49 answers

Epidural or No Epidural?

Hello mamas,
I'm now pregnant with my second daughter and due in less than a week. With my first, I gave birth the old fashion way, with no pain-killers. My labor involved 3.5 hours of pushing while I waited for my doctor to show up with the forcepts (I didn't realize that at the time and I have since changed doctors because of it) which left me in very bad condition and took months to recover from. I can't possibly have that bad of an experience this time around but I'm wondering...if I get the epidural, will I just wait till the baby's there and the doctor tells me to push a few times and I'm done? Or will I still end up pushing the same length of time regardless? I'm prepared to do natural childbirth again and think the second time will be a breeze compared to the first. However, if getting the epidural can leave me in better shape and with less recovery time, I'll gladly sign up for it at the door. I'll ask my doctor about this at my next appointment, but just in case I don't make it that long and go into labor tomorrow, I'd like to have some input from smart mamas who have been thru it. Thanks!

What can I do next?

So What Happened?™

I ended up delivering a week late, dilated to a 6 but my contractions kept fizzling out so I was given pitocin. After 3 hours of that with strong contractions a minute apart, I was dilated to an 8 and told it could be a couple more hours. At which time I asked for the epidural. As the guy was standing in my room I told the nurse I was beginning to feel the urge to push, she checked and I was at 9.5. I sent the epi guy away, pushed for 16 minutes and my beautiful daughter was born. Special thanks to those who told me to sit up in bed to speed up the process (I did that and it helped!) and to round my back to manage pain. I believe both of those things helped me to deliver without the pain meds. You ladies are awesome! =)

Featured Answers

You've received a lot of great answers. I had one with an epi, and one without. The one without was much quicker, and I recovered quicker too. I found that the epi slowed my labor.
Hope that helps.

2 moms found this helpful

More Answers

My first labor was awful: 30 hours, with 5 hours of pushing, all natural. My second was a breeze. 12 hours total, with only 4 hours hard labor, 30 minutes pushing. Funny thing is, first baby was belly side up, so the pain was unbearable. With the second, since he was facing the right way, it was a joke. I was even asking the midwife what I could do to make the contractions more productive! Just listen to your body, it has done it before, and will do it without much work on your part. I did have my midwife help guide me a bit more with the pushing this time (I found it really helpful for her to have her hand in me so I could focus on a focal point).

The epidural numbs pain, it won't change the amount of time you have to push, etc. In fact, it tends to make pushing harder because you don't have the control you get without medicine.

Don't worry! The second one will be easy. Remember, pain is as much psychological as physical, so just use your breath to work through each contraction, as they come, and keep in mind how soon you will get to see your little girl!

3 moms found this helpful

I am sorry you went through this, I have always heard that recovery was easier without an epidural.

3 moms found this helpful

You've received a lot of great answers. I had one with an epi, and one without. The one without was much quicker, and I recovered quicker too. I found that the epi slowed my labor.
Hope that helps.

2 moms found this helpful

I had an epidural that didn't take with my first. I was so mad, because I hadn't prepared for the pain at all because I knew I wanted a medicated birth. Who knew that it wouldn't work? It was a long hard labor and a really really hard recovery. With my second, the epidural worked, but I think I probably could have done without it. I was induced and everything, and was laboring for a few hours when I said "oh, the baby dropped! I need to push!" and 3 pushes later, there he was. The recovery was about a million times easier too. The long and short is that every labor and delivery is different, and your second one will likely be easier. You just need to think about what kind of experience you want to try to have (as nothing goes according to plan anyway) and try to make that happen. Only you can really answer the question. Good luck!

2 moms found this helpful

Dont get the epidural.

2 moms found this helpful

Hi there
Well you have gotten MANY answers but I will chime in here as a birth professional who works with birthing woman all the time! Most women's first birth has a long pushing phase--whether with an epidural or without. The procedural normally does make the pushing passe the hardest part because you are being told to work a part of your body that often you cant feel very well. ( I always say that if I have a client who uses an epidural-my real work comes in at pushing because this is can often be the hardest part with an epidural.) Second time moms RARELY have a long pushing phase UNLESS they have an epidural or are not allowed to push in a variety of positions. Now I cant say it will only 3 pushes, but I can say that unless there is a strong epidural in place or a very position of baby, it will be considerably less then your first. (And also to add it--the recovery after an "assisted" delivery i.e. forceps, vacuum, etc... is VERY different than recovery without the use of these tools.)
Most research shows that recovery time for a mom without any use of pain medication is always shorter than for moms who use something. Now of course if there is episiotomy or significant perineal tear--this is going to change your recovery time. But all my clients who use an epidural for one birth and then not for the other say that there body just feels better after wards without the epidural. They feel more clear, more in tune with what there body if feeling and dont feel any leftover after affects.

Honestly if you were able to got through your first birth with a 3.5 hr pushing stage with no pain meds--this second one should be a breeze for you!! And I hope it is!!
Good luck to you!! Great questions to ask!!
Sincerely
L. Spradlin, birth and postpartum doula

2 moms found this helpful

An epidural will almost certainly NOT make the pushing stage shorter, in fact it usually takes longer because the urge to push is not as strong. I had my first child naturally too and am due in 3 weeks and I definitely plan on going natural again. Second babies are usually much easier to push out because you've done it before and the tissues are already stretched. Be upright as much as you can during the pushing stage, as gravity will really help. Try positions other than flat on your back for pushing, which is the most inefficient way to push. Try squatting, hands and knees, kneeling, or lying on your side. You will also have a harder time recovering from the epidural because it takes time to wear off and you may not feel quite as well right after the birth, plus there's the possibility of side effects such as low blood pressure, itching, shaking, fever, and headache. I would say, since you've already done it natural and know you can do it, give it another try and I bet it will be a much easier and very rewarding experience. Congratulations in advance and I hope you have a wonderful birth!

2 moms found this helpful

Sounds like your horrid birth experience the first go-around was because of the doctor, not a lack of having an epidural.

Only you know what you want your birth experience to be like this time around, so only you can decide. I had both my kids natural.. no drugs. I received an IV drip thinking I might decide I wanted en epidural if the pain became too bad... but the first time around, I didn't get the entire bag of fluid in time to have the epidural. It was my first baby (8lb 12 oz) and I think I pushed for close to 2 hours. It was a lot of work... but.. from everything i have read (I tried to educate myself about the options I was considering) epidurals can cause their own complications. They can slow down the delivery process, can cause a drop in heart rate in the baby, cause YOUR blood pressure to drop (which is why they give you fluids), cause full body itching, and more. Also, there is the possibility of getting the "post epidural headache" which is like a migraine any time you are sitting up and can last several days.
My 2nd child, I went natural again, and she was a little smaller (7 lb 6 oz) and was delivered in 2 pushes. Total labor (from water breaking at the hospital until birth) was about 4 hours.

Only the last 3 centimeters were really difficult to bear as far as the pain. And the last 2 cm go really quickly if you aren't receiving any drugs.
I was up using the bathroom, etc within 2 hours after delivery... no problems whatsoever.
If I had another one today, I would probably opt to go natural again.
Sometimes epidurals don't fully "take" anyway. My SIL had one that only partially worked. The one side was fine.. the other was all the more excruciating because it wasn't balanced across her body...

I hope this helps.

Congrats on the pending birth. Good luck whatever you decide...

2 moms found this helpful

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