Parenting

Friday, December 11, 2009

Do I have to get an epidural with a hospital birth?


More than one friend has told me that it's virtually impossible to deliver in a hospital and not get the epidural and that I should basically accept that. Is this true? — just get the epidural

Dear Just,

Women do have non-medicated births in hospitals. They really do. It happens. It's happened to people we know. It's happened to people we know who had hard labors, back labors, long labors, hellish inductions and lousy labor support. So it's not impossible.

But going to the hospital and not taking the epidural can be like going to a pizza place on a low-carb diet. It can be frustrating. As one woman we know put it, "the only way I won't get an epidural is to be far the f*ck away from it." This is one reason women who are adamant about avoiding medication plan to give birth at home or in birthing centers where epidurals are not available.

The epidural is the hospital's big offering when it comes to pain relief. When the agony kicks in, the resident will probably not suggest changing positions, massage your lower back and offer gentle encouragement. There probably will not be a tub. Unless you brought a birthing ball, you won't have one to rock on. And the fetal monitor will likely be strapped around you for some period of time, limiting your ability to lean or sway or rock through contractions. But you will be offered medication. Probably more than once. The hospital staff wants to help, after all. And they all see, time after time, the relief on their patients' faces when the drugs kick in.

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Comments 1-10 of 32
  • Mommadukes's Avatar
    Posted by Mommadukes Thu Jul 16, 2009 8:06am PDT

    I delivered two children in hospitals and did not get an epidoral. It is an option not a requirement. Childbirth is not easy and today alot of woman opt for an epidoral to help with the pain but it is not a requirement. It will depend on how you do. They will not give you an epidoral unless you ask for one. So your friends are wrong ...

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  • Katie B's Avatar
    Posted by Katie B Thu Jul 16, 2009 8:11am PDT

    Hm... I know I don't want one unless I absolutely cannot stand the pain... Like tears had better be coming down my face like a waterfall while I am crying...

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  • MarlenaW's Avatar
    Posted by MarlenaW Thu Jul 16, 2009 8:40am PDT

    I also had two hospital births without any drugs, and I had back labor with both of them. It certainly is not a requirement and I did not feel pressured to have an epidural. Just be very clear about what you want.

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  • Leah's Avatar
    Posted by Leah Thu Jul 16, 2009 9:04am PDT

    I had one hospital birth without any pain relief, my spine is fused from surgery to correct scoliosis so an epidural was out of the question. They didn't pester me at all to use anything else because my labor was progressing so quickly. They gave me a tablet of something afterward which I thought was kind of funny since the pain was over. My next three babies I had at home.

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  • DaisyGirl's Avatar
    Posted by DaisyGirl Thu Jul 16, 2009 9:05am PDT

    I totally disagree with this article. I had to BEG my hospital for an epidural. They offered about 4 other types of pain medications before they finally approved me for an epidural. They also had me walking around, sitting in a bathtub, and changing positions. I don't know what kind of hospitals you are going to but your friends are wrong and the author of this article is wrong.

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  • Angel's Avatar
    Posted by Angel Thu Jul 16, 2009 10:02am PDT

    They tried to talk me out of getting one - I insisted on having it!! They really want (at least my dr./hospital) you to have as natural a childbirth as possible... in a safe hospital setting....

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  • EW's Avatar
    Posted by EW Thu Jul 16, 2009 10:13am PDT

    It is an option available to the Mother. Our Doctor asked us if we needed one and I always knew it was going to be part of our delivery. I swear to you that if I would have had a vaginal birth, I do not think that I would have felt anything at all. I ended up having a C-section because I had arrest dilation (the baby did not descend).

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  • Meg's Avatar
    Posted by Meg Thu Jul 16, 2009 10:14am PDT

    Absolutely not!

    I was in labor for almost two days and didn't leave the house until i couldn't take the contractions any more. i checked in the hospital at 5, was induced by the dr breaking my water, given pitocin and delivered in 3 hours. it was not the best experience ever and yes it did hurt but every person handles pain differently.

    my advice to you is to have a plan, know what your pain limits are and stay in contact with the nurse to be aware of the "window" you have the option to get hte epidural.

    it's really not that bad and its a beautiful thing to be completely aware of your surroundings when you give birth to your beautiful baby.

    good luck.

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  • Bget's Avatar
    Posted by Bget Thu Jul 16, 2009 10:25am PDT

    Please understand that the hospital staff will not tie you down and force you to do anything. It's all up to you. If you do not want the epidural, you won't get the epidural. Your friends are being silly, I don't think they were serious ... were they? I hope not! My sister just had a drug free delivery at the hospital. She was definitely a trooper!! I don't think I would have lasted.

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  • Dodi's Avatar
    Posted by Dodi Thu Jul 16, 2009 10:27am PDT

    I would suggest signing up for one in advance even if planning on not using it. You don't know what the pain is going to be like until you are there in the midst of it. I had both of my children natural, but I was young, physically fit, tall and good bone structure and my babies were small. Everyone is different. Now that I look back on it, I wouldn't do it again unless I had an epidural.

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