Whether you visualise having a drug-free water birth or are ready to sign up for every drug you can get your hands on, knowing all about what pain-relief options are available will help you make the right choice in labour.
It takes around 20 minutes to work and the aim is to help you relax – pethidine distracts from the pain, rather than prevents it.The injection lasts a couple of hours, then you can choose whether to have a top-up.It can be given in early and mid-labour, but timing is key. If you have pethidine before labour is established, it may slow things down. But, if the injection hasn’t worn off by the time you’re 10cm dilated, it can make it difficult to push.Having a dose at the end of labour.
An anaesthetist has to administer an epidural, so you need to be in hospital. They are often very busy, so think about requesting it early.‘A local anaesthetic is injected into your spine through the small of your back,’ says obstetric anaesthetist Dr Mike Kinsella. ‘It’s the most effective form of pain relief, and will leave you numb from your stomach to your toes.’After the epidural has been set up, a midwife will top it up or you might be able to do this yourself.
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