Hi E. –
The question of whether or not to get an Epidural can only be answered by you and your partner.
The fact that you state you are doing research about the Epidural shows that you care, that you want information, that you have concerns. If there is anything you get from this response I hope it’s this – NEVER make decisions for anything, especially your pregnancy and birth, based on fear and guilt.
When you are truly informed and you make a decision to use a particular procedure, test, drug, etc. – it’s called Informed Consent. And when you make a decision to AVOID drugs, tests, procedures and routine interventions – it’s called Informed Refusal.
Consider taking a quiet introspective moment and ask yourself several questions. What exactly are you nervous about? What are your fears? Is your anxiety and fear rational? Ask your baby how he/she feels about this as well.
My experience has been that many, many, many mothers make choices in childbirth based on fear of the unknown, fear of pain, fear of behaving in a particular manner, fear of what others will think or say, etc. etc. The list could go on. Don’t allow this to happen to you.
You said you are doing research. Please remember, your decision to get an Epidural should not be about what you or others believe or not believe, or how you feel about the Epidural. What does the research, the studies, and the evidence show?
The truth is Epidurals are not a safe choice. Epidurals (or any drug and medical intervention) are not your only option. Epidurals can and do have devastating consequences. These statements are not intended to make anyone feel guilty or bad for their decisions. If a woman was never given complete and proper information, if the risks were never fully disclosed, she was never truly Informed. That is not her fault.
E., there are pages of information on the risks of all drugs used in pregnancy and birth. I am going to include a small list here at the end of this post. However, if you would like more information, please contact me off list so we can communicate further on this topic.
Making the decision to avoid drugs during childbirth is not about being a martyr. It’s not a decision made by “crunchy” women alone. Women like yourself who want to know the truth, research and discover truth. They also look into their options.
Having a Birth Doula has been proven to be very beneficial to mothers during childbirth. The research shows that mothers who have a Doula vs those who choose the Epidural rate their “pain” level the same. With a Doula, there are no negative side-effects, nor are there other medical risks.
If you would like to continue this discussion, or would like further information, please contact me off list.
L. Leavy, CD, HCHI, CHt.
ALACE Birth Doula / Hypnobabies Childbirth Hypnosis Instructor
Founder Mothering & More Birth Network
State Coordinator Operation Special Delivery, PA, NJ, DE
www.MotheringandMore.org
www.MySpace.com/Hypnosis4Childbirth
Reported Side Effects of Epidural Anesthesia
Mother: Additional interventions
• Restricted mobility, IV, and EFM (all epidural patients)
• Increased likelihood of bladder catheterization, oxytocin administration, internal monitoring
• Increased likelihood of operative (i.e. forceps, episiotomy, cesarean) delivery
• Automatic blood pressure cuff throughout labor
Mother: Short term
• Dural puncture
• Hypotension (29%)
• Nausea, vomiting, shivering (frequent)
• Prolonged labor
• Uneven, incomplete or nonexistent relief
• Feelings of emotional detachment
• Respiratory insufficiency or paralysis
• Convulsions
• Toxic drug reactions
• Slight to severe headache
• Septic meningitis
• Allergic shock
• Cardiac arrest
• Maternal death
Mother: Long term
• Neurological complications
• Backache (weeks to years)
• Postpartum feelings of regret, loss of autonomy
• Fecal and urinary incontinence or bladder dysfunction (inability to urinate)
• Paresthesia ("pins and needles")
• Loss of perineal sensation and sexual function
Baby
• Direct drug toxicity
• Fetal distress, abnormal FHR (can lead to emergency cesarean)
• Drowsiness at birth, poor sucking reflex
• Maternal fever (impeded thermoregulation from numb skin) leads to fetal hyperthermia and neonatal NICU workup (spinal tap, etc.)
• Poor muscle strength and tone in the first hours
• Neonatal jaundice
• Decreased maternal-infant bonding
• Behavioral problems
• Hyperactivity up to seven years (suspected)