epidurals, to help you make an informed decision. Discuss your pain relief preferences with your midwife or obstetrician beforehand to ensure your birthing plan aligns with your needs.
For more information or to discuss your options, it's advisable to contact St Michael's Hospital directly or visit their website for resources and support tailored to expectant mothers in the UK.
Frequently Asked Questions
What is an epidural?
An epidural is an injection in your back to stop you feeling pain in part of your body. It numbs the nerves that carry pain impulses from the birth canal to the brain.
How is the epidural administered?
An anaesthetist will insert a needle and a tiny, flexible tube (epidural catheter) into your lower back. The needle is removed, and the tube is left in place to deliver the medication.
When can I request an epidural?
You can request an epidural at any point during labor, but it's generally recommended to do so in the active phase when you are around 4-5 cm dilated.
How long does it take for the epidural to work?
It usually takes about 10 to 20 minutes for the medication to reach full effect after the epidural is administered.
Can I still move around after having an epidural?
You may have limited movement and will most likely need to stay in bed. Some hospitals provide walking epidurals which allow more movement.
Will I feel anything after the epidural?
You may still feel some pressure and touch, but the epidural should significantly reduce your pain.
Are there any risks or side effects?
Potential side effects include low blood pressure, headaches, and in rare cases, nerve damage.
How long does the epidural last?
The epidural can last throughout labor and can be topped up using the epidural catheter if needed.
Can I have an epidural if I have a back problem?
Having a back problem does not necessarily prevent you from having an epidural, but you should discuss your medical history with your anaesthetist.
Who administers the epidural?
A specially trained anaesthetist will administer your epidural.
Will the epidural affect my baby?
Epidurals are generally safe for your baby, but a small amount of the medication can reach the baby through the placenta.
What if the epidural doesn't work?
If the epidural does not work sufficiently, the anaesthetist can either adjust it or reinsert it.
Can I choose not to have an epidural?
Yes, opting for an epidural is your choice. Discuss pain relief options with your midwife or doctor.
Does having an epidural increase the likelihood of a caesarean?
There is no conclusive evidence that an epidural increases the need for a caesarean section.
Will I need a catheter for urination?
As an epidural can make it difficult to urinate, you may need a urinary catheter if you cannot pass urine.
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- To view, click the arrow in centre of video.
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- You may need to turn these on, and choose your preferred language.
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