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busybee
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Topic: Pain relief in labour Posted: 08 December 2009 at 8:32am |
Up to now I have been convinced that I will be having an epidural for the pain in labour and now I am not too sure and it has turned my view of labour on its head. Apparently it slows down labour and increases the likelihood of a forcepts/ventouse delivery or a c section dramatically. And I am dead set against forcepts/ventouse. I don't really think hypnotherapy or breathing is going to do it for me as far as pain relief goes, I am someone that grabs for the panadol at the slightest idea of a headache. I would love to hear what you guys think. Anything really...anyone had a good vb after epidural, anyone using the gas or other pain relief...and anyone that went all natural..or waterbirth?
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HippyMama
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Posted: 08 December 2009 at 8:37am |
I had a water birth with my first baby (at hospital) with maybe a suck or two on the gas to help me breathe through transition - did sweet stuff all for pain relief LOL Labour was about 13 hours all up.
With my second baby I had a home birth so no pain relief drugs at all, and it was really over too quickly to bother anyway - 1.5 hours active!
For me at least, breathing and hypnotherapy techniques worked very well, as well as vocalising through each contraction.
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Remember, you are not managing an inconvenience; You are raising a human being. ~ Kittie Franz
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kebakat
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Posted: 08 December 2009 at 8:49am |
With Daniel I sucked on gas. I don't know how much it actually did as far as pain went but the one really good thing I found with it was that I focussed really hard on my breathing which worked as a good distraction. He was also a posterior bubs which is meant to be more painful especially in the back. His labour was approx 10 hours
With Jared he was induced and was told that the preterm labour and the speed in which it would happen would be way worse than a "normal" birth. They were fully prepped to give me an epidural but I did it on gas an fentnyl (similar to pethidine) and pushed my waters, Jared and placenta out in one go. My waters didn't burst until they hit the table  . That labour was about 2hrs all up
I'd rather not have an epidural. The pain stops immediately once bubs is out and I'd rather not risk the side effects of having a needle shoved in my spinal area. Thats just me. But I loved gas and loved fentnyl
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toniellis
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Posted: 08 December 2009 at 9:48am |
I had an epidural the first two times, both ended in c-sections.
#3 I had a waterbirth, no pain relief and it was fine.
I have a really low pain tolerance so I didn't think I could do it but I did.
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bext1
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Posted: 08 December 2009 at 10:46am |
I managed to suck down about 1.5 bottles of gas with DS1. To be quite honest, I probably huffed more than I was meant to and I was a bit spaced out, but in terms of pain, not too bad!! I also spent the first part in the pool which helped too, as it's relaxing.
You have to remember that while it will hurt for the labour part, generally once baby comes, you will totally forget that pain!
the twins were born by c-sec planned and it was an epidural - no pain at all, and it went smoothly.
Good luck with whatever you choose
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Nutella
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Posted: 08 December 2009 at 10:55am |
I am trying the tens machine as my main pain relief but obviously have a few weeks to go before I can tell you how it went!
Might suck on some gas as well, but benefit of tens machine is that I can keep on walking about...though the gas might be used later on during active labour.....
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Febgirl
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Posted: 08 December 2009 at 11:22am |
I think the best thing to do is go in with an open mind - plan to start out with the gas, then if it's too much you have the option of an epidural.
I don't have a particularly high pain threshold, but didn't end up needing more than the gas, so you might surprise yourself. Just remember that it's not a constant pain when you're in labour - yes the contractions hurt but they only last for a minute or so, and there isn't pain as such between them so you do get a break.
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Mum2ET
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Posted: 08 December 2009 at 11:35am |
I totally agree with going in with an open mind.
With Ella I coped without any pain relief until I got to around 6 cm then my labour slowed down a lot- I then started on the gas, which didn't do a thing for me and just made me want to throw up all the time. I was going OK, until Ella turned postier and I had the most awful backache (something I never knew could happen) so I had to have an epi. I do believe this did slow down my labour even more and I ended up having a ventouse and a 3rd tear......but I still don't regret having the epi as it was what I needed at the time.
This time I am going to try a waterbirth, and if the pain gets too bad I am not adverse to having an epi again (although I would prefer to avoid it if possible) but am definitely not having the gas.
Research all your options (antenatal class should help with this as well and they should go through the pro & cons of each) and then decide what will work for you & your baby.
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crafty1
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Posted: 08 December 2009 at 6:01pm |
I had panadol and some time in the pool for my first baby. That was fine until about transition when it started to hurt a bit but by then the end is in sight.
I was really anti having an epi for the same reason you say, that it would just slow everything down and start a cascade of events that would have it all beyond my control.
I'd rather be in more pain and get it over with iykwim. Less risk to all involved and a nice alert baby and mummy straight away. Ditto what one of the others said that you have the pain during the contraction but in between there is no pain so you just have to get through that bit.
I have had friends though who had the contractions one upon another without breaks and in those cases people often need the epi as they just get too tired and it just gets too much.
It's hard to know what your labour will be like so get your plan sorted and stay positive knowing that lots of people have natural births with no procedures. But if you need something you need it, it doesn't mean you failed, it just means you had a hard labour and used what was available to you. They are all different and as long as you get a healthy baby at the end then mission accomplished.
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angel4
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Posted: 08 December 2009 at 6:56pm |
go in with an open mind. I was terrified of an epidural and really didnt want one. However i was quite willing to use gas. I do not have a very high pain threshold (im a wimp ask anyone who knows me). I didnt end up using anything. Hormones worked great for me and i just went internal and focused completely on contractions. The thing i found great was that you do get breaks. It hurts like **** for the contraction and then you get a break to prepare for the next. Except at the end of course. Also the pain is mostly gone as soon as baby is born. My advice would be stay upright as much as possible as that will make things smoother.
My labour was 5 or so hours active oh and he was prosterior. This time i am hoping to use water as last time the one shower i was allowed was bliss. Maybe you could consider using the shower or a birth pool. Good luck
Edited by angel4
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SpecialK
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Posted: 08 December 2009 at 8:10pm |
Well, I was also dead set against an epidural for all the reasons you mention. I was coping ok with panadol and rescue remedy, but it go to the point where it wasn't progressing and I needed syntocinon, my ob estimated I had another 4-5 hours to go (correctly, as it turned out) and suggested I think about pain relief. Gas didn't do anything for me except make me feel sick, I then spent an hour (!) talking to the midwife about pros and cons of pethidine vs epidural, and decided on an epidural. Best thing I could have done! It was in in under 2 min, completely painless, immediate pain relief although I could still feel the contractions and could feel to push. Had a totally normal VB, only side effect was fluid retention but that went within a couple of days.
It won't be my first choice of pain relief in the future, but like others said you need to go in with an open mind - you might find you cope just fine without it, but then you might find the pain too much and an epidural might be an option.
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gossamer
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Posted: 08 December 2009 at 8:22pm |
Like others have said, you can really surprise yourself I think. I never thought I had a good pain tolerance at all, in fact i considered myself pretty pathetic, but ended up having a drug-free labour much to my shock! Thats not to say I did not ask for an epidural  but by that stage I was 15 mins away from meeting my bubs, so not only was it not possible, most of the hard work was already done!
And like others have said, until you hit transition (which can be a bit tough), you wouldnt expect to be in constant pain so its just managing the contraction when you get it, and then you get a minute or two to relax in between.
I guess the most important thing is to keep an open mind? Thats what im doing, I would love to have a similar birth this time but am totally open to whatever I may need.
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emz
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Posted: 08 December 2009 at 8:42pm |
I've had both ends of the spectrum.
#1 was a complicated birth, he was posterior and his head was tilted funny, distressed and my BP was dropping. The contractions didn't stop (they were, at 3cm, what they should be at 10cm). So had to have an epi, not mainly for the pain (although thank god I did!) but because we had to slow the labour and get myself and DS well enough to go through the birth. It did slow the labour down a bit but then had syntocin. He was a ventouse delivery. The main thing I hated was not being able to feel a damn thing (but I had a full spinal block rather than a lower epi). Was booked in for an emergency c/s but we managed to get him out. Labour was just under 7 hours. (Decided against pethidine as I get really sick on it, and gas didn't do anything as I was in too much pain to focus on breathing).
#2 - labour was 47 hours  But she wasn't posterior, distressed and I was well. I used the bath until 1 hour before she was born. At hospital (only there for an hour, as active labour was only 3 hours) I had gas. The pain relief wasn't that great, it's more for distraction.
I personally would go for an epi over pethidine. And my m/w told me not to waste money on a TENS machine because by the time you need pain relief you need more, and it restricts your movement/ability to get in water for long periods etc.
BTW I much preferred my 2nd birthing experience. It was a lot easier to be able to walk straight afterwards etc. But the first birth was a bit of a pain from the get go so not the best to compare to.
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Posted: 08 December 2009 at 8:47pm |
Def keep an open mind. I had a pretty fast first labour ( 3 hrs established labour) I used the bath/shower at home and really concentrated on breathing. I found sitting on the loo backwards really helpful as well.
I didn't want to have any pain relief ( I was more afraid of the needles that the pain  ) and didn't have any.
The contractions didn't get BAD till after I got to hospital and the I just really concentrated on my breathing.
One thign my mw sugested was that before the birth to practise breathing when you hurt yourself( stub toes etc) and its azing how much it helps that pain too
I am planning a home waterbirth this time so no pain relief will be available.
like angel said keeping moving is really good and try not to tense up too much.
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hannibal
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Posted: 08 December 2009 at 8:56pm |
I had an epidural and I'll put my hand up again if I have another one! Apart from having it inserted twice (the anaesthetist got blood in the 1st line) no problems at all, five hours later bubs in my arms straight forward delivery no tearing at all (no stitches), no pain and up moving around next morning no problems. The most painful thing was having the lure insert in my hand and my waters being broken. I had been induced and the line was in within an hour, unfortunately I had high blood pressure so my midwife wasn't mucking around and it was all go very quickly, and I am so glad I didn't need a c/s. Good luck!
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busybee
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Posted: 09 December 2009 at 8:07am |
Thanks guys, there are so many things to concider and it is all rather confusing. I suppose I'll have to have a talk to my ob when I see her again. The one thing I am still wondering about is at what point do they decide to give you a csection and by when is it too late? I will have a chat to her about the whole thing. It's great to hear all your experiences. My mom says that her labour wasn't bad with either of us and was around 3 hours. I know that it is nothing to go by but a girl can hope that it runs in the family.
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Inlove28
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Posted: 09 December 2009 at 12:13pm |
I too agree on having an open mind... this is my first so I really have no idea of the pain ahead of me but biggest thing I have been told is going in there and expecting the unexpected
Im choosing (as long as bubs is happy) to have a water birth this will be my pain relief. Im dead set against having any drugs as I have read up in length about the side effects it causes your baby after birth, and see it as its not just me going through all of this. But thats only how I view it of course and I might get there and decide I NEED it???
You could also look into acupressure which your support person can do to help with the pain. Good luck with your decision
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_Deb_
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Posted: 09 December 2009 at 12:47pm |
Well i've had to be induced with the drip with both my labours because labour didn't progress after my waters broke.
With my first i ended up having an epidural which i hadn't wanted. The doctor really pushed for it, saying it would reduce the chances of me needing a c-section. Plus the drip made the contractions come on really close together and intense. That ended up being a horrible birth with complications and the ventouse was used. I lost 2 litres of blood, tore twice and had horrible vomiting after. Baby was fine and healthy though.
With my second birth it was WAY better. My daughter arrived 5 hours after the drip was turned on (was 12 hours for my son), only 3.5 hours established labour, 15 mins pushing. No complications. Just a couple of grazes. I managed with just the gas that time. Before i started using the gas i just concentrated on my breathing. The contractions got pretty intense for awhile but i just focused and got through it. Recovery was SO much better this time.
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