While there are many options for pain relief during labour including gas and air, the epidural is the most popular with expecting mums. 

 

If you are thinking about choosing this type of relief, the following will help you make an informed decision.

 

1. What is it?

An epidural is an active analgesic that numbs the lower part of your body while you remain alert and awake during labour.

 

2. What does it do?

An epidural can be used before you have a Caesarean or a vaginal birth, and will significantly reduce pain in the lower part of your body. However, you will feel tugging and pushing throughout the delivery. 

 

3. How is it injected?

The epidural is normally administered by an anaesthesiologist or radiologist who injects a syringe into the epidural space or dura – a small area just outside the spinal cord on your back . You will need to sit or lie down keeping your back curved while staying as still as possible as a small amount is administered first before a full dose is given. 

 

 

4. How long does it take to work?

It will take about ten to 20 minutes for you to feel the full effects.

 

5. Will it affect labour?

An epidural can delay or prolong the stages of labour by anything from a few minutes to 20 minutes and can make the pushing stage a little longer. However, many women like the fact that they can take time to rest before moving on to the pushing stage.

 

6. Are there any risks?

As with all pain relief options there are risks attached to it. An epidural might decrease your blood pressure or cause temporary breathing difficulty sensations. It can stop you emptying your bladder and you may have to use a catheter. You can experience a headache, fever or itchiness and you will need to stay in bed after labour as you can feel light-headed and unable to stand up.  

 

Always talk to your GP or midwife when deciding on pain relief so that you can make an informed decision on what is best for you.

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