Is it okay to get an epidural
Of course!!
As a midwife I fight tooth and nail to support my birthing patients in having EXACTLY THE BIRTH THAT THEY WANT no matter what that is. That may mean helping my patients to have an unmedicated birth where they catch their own baby in a kneeling squat, or that may mean advocating for the anesthesiologist to come back from their break to give my patient an epidural when they decide they’re ready for one.
There are risks to using an epidural, sure, just like there are risks to any procedure we do. The main risks are the following:
1 in 100 people have a headache afterward that is treatable and usually goes away within a week
Occasionally the birther’s blood pressure will drop after the epidural is placed, affecting the baby’s blood pressure and therefore heart rate, causing more interventions like more IV hydration, oxygen mask, different positions in bed.
Very very small risk of infection, injury, or bleeding
Possibility that contractions will slow down (this is not research based but related to my professional experience and the timing of when the epidural is placed
Increased risk for having an OP (upwards facing) baby, which makes dilation and pushing slower and often harder.
Once you have an epidural you’re unable to leave the bed for anything including the bathroom, so a catheter is placed in your bladder to drain urine. You can change positions in bed short of actually getting out of the bed.
But here’s the thing - for people who for ANY number of reasons don’t want to or can’t tolerate the contractions, SUFFERING is a SIGNIFICANT risk of NOT having an epidural. THere’s a difference between coping with contraction pain and just plain SUFFERING. I never want my patients to suffer.
Sometimes an epidural can be just want someone needs, too. I have had many patients too anxious to relax and let their cervix dilate and the muscles allow the baby to descend. For them I might suggest an epidural which allows those muscles to relax, they can get some sleep (birth is EXHAUSTING) and then we turn down the epidural so they’re ready to push their baby out!












