Parenting

Sunday, December 6, 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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From the Community…

Comments 11-20 of 29
  • SFgal's Avatar
    Posted by SFgal Thu Jul 16, 2009 11:16am PDT

    I was in induced labor for 2 days with no epidural. They didn't push it at all. This was Kaiser--i ended up with C-section using a spinal block. But, my friends who gave birth vaginally and had sworn not to use epidurals ended up getting them and loving them. It's so hard to predict how it will go--I tried to be prepared for a C-section while trying as hard as I could for normal, unmedicated birth. If you can try not to be too hard on yourself--pain relief is not a bad thing, even my midwife said that epidurals can be a lifesaver.

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  • Karen S's Avatar
    Posted by Karen S Thu Jul 16, 2009 12:08pm PDT

    Listen, having had 2 hospital births (one with an epidural and one without) and having attended many births in hospitals while working as a doula -- the environment of the hospital and their standard procedures make it tougher to labor unmedicated. At the freestanding birth center, you don't need to be immobile for 20 minutes every hour so they can get a monitor strip. They give you food if you want it so you can keep your strength up. You can labor a lot longer and slower -- no pit to distress if you aren't dilating at 1cm/hr. It's possible to have a drug-free birth in the hospital but there are a few cards stacked against you.

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  • Callie's Avatar
    Posted by Callie Thu Jul 16, 2009 12:40pm PDT

    When I had my son, they did offer me an epidural at least twice. I declined, at least twice. I was more scared of a needle going in my spine than anything else in the delivery process. However, I did let the nurse talk me into a dose of IV stadol - it is given in two doses. She barely had the needle in my hand before I started crowning, so the most pain relief I got was when the doctor had to stitch up a tiny little tear left over after the delivery.

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  • Mammina's Avatar
    Posted by Mammina Thu Jul 16, 2009 12:56pm PDT

    I gave birth to my daughter naturally without epidural or any other pain medication but when I arrived in hospital I was already 10cm dilated and the baby's head was showing. I can't say that I wasn't in pain, but it depends on how much pain you can handle. Everybody is different. Good Luck!!

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  • Marcia H's Avatar
    Posted by Marcia H Thu Jul 16, 2009 12:56pm PDT

    I had my youngest daughter without an epidural. It was the worst pain you will ever feel, and when she was coming out I felt like someone held a 10 lighters to my vagina until she came out! As soon as she popped out the pain is miraculously all gone almost like I felt nothing had ever happened. It's really weird. I didn't get the epidural because she came fast. If I have another baby I will not get an epidural!

    The hospitals here where I live almost all have birthing centers and you can choose what type of birth you want to have. It's really nice!

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  • Gloria's Avatar
    Posted by Gloria Thu Jul 16, 2009 1:28pm PDT

    YOU DO NOT NEED AN EPIDURAL.YOU HAVE AN OPTION OF YES OR NO.DEPENDING ON HOW MUCH YOU CAN TAKE AND YOUR SITUATION.

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  • tweet's Avatar
    Posted by tweet Thu Jul 16, 2009 2:00pm PDT

    I didnt want any drugs while I gave birth...I wanted to feel everything...my grandma did it - so could I. it wasnt that bad. I loved the feeling of my child exiting my body. w/ drugs I wouldnt have felt that. were such a socity of "Oh no pain at all"...well, childbirth has pain, but it's diff kind of pain.

    However...were all diff. dont get the med's cuz your scared of the poss of pain...try it without, and you can always change your mind.

    VERY Important...have a doctor that supports what YOU want!! he the one who orders the stuff.

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  • Maria's Avatar
    Posted by Maria Thu Jul 16, 2009 2:27pm PDT

    I have three kids. With my first, I was adamant about having him natural. I was in the hospital bed the whole time. THey would not let me get up and walk around or do anything really. I had the fetal monitor strapped to me the whole time. I was offered pain meds at least a dozen times, saying no everytime. THen a nurse came in and I was crying in pain, of course, and she asked if I wanted pain meds, and before I could say anything, she had already put the demoral in my IV. Which, by the way did not help AT ALL. THen with my second child, I still wanted to have her natural, I said no pain medication, I told them to put a sign on the door, but apparently they didn't again they offered me pain meds several times, then the pain got so bad I finally said ok after the umpteenth time of them asking. But the stupid newbie nurse instead of demerol gave me finigin (spelling?) The drug commonly used for motion sickness. It was terrible, I couldn't even talk, I felt like I was drunk. THen like a minute later the doctor came in and said it was time to start pushing I was so mad I could not even focus everything was blurry. My third kid had to be delivered by c-section cuz she was breech.

    I have never heard of if you go to a hospital you have to have epidural. I do not think that is true. But if you do not want drugs, I think you should make it very clear to your doctor early on. And when you get to the hospital, you tell the nurses to put a big sign on the door and make sure they do it, that says "DO NOT UNDER ANY CIRCUMSTANCES OFFER PAIN MEDICATION TO THIS ROOM!" NO EXCEPTIONS! Good luck with your labor and delivery. I wish you the best.

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  • mommaofsun's Avatar
    Posted by mommaofsun Thu Jul 16, 2009 2:47pm PDT

    I had one with my youngest sons birth. I am SCARED TO DEATH of needles, and especially near my spine. But, it was great. My hubby was with me and I got to hear my baby's first cry. Recovery was wonderful and I was back on my feet in 2 days.

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  • LisaB's Avatar
    Posted by LisaB Thu Jul 16, 2009 3:02pm PDT

    I've gone through 4 deliveries and they were all different. I was one of those mothers who was so proud of the fact that I delivered my sons drug-free. Whether or not you decide to take drugs depends on what you can handle. Whether or not your water has broken makes a huge difference. The sac provides a cushion which makes the contractions more bearable. I was induced with my first child. My water was broken before the pitocin was administered. I delivered him drug-free after 4 hours of labor. I lost my second child at 21 weeks, however I still had to go through labor. Since there was no chance that the hospital was going to save him, I opted for drugs. They gave me stadol. It was horrible. It gave me the bed spins. My third child was born drug free as well..after 1 1/2 hours of labor. My water was not broken until right before I delivered him. The contractions were much more tolerable before the sac was broken. Finally, my water broke at 35 weeks with my fourth child. I was in the hospital overnight and was not progressing. The doctors would not check my progress because I had not been tested yet for Strep B and they did not want to introduce infection. I finally broke down after 12 hours and asked for a walking epidural. The pain was gone immediately. The epidural just numbs a small area; you still feel the pain while pushing. Honestly, I would do it all over again.

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