If you are planning on having children, labor is one of the most physically demanding experiences you will have. If you’re expecting, you’ve probably already started thinking about how you want to manage pain during delivery. An epidural is one of the most common options, but there is conflicting and false information to be aware of. Let’s clear things up so you can make a confident, informed choice.
How an Epidural Works
An epidural is a type of regional anesthesia that blocks pain signals from your lower body. An anesthesiologist places a thin catheter into the epidural space near your spinal cord, usually in your lower back. Through that catheter, medication is delivered that numbs the nerves carrying pain signals from your uterus and cervix.
Most people start feeling relief within 10 to 20 minutes. You’ll still be awake and alert during labor, and many women can still feel pressure and the urge to push, even though the sharp pain is significantly reduced. The catheter stays in place so medication can be adjusted throughout labor as needed.
Common Side Effects of an Epidural
Like any medical procedure, epidurals come with some possible side effects. Knowing what to expect can help you feel more prepared.
A drop in blood pressure is one of the most common side effects, which is why your care team monitors you closely and provides IV fluids beforehand. Some women experience itching from the medication, and mild soreness at the injection site for a day or two after delivery is also normal.
Headaches can occur if the needle goes slightly too deep and causes a spinal fluid leak, but this is rare and treatable. Some women also notice temporary difficulty urinating, so a catheter for your bladder may be placed during labor. Shivering is another side effect that can happen during or after the epidural is placed, though it usually passes on its own.
Some Common Myths
There is no shortage of epidural myths floating around online and in conversations between friends. Here are some of the biggest ones that should be corrected.
