Epidural analgesia is a pain relief technique that is commonly used during labor and delivery.

It involves the use of a catheter that is placed in the epidural space of the spinal cord, which allows for the injection of medication that can block pain signals from the lower half of the body. If you are considering epidural analgesia, here is what you need to know.

How is an Epidural Placed?

Before an epidural can be placed, you will need to have an IV line placed and your vital signs will be monitored. Once this is completed, you will be asked to sit up and round your back, or lie on your side in a fetal position.

Your skin will then be cleansed with an antiseptic solution and a small amount of local anesthesia will be injected to numb the skin.

A special needle will then be inserted into the epidural space, and a small catheter will be threaded through the needle. Once the catheter is in place, the needle will be removed.

The catheter will be taped to your back and connected to a pump that will administer medication as needed.

What Can You Expect From Epidural Analgesia?

Epidural analgesia can effectively block pain signals in the lower half of your body, which can make labor and delivery more comfortable.

Depending on the type and dose of medication used, you may experience some numbness or loss of sensation in the lower half of your body. This can vary, and some women may maintain some level of feeling and movement.

Epidural analgesia is not without some potential side effects and risks. These can include:.

Low blood pressure
Itching
Nausea or vomiting
Difficulty urinating
Headaches
Back pain
In rare cases, infection or nerve damage

Your healthcare provider will be monitoring you closely during the administration of epidural analgesia to ensure that you are not experiencing any adverse effects.

When is Epidural Analgesia Not Recommended?

There are some cases where epidural analgesia may not be recommended. These include:.

If you have a bleeding disorder or are taking medications that affect blood clotting
If you have an infection or an allergy to the medications used in an epidural
If you have a low platelet count or are at risk for blood clots in the spine
If you have a severe spinal injury or a spinal deformity
If you already have an epidural catheter in place for another medical condition

If you have any concerns about whether or not epidural analgesia is right for you, be sure to discuss them with your healthcare provider.

How Long Can You Have an Epidural?

How long an epidural can be left in place will depend on a variety of factors, including the dose and type of medication used, how long you have been in labor, and whether or not you are progressing quickly or experiencing complications.

In most cases, an epidural can be left in place for the duration of labor and delivery.

Can You Still Move Around With an Epidural?

Moving around is important during labor, and some women may worry that epidural analgesia will prevent them from doing so.

While an epidural can cause some numbness or loss of sensation in the lower half of your body, many women are still able to move around, change positions, and even walk with some assistance. Your healthcare provider can offer guidance on what movements and positions are safe and effective with an epidural in place.

How Effective is Epidural Analgesia?

Epidural analgesia is considered one of the most effective methods of pain relief during labor and delivery. While it may not completely eliminate all pain, it can greatly reduce discomfort and make the overall experience more manageable.

It is important to note that epidural analgesia can take some time to become effective, so it is best to discuss the timing of its administration with your healthcare provider.

Conclusion

Epidural analgesia can be an effective way to manage pain during labor and delivery. Like any medical procedure, it is important to weigh the potential risks and benefits to determine if it is the right choice for you.

Be sure to discuss your options with your healthcare provider to determine the best course of action for your individual needs.