Epidural

Concerns to be aware of
An epidural…

• Requires that electronic fetal monitoring be used and that intravenous fluids be given to you.
• May help you to rest, and perhaps even nap, before you deliver.
• Might make you shiver or feel a bit shaky, even though you are not cold.
• Can slow down your labor. You might need medication (pitócin) to get it going strong again.
• Can make your blood pressure drop. You will be given IV fluids before and after the epidural and special medication if needed.
• Can make it harder to change positions. You may have to stay in bed.
• Might make it harder for you to push the baby out, if you are very numb. The medicine can be decreased or turned off if necessary.
• Might not work evenly all over your belly. More medication or changing your position can give relief.
• May make it difficult for you to go to the bathroom. The nurse will put a thin tube into your bladder to empty it.
• May increase the need for forceps or vacuum OR for cesarean birth if you can not push well enough.
• Might, on rare occasions, cause a headache or back pain after delivery.

Getting an epidural: It’s up to you
Remember, most often it is your choice to receive pain medication during labor and birth. Keep an open mind about pain relief choices until you are in labor. 

Many women are able to go through labor and birth without medication and instead, use comfort measures such as breathing techniques, water, movement, the birth ball, prayer and music. (Ask for a copy of “Ten Tips on Comfort Measures for Labor and Delivery.”) Some women find a combination of comfort measures and medications work best. It is up to you to decide!