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Stephi View Drop Down
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    Posted: 11 December 2010 at 9:13am
Im not sure which section this should go in! So will place it in here.

For those of you who have given birth (or those who havent but still know the answer haha), do doctors let you have an epidural active right up until the baby has been pushed out? Or will they let it wear off before pushing begins?

I am petrified of birth. I lay awake most night and get into panic attacks cause of it. I know its such a long way away but im so scared. I get really bad anxiety and usually go into panic attacks when I feel sensations in my body I haven't felt before. And I know during labour I will absolutely freak out. So am wanting to have an epidural working right up until the point that baby is in my arms
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caraMel View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote caraMel Quote  Post ReplyReply Direct Link To This Post Posted: 11 December 2010 at 9:45am
My understanding is that they don't like to because having no sensation makes it hard to push effectively.
This was pretty true for me.
I had one with my first and I couldn't feel when to push or how long for. It made it really long and exhausting and was not good for morale not knowing if all the energy I was putting into it was helping me get anywhere.
I'd suggest talking to your midwife about your worries and she will be able to make a plan with you about how to prepare yourself mentally, how to support you and what you will need to get through the birth.
She can also refer you if you need more support.
All the best.
Mel, Mummy to E: 6, B: 4 and:

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Post Options Post Options   Thanks (0) Thanks(0)   Quote Shezamumof3 Quote  Post ReplyReply Direct Link To This Post Posted: 11 December 2010 at 10:26am
I have had an epidural but I didnt end up pushing as I got rushed in for an emergency C section, but Im pretty sure they told me that they weould let it wear off just a bit so I could feel when to push, but I know people who have pushed with the epi on full, and they just got told when to push.

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Post Options Post Options   Thanks (0) Thanks(0)   Quote Whateversville Quote  Post ReplyReply Direct Link To This Post Posted: 11 December 2010 at 11:56am
Mine was turned right down but I still was very numb, I could feel the pressure of when to push but I couldn't feel pain at all. I had an episiotomy aswell which I didn't feel..Baby was born at 330pm and I wasn't up and walking around until 9pm !!

Definatly talk to your midwife about your anxiety, she'll be able to give you some help.

Good Luck
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Lou1972 Quote  Post ReplyReply Direct Link To This Post Posted: 11 December 2010 at 12:21pm
I was told they normally turn it right down and let it wear off.
When I had mine ,as it was such a long labour they decided to keep it going until I'd had bubs.I couldnt feel a thing though and they had to tell me when to push.
I wasnt able to walk until aboout 4-5 hours later and even then I was still really wobbly.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote High9 Quote  Post ReplyReply Direct Link To This Post Posted: 11 December 2010 at 12:56pm
My mw said it was my choice to top it up.

I had mine at 5pm when I was only 7cm dilated (had been 6cm at 10am) anyway they gave me syntocin also to speed things up and I didn't bother topping it up because it was fine (I had asked for epi at 4pm) anyway it wore off by 7pm when I had to push so I felt everything and it wasn't too bad, although I suspect it was slightly toned down a bit because it didn't seem as bad as everyone had been saying!

And it's totally normal to be scared of giving birth! I was scared until I went to AN class, and all the talk about birthing the placenta scared me more than pushing the baby out!

But agree you should talk to your mw.

I also had to stay in the hospital so they could make sure I could still feel things in my legs etc but I was able to walk around right after the birth though my bum felt quite sore like I'd been sitting for too long! (but worse)
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Post Options Post Options   Thanks (0) Thanks(0)   Quote mothermercury Quote  Post ReplyReply Direct Link To This Post Posted: 11 December 2010 at 1:16pm
Originally posted by caraMel caraMel wrote:

My understanding is that they don't like to because having no sensation makes it hard to push effectively.
This was pretty true for me.
I had one with my first and I couldn't feel when to push or how long for. It made it really long and exhausting and was not good for morale not knowing if all the energy I was putting into it was helping me get anywhere.

This is true for me too. I couldn't feel anything, and they were telling me to push, but I really didn't know what was happening. They let it wear off a bit and I could at least feel pressure (I could feel the contractions too but I couldn't actually feel her coming out); pushing was MUCH more effective after that.

So yeah, you might not want it all the way to the very end. Definitely discuss it with your LMC though; I'm sure it's different for everyone!
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Stephi View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Stephi Quote  Post ReplyReply Direct Link To This Post Posted: 11 December 2010 at 1:19pm
Thanks ladies!

I like the idea of them letting it wear off so you can just feel pressure but not pain (I am not to keen on feeling the ring of fire haha). I will definatley discuss with my midwife the options and see what she reccomdends. But I suppose in the end it is my body and my choice in regards to pain relief, I just dont want anything to affect bubs.

I have heard that epidurals can slow labour down, but have also heard so can anxiety and stress! So im at a loss there haha but will talk to the midwife and discuss options when we go over my birth plan.

Are you allowed to write things in your birth plan such as "I would like an epidural to be active right up to the very end of labour"?
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Post Options Post Options   Thanks (0) Thanks(0)   Quote queenbean Quote  Post ReplyReply Direct Link To This Post Posted: 11 December 2010 at 1:27pm
I had an epidural and it wasn't turned down at any time. I thought the midwife always tells you when you can push anyway? I loved my epidural so much, felt pressure when my son was born but no pain at all. It was taken out shortly after the birth and I was walking around a couple of hours later, and transferred to a birthing centre.

I did have a long, drawn out labour but I don't think that had anything to do with the epidural, more like my own inefficient body!!

ETA: And he only took 10 minutes to push out!

Edited by queenbean


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Post Options Post Options   Thanks (0) Thanks(0)   Quote fire_engine Quote  Post ReplyReply Direct Link To This Post Posted: 11 December 2010 at 1:38pm
I had an epi with #1 that was turned all the way up for the whole time. COuldn't feel when to push.

When doing my birth plan with #2, I asked my MW if she would let it wear off when pushing. She said she wouldn't do that. reason is, when you're contracting in first stage, your body produced natural endorphins which help with pain relief. If you've had an epi in the first stage, your body won't have built up those endorphins. If you then get the second stage pain, you don't have the natural reserves to help you deal with it and you're more likely to struggle lots. What we agreed was that if I had one (I didn't in the end), she'd do it low dose, so I would still be able to feel a bit of pain, still be able to mobilise and would still feel the contractions, but the edge would be taken off.
Mum to two wee boys
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Stephi Quote  Post ReplyReply Direct Link To This Post Posted: 11 December 2010 at 2:36pm
Its so great to hear (for me anyway haha) that all these stories are from women in NZ!

I have read a lot about women not being allowed them all the way till the end but they were from America and I know in America, a lot of things are different, including birth. So its good to see stories from this country :D

It makes me feel so much more at ease :D
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Stephi Quote  Post ReplyReply Direct Link To This Post Posted: 11 December 2010 at 2:38pm
Originally posted by Flissty Flissty wrote:

I had an epi with #1 that was turned all the way up for the whole time. COuldn't feel when to push.

When doing my birth plan with #2, I asked my MW if she would let it wear off when pushing. She said she wouldn't do that. reason is, when you're contracting in first stage, your body produced natural endorphins which help with pain relief. If you've had an epi in the first stage, your body won't have built up those endorphins. If you then get the second stage pain, you don't have the natural reserves to help you deal with it and you're more likely to struggle lots. What we agreed was that if I had one (I didn't in the end), she'd do it low dose, so I would still be able to feel a bit of pain, still be able to mobilise and would still feel the contractions, but the edge would be taken off.


Oh ok so your midwife said she WOULDNT let it wear off? I have never heard of that! haha makes me feel at east I think.

I am very nervous about it all. I have a low pain tolerance and just the thought of being in any kind of pain terrifies me!
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Post Options Post Options   Thanks (0) Thanks(0)   Quote fire_engine Quote  Post ReplyReply Direct Link To This Post Posted: 11 December 2010 at 3:08pm
Yup, wouldn't. Once she explained it, I completely got where she was coming from (esp given that my other things were that I wanted to avoid an intervention cascade - I think she was concerned that stopping the epi would increase my risk of CS).
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Stephi Quote  Post ReplyReply Direct Link To This Post Posted: 11 December 2010 at 3:43pm
Originally posted by Flissty Flissty wrote:

Yup, wouldn't. Once she explained it, I completely got where she was coming from (esp given that my other things were that I wanted to avoid an intervention cascade - I think she was concerned that stopping the epi would increase my risk of CS).


Yeah it makes total sense why she wouldnt let it wear off. I didnt know that about birth, that the first stage produces the endorphins to help you later on. So you decided not to take it then based on that? I guess not being able to feel when to push must be very frustrating
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Plushie Quote  Post ReplyReply Direct Link To This Post Posted: 11 December 2010 at 5:25pm
I don't know if this will help at all and isnt to do with epidurals because i dont know anything about them - but personally i was petrified of birth, like having panic attacks in tears, just totally distraught at the idea. I was so so scared and couldnt see how i could do it, the works. People will say to you that the closer you get to labour the less afraid you get and you'll probably laugh and think they're talking crap but its so true. I'm still not keen on the idea but i can think about it without freaking out totally. So as you get closer you might still want the epi (and go for it!) but not be lying awake at night stressing out. Which is a nice feeling
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Post Options Post Options   Thanks (0) Thanks(0)   Quote mothermercury Quote  Post ReplyReply Direct Link To This Post Posted: 11 December 2010 at 5:58pm
My pain didn't really seem worse after the epidural wore off. I had already had a few contractions before I got it though, so I don't know if that makes a difference.

Personally, I was much happier once I could feel what I was pushing. My midwife could see I was getting frustrated so that's when we stopped the epidural.

Everyone's different though, and epidurals affect people in different ways.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote High9 Quote  Post ReplyReply Direct Link To This Post Posted: 11 December 2010 at 6:23pm
I don't think the epi slowed things for me as I went from 7cm to fully dilated (what 10cm?) in 2 hours but I was also given syntocin. I got to 7cm by myself but personally I think the water from the spa bath and the internals slowed things for me!

I was 6cm upon arrival to the hosp and mw stretched me to about 6.5-7cm (s&s) and that was all fine and the pain was fine (much to my mw's surprise but I have a high pain threshold though the unknown pain scares me!) and after 2 internals and being told 7cm, still 7cm... I got a bit negative and that's when it hurt!
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Panda289 Quote  Post ReplyReply Direct Link To This Post Posted: 11 December 2010 at 6:29pm
ooh this is a great thread! i have been told i have to be induced at 38 weeks because i have an issue with my blood being prone to clotting (taking injections to thin it out) and i was worried this would mean i would most likely end up with a c - section because my body wont be ready
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Flossie Quote  Post ReplyReply Direct Link To This Post Posted: 11 December 2010 at 7:32pm

In the first half of pregancy I too was petrified of giving birth but I read a really good birth book which made me feel slightly more at ease and then after ante-natal and being pregnant for more than 9 months I was more than ready. Also your body builds up to the ouchy bits of labour and you will be surprise what you will cope with!

Epidural ahhhhh bliss! I made sure mine was topped up as I had reached the stage in birth where I didnt want to feel anymore pain I was over it (Had been in labour for quite a while by this point!!) so they very nicely made sure it was topped up throughout pushing etc.

A midwife said to me that you reach a stage when you want the epidural to take the pain away or to just take the edge of it and I was definantly wanting it to disappear!


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Post Options Post Options   Thanks (0) Thanks(0)   Quote cuppatea Quote  Post ReplyReply Direct Link To This Post Posted: 11 December 2010 at 8:16pm
I had one and it was the type you can top up (I think every 30 mins, or might have been 15 I can't quite remember). Mine wore off on one side and then I stopped using it and it wore off completely but I only had it for a couple of hours as I transitioned far quicker than expected. I would think if I had wanted it the aneasthetist could have come back and fixed it so that I didn't feel anything.

Queenbean to answer your question when you can feel it you don't need anyone to tell you when to push you just do it, at one point they told me to stop pushing and just breathe through them and I found that harder to do.

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