Painless delivery (Epidural analgesia)
More and more women opting for painless delivery
All mothers who are on the verge of motherhood have one common fear. The fear is of acute labor pain during the time of childbirth. Contact your doctor, and avail epidural analgesia, if medically there is no contra-indication.
In an epidural procedure a small injection is placed in your lower back, through which a fine tube (epidural catheter), the size of a thread, is passed into your back. Drugs can be injected through this tube to relieve the pain of labor. These drugs are local anaesthetics which cause numbing of the nerves and pain sensation without affecting the ability to move. These drugs are also very safe for the baby. The anaesthesiologist and your nurse will check that the epidural is working well.
Painless normal deliveries at Medeor 24×7 Hospital in Abu Dhabi
Advantages of epidural analgesia
- Epidural analgesia makes mother and baby comfortable.
- It brings down high BP which some mother has.
- Good for patient who have heart disease.
- Delivery is faster.
- If required, caesarean can be done with same tube.
- Caesarean can be avoided for patient who wants caesarean for fear of pain.
Disadvantages of epidural analgesia
- Persistent positional headache, shivering, ringing of the ears, backache, soreness where the needle is inserted, nausea, or difficulty urinating.
- Epidural makes pushing more difficult and additional medications or interventions may be needed such as forceps or caesarean.
Recommendations for epidural analgesia
- In some patients epidural analgesia is recommended to optimize outcome.
- If you have complicated or prolonged labor, in such circumstances it will benefit you and your baby.
- If you have certain medical conditions such as certain heart conditions, hypertension & preeclampsia.
Contraindications for epidural analgesia
- Those with certain bleeding disorders
- Those taking medications that can affect blood clotting (Clopidogrel, Heparin, Warfarin, etc.)
- If you have had a lower back surgery (in certain cases)
- If you have certain neurological disorders
- Your obstetrician and anaesthetist will discuss these with you.
Probability of an epidural failure
Occasionally, epidural may not work as well as we would like it to. If this happens, the anaesthesiologist will help by giving extra doses or changing your position or the catheter position. If it still does not work, the procedure has to be repeated (by placing the epidural catheter again).
Epidurals do not increase the chance of a cesarean section.
Seeking for pain relief during labour is mother’s choice.
Discuss with your doctor during antenatal visits.