Do you remember what was going on in 1993? I do. That was the year OJ fled in the white Bronco, the World Wide Web was unveiled, and Bill Clinton was president. Oh, and Pablo Escobarâthe 7th richest man in the world at the timeâwas killed.
But did you know that it was also the year of the first randomized controlled trial on epidurals? The study was actually stopped because the cesarean rate was so high, and investigators determined it would be unethical to continue. Things that make you go wonder. đ€
Whether an epidural is part of your birth plan or not, our goal is simply to help you feel informed and confident in your choice. Weâve heard from many women who wished they had known more about what to expectânot necessarily because they wouldnât have chosen an epidural, but because they would have felt more prepared.
What is an epidural?
An epidural is a regional anesthetic that “generally” numbs from about the belly button down. It is typically a drug like novocaine combined with an opioidâoften fentanyl. Sometimes it even has a corticosteroid to help curb inflammation.
Medication does cross the placenta. Opiates show up in neonatal toxicology and can negatively interfere with the hypoglossal nerve, which plays a role in breastfeeding.
To receive an epidural, the mother will need to be admitted to the hospital, have labs drawn, get an IV, and receive a full bag of fluids before the epidural can even be placed. Itâs not a quick fix.
Once the epidural is administered via a big injection into the intrathecal space of the spine, the mother will be bound to her bed with continuous monitoring. She will be dependent on her husband or doula to move her legs and her body side to side.
What are the side effects of an epidural?
One common side effect is low blood pressure. When blood pressure drops, baby wonât be getting the same oxygen and nutrients. This puts pressure to get the baby out quickly. More times than not, this leads to a cascade of interventions, resulting in a cesearan.
Other common side effects of an epidural include pain at the site of injection, as well as numbness and tingling down one or both legs after birth. There also can be lingering and long-term effects of an epidural as well.
As you prepare for birth, consider these questions:
What is my definition of pain?
Is it pain relief Iâd be after or is it something deeper?
Is there an alternative?
Will I have my husband, partner, and/or doula present?
Where is my line in the sand?
I hope this information helps you feel more informed and empowered as you prepare for the birth you desire.
At the end of the day, your birth experience is yoursâtrust your intuition in making the choices that align the most with your values.
We will be here for you always; no judgement, just love & support!
