Hey Mama, this episode is an educational training on key information and common questions about epidurals.
Trish covers when to get an epidural, its effects on labor, and debunks myths such as epidurals increasing the likelihood of a C-section or causing permanent back pain.
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Other topics covered include epidural side effects, such as blood pressure drops and epidural shakes, and the importance of purposeful positioning after receiving an epidural.
Trish encourages everyone, whether or not you’re getting an epidural, to be prepared for laboring at home, to understand your pain management options, and know how to navigate epidural-related decisions.
Tune in for practical tips for getting an epidural and resources.
00:00 Introduction and Fearless Birth Experience
00:33 Uncommon Facts About Epidurals
01:27 When to Get an Epidural
05:52 Myths About Epidurals
10:09 Side Effects of Epidurals
13:09 Practical Tips and Conclusion
More from this episode:
Comment #EPIDURAL on any Labor Nurse Mama Instagram post or reel for your FREE Epidural Prep Kit.
Read the blog Birthing with an Epidural? Here’s What You Need to Know About Laboring Down
Resources:
🎙 FREE Birth Workshop: 3 Secrets to a Confident Birth! 🎙
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Connect w/ Trish:
For more pregnancy & birth education, subscribe to The Birth Experience on Spotify, Apple Podcasts, or wherever you listen to podcasts.
Next Steps with LNM:
If you are ready to invest in your pregnancy & postpartum journey, you are in the right place. I would love to take your hand and support you in your virtual labor room!
If you are ready to dive into a birth class and have your best and most powerful birth story, then Calm Labor Confident Birth or The VBAC Lab is your next step.
If you have a scheduled cesarean, take our Belly Birth Masterclass and own that experience.
If you are a newly pregnant mama or just had the babe, you want to join our private pregnancy and postpartum membership, Calm Mama Society.
Remember, my advice is not medical advice. Always discuss what you learn with your team. See my Disclaimer here! Also, We make a small commission from some of the links (you don’t pay any more for using our links); however some of the recommendations, we do not earn anything; we love ’em and want you to know about them.
Transcript
If it's in between our live events, you can do our special little mini one. All right, you guys, listen in as we chat about some uncommon things that you may not hear about epidurals.
e, but I'll try to remember. [:I don't know if it's ready. Instagram has changed some things, so if you're not following somebody and they say comment whatever word to get my freebie, you won't get it unless you're following them. So you have to follow to be able to get the free epidural guide when it's ready. Yes, I am. So specifically what I want to talk about today are my most asked questions about epidurals.
And that is, when should I get one? Will it affect my labor? And what are the side effects? So we're going to talk about those different things. And so the very first thing obviously epidural is a form of anesthesia for labor. It blocks the pain, hopefully from about here down. You really, you have to make a decision.
ement plan? And I'm teaching [:So we'll talk about the, when is the best time to get your epidural? That's going to be the first step, right? Okay, so here's what I teach my students inside my classes.
es to pain because every one [:You're going to take this. Every one of you guys unless you're having a scheduled C section, every one of you guys are going to deal with the pain of labor. Now, my gifting and my jam is to help you guys not be afraid of the pain of labor, because you 100 percent should not be afraid. You do not need to be afraid.
Okay, so here's what I want you to know. You have to have your tool bag filled with unmedicated pain management.
options for when you're laboring at home. So everyone always says to me, when should I get my epidural? Like, when do I know? If you follow my training for staying at home, and I equip you for that, so you're not like at home, a hot mess, freaking out. Most of my students get to the hospital at seven to eight centimeters.
So they're not getting there [:So if you follow what I teach you inside of my classes, you're going to stay at home longer than the average bee. and you're going to get to the hospital at the perfect time to get your epidural. So that's what I say. When is the best time to get my, your epidural is when you get to the hospital if you follow my training.
Now for the rest of you guys, if you get to the hospital and you're only a couple centimeters, I recommend that you wait until you're about five centimeters off. or you just can't deal anymore. So that's when I recommend you get your epidural. Usually four to five centimeters. Now the thing is, is that some of you guys won't even be laboring that much at four to five centimeters.
e walking around for four to [:It also is about your personal comfort, your personal pain tolerance level. One of the things that I pride myself on is helping you raise your pain threshold before you go into labor. And there are scientific, proven ways to do that I teach you guys. But again, if you in your head are saying to yourself I need my epidural to cope, get your epidural.
. But what I do want to talk [:What will slow down your labor is two things. Getting it too early. and stopping moving or just not moving. So when you get your epidural, we actually have a guide for this. I think it's like 7. I don't remember. I think if you comment hashtag labor, you can get it. But if you're planning on joining the classes, you'll get it.
So don't do that. But we have a guide that we teach you how to move properly to still allow the baby to move down into your pelvis. after you get your epidural because what happens and why so many people will tell you that their labor slowed down after they got their epidural, it's because they stopped using purposeful positioning.
ving and opening your pelvis [:Okay. See, so someone just said I got mine at six and got to 10 in less than two hours when I was using purposeful positioning. Yes, that's right. That is, and that's why my course is called Purposeful Positioning. Another thing is epidurals will increase your likelihood for a c section.
No, they won't. What increases your likelihood of a c section is your ding dong doctor, actually. Probably shouldn't have said that, but not knowing. How to navigate interventions, not knowing how to say no can increase your chances of a c section. Epidurals, again, do not increase your chance of a c section.
reases it is not moving, not [:So you're a fall risk. You cannot move your legs. So when I'm talking about purposeful positioning after an epidural, it's in the bed. And you can do so many movements with an epidural, including hands and knees, squatting, all sorts of things. Okay, the other thing that I just want to squash right now that a lot of people believe is that an epidural can cause permanent back pain.
u definitely want to explore [:It's not. Okay. So another thing is if you have scoliosis or you have some sort of spine deformity, what I recommend to you guys is, yes, Some of you can still get an epidural, not all of you, but what you need to do is talk to your obstetrician or your midwife and ask them if you can have a consult with the anesthesiologist team at the hospital that you're delivering at.
Then you go in, do a consult, they can check your spine and that way you're not surprised in labor They say, no, you can't get one, or yes you can. So you already know if for some reason you cannot get an epidural. So who could not? Who would fall into the category for not getting epidural? That's gonna be someone who has a spine deformity that they can't put one in.
prior to being admitted, you [:Okay, so we're going to talk about side effects. The most common side effects that I've 16 years. First is a drop in your blood pressure. This can be very common. What we do to try to prevent that is we give you a bolus of IV fluids prior to giving you your epidural, and that balances out. So what I tell my personal patients is that when you get your epidural the person who can tell us if that's going to happen is you.
again, you just went through [:And we need to monitor you for a, good amount of time. The blood pressure dropping though, before it starts dropping, you usually know it's going to happen because you don't feel right. So let your nurse know that. If your blood pressure drops, then the baby's heart rate can drop. So we don't want that to happen.
If for some reason your blood pressure does drop, anesthesia is going to come back in the room. They're going to give you some medications and help it get back up, put some oxygen on you. Okay, so one of the other side effects that happens a lot that people are not perfect prepared for is the epidural shakes.
huge deal and it can be very [:Do not ask me why. Someone said I was shaking before and after I got it, so I'm not sure if it was the transition or epidural. So transition can cause a epidural, it can cause shaking, but it's different. But the shaking afterwards from the anesthesia is very annoying and it does not stop. Transition shaking actually stops.
lp you take a nap, and minor [:A severe headache, like a headache that is like no other, that one's going to have to be treated, and they do that a certain way. So one thing that I want to recommend, and this is what I tell my personal patients, a lot of times when you get an epidural, maybe you've had prodromal labor for a couple days, you've gotten to the hospital, you've been laboring in early labor, now you've got your epidural, and suddenly you're not feeling the pain, you're comfortable, and a lot of moms will want to entertain, or stay awake and hang out, maybe update their family because they haven't had time because they've been laboring.
ue out if you get the shakes.[:Benadryl if you get the itch. And take a nap. Okay, this was a short little training topic. I hope you guys enjoyed that. We also have an epidural prep kit that we give away. If you comment hashtag epidural, you'll get it sent to your DMs for free as long as you're following me.
If you're not following me, you have to follow me first, then comment hashtag epidural.
Alright you guys, have an amazing afternoon, I love y'all, and I hope you have an incredibly powerful birth.
Hey mamas, I hope this helps you prepare for your epidural. I know it's a little bit different than my normal teachings on epidurals. We have other podcasts and videos on Instagram, but I wanted you guys to have some practical tips so that if you're planning to get an epidural, you know when to get to the hospital, when to ask for it, and what to do if you experience an epidural.