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Treen
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Topic: Epidural Posted: 23 April 2010 at 3:14pm |
DH has just asked me a question I can't answer (strange but true):
What is the absolute latest possible moment you can have an epidural administered? I'm guessing it's when you're XX cm dialated? One of his friends has just told him that after this point, the pain doubles and he's freaking out (on my behalf).
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RicKer
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Posted: 23 April 2010 at 3:36pm |
I was 7cm when i had mine put in but i don't know the cut off point
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Jaune
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Posted: 23 April 2010 at 3:47pm |
I don't think there is a specific cut off point, it's just that it takes about 20-30mins to sort out, so if you are already fully dilated it's possible that the baby might come before the epidural is administered...
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Raspberryjam
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Posted: 23 April 2010 at 3:51pm |
I was 6cm I think, but have also heard of others fully dilated almost delivering before they have needed one for emergency so I guess it depends on the circumstances and perhaps also the protocol at that hospital
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Treen
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Posted: 23 April 2010 at 3:59pm |
Yeah, I can't seem to find any definite answers. I have been warned by at least 3 women not to leave it too late like they did or they won't give it to you (because of the time it takes to administer and start working). But how do I know when I've reached that point? Talk about confusing!
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High9
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Posted: 23 April 2010 at 4:20pm |
Mealz79 wrote:
I don't think there is a specific cut off point, it's just that it takes about 20-30mins to sort out, so if you are already fully dilated it's possible that the baby might come before the epidural is administered... |
Yup that's pretty much correct! I asked my mw when in labour as I was considering it, she said you can have it whenever just to let her know about an hour before I thought I might like it so it could be sorted out. I asked for one about 4pm, at 4.30 someone came and saw me and asked a few q's etc then about 20mins later they did the epi. But it wore off by the time it came to start pushing and I didn't bother topping it up!
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mummyofprinces
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Posted: 23 April 2010 at 4:41pm |
Generally speaking with a first baby the hospitals tend to not give it from 8cm.... that said there is no actual cut off so it can be different for each person.
Like some else said, they will give you one if you need an emergency section regardless of how dilated you are so it can be done...
I swear I asked and was given and it was working all within 30 minutes but my notes say it took about 90 minutes all up.... so it just goes to show you have no concept of time when you are in labour LOL
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Richie
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Posted: 24 April 2010 at 12:48pm |
I was 6cm when I got mine which was at 9.30pm. That was about 3hrs after I'd asked for it (hospital was busy that day and only one anaesthatist on) It was more so because I'd been in labour for about 19hrs and was absolutely knackered and just wanted to rest but didn't want pethadine. Took a while for mine to work. It numbed my legs pretty much straight away but after about 40mins it started numbing my belly. Was great while it worked and I managed to get a few minutes sleep. It wore off by 4am and the anaesthatist was busy all morning with emergencies etc so had no one to come and top it up. In the end I needed a C-Sec anyway so they did a spinal block.
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Jess439
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Posted: 24 April 2010 at 2:13pm |
I was fully dialated by the time I got to the hospital and my DH asked the MW about me having a epidural just in case, she laughed and said it was waaaay too late! I don't think the contractions get that much worse, just come more often and with shorter breaks.
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_SMS_
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Posted: 25 April 2010 at 7:34pm |
I was 9cm when the midwife suggested i get one, which by that time i was all for it. I was 10cm by the time it was administrated.
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amykt
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Posted: 25 April 2010 at 9:26pm |
I remember asking my midwife the exact same question  She said that there was no cut-off point and I could have one whenever I wanted. As it turns out I had one pretty quickly once I reached the hospital, and had it topped up just before I started pushing which was fab! No pain at all
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hannibal
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Posted: 25 April 2010 at 9:30pm |
Mine was done as soon as my waters were broken, and topped up again about an hour later just as I started pushing, absolute BLISS.
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TheKelly
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Posted: 25 April 2010 at 10:32pm |
both times I asked (read :screamed ) for an epi, both times the mw's said it was too late , interesting that some are given at 10cms !
Well, next time I will know, if they say to me "no , you are too far along " I willl say
" I object !!! The epidural thread on Ohbaby says otherwise ! "
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amykt
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Posted: 26 April 2010 at 8:28am |
hehe Kelly, your post made me laugh! It may depend on what midwife you have. I'd say mine was on the more liberal side of things and was definitely pro-pain relief - one of my prerequisites when finding my midwife
Out of interest, how long after requesting the epi were your bubs born?
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TheKelly
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Posted: 26 April 2010 at 7:15pm |
*cough* who was your mw *cough*
C was born about 20 mins after , Ty was born about 20 as well
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_SMS_
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Posted: 26 April 2010 at 7:49pm |
i was only given the epidural because things wernt progressing. DD was kind of stuck in there so she was born with Forceps.
I remember at my antenatal i was told 8cm is normally the cut off.
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HuntersMama
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Posted: 27 April 2010 at 11:17am |
I think its up to the midwife - I had mine at 4am, started pushing at 6am and DS was born just after 7am. She said that she wouldnt have left it any longer than that. It also slowed things down quite a bit.
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amykt
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Posted: 27 April 2010 at 1:36pm |
Kelly, my midwife was Jan Baker - loved her to bits! Will definitely be going with her next time around - I loved my pain-free birth - wouldn't want it any other way
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emz
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Posted: 27 April 2010 at 2:55pm |
I've always assumed, and was told at AN class, that when you are going through the transition phase (7-8cm) is the last time they can do it, except for emergencies. I had one with DS at 5-6cm due to needing to slow the labour down for various reasons and it was horrible - although apparently it was a spinal block as I got booked in for an emergency c-s.
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Nutella
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Posted: 27 April 2010 at 8:56pm |
Hmm, I wouldn't compare a spinal with an epidural as the spinal takes effect a lot quicker than epi so I imagine if the midwife thinks you are close to pushing she is probably gonna think an epi is a waste of time.
I didn't get to have any pain relief coz at 7cms dilated had my emergency c sect and I always wonder how much worse it was gonna get lol.
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