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Epidural less effective now?

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Category: Have A Baby?
Forum Name: First baby? Second or more?
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Topic: Epidural less effective now?
Posted By: justme
Subject: Epidural less effective now?
Date Posted: 23 April 2007 at 6:02pm

hi ladies,

I recently visited a friend who has a baby a few weeks prem. I asked her about the birth. She said that it was not at all what she expected. She told me that with her first baby she had an epidural & the same with the recent one but noticed this time it was alot more painful. She noticed the contractions were brought on by the epidural but she didn't get that numbing feeling around her lower part that the epidural gave her last time.

The labour wasn't as long  this time round. So I thought maybe it was because the labour wasn't a long one? - maybe the epidural wasn't in full effect? but I really don't know. She also told me that another friend who just had her 2nd child said she noticed the same thing with the epidural this time.. This kind of worries me.  As she said she anticipated a much less painful birth because the previous one was long drawn out & sounded to me a bit like a breech. For my own interest. I would love to hear if anyone else has heard this or had similar experience. Or maybe knows what may have happened.

Thanks



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Replies:
Posted By: kebakat
Date Posted: 23 April 2007 at 6:49pm
Sorry I can't really help but it sounds kinda weird? I would have thought that if the epidural was done properly it would always have the same effect


Posted By: pepsi
Date Posted: 23 April 2007 at 7:04pm
The only thing I have heard is that the anesthetist can control the amount of epidural they give in terms of whether you want to be totally numb or still have some sensation. Maybe it was just that they used less the second time for both of your friends?


Posted By: yummymummy
Date Posted: 23 April 2007 at 7:11pm
I cant speak from experience but I know from antenatal classes that they used to give a larger doese in the past while nowdays they can control the amount and give you less so you can still feel things and can push when the time is right. Just my 2c worth

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Posted By: Two Blondinis
Date Posted: 23 April 2007 at 7:33pm
when I had mine I still had a sensation so that I could still push, then I had to have it topped up for the CS so I was then totally numb from boobs down.

They do give you a dose to take the edge off the pain at first and can top it up as required. Perhaps yor friends both only got a small amount for a reason?

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Posted By: busymum
Date Posted: 23 April 2007 at 8:16pm
Epidural can be made in different amounts, like Toni said. Usually the longer your labour, the more it wears off so it does seem strange. It could be that she was given a high dose the first time for some reason, or maybe a lower dose for the second baby. Induced labours are usually more intense and if the labour was super-quick the epi may not have properly kicked in.

I think it's more likely though that they missed the spot and the epidural did not take proper effect. But they do usually ask what your degree of numbness is after giving the epi. Perhjaps she should ask her mw about it - and that will probably help her plan (if there will be) another baby.

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Posted By: Peace
Date Posted: 23 April 2007 at 8:29pm
On top of all that great information!
Sometimes epidurals just don't work. I have actually read a couple of birthing stories where the epidural has either not kicked in or kicked in at the wrong time.


Posted By: my2angels
Date Posted: 23 April 2007 at 8:51pm
First time round I felt nothing, no pain at all. Kind of had a twinge when I had a contraction but not painful, ended with a ventouse delivery, didnt feel a thing. Couldnt move my legs at all and had it topped up at some stage I remember that.
Second time round I could move my legs, dont know if i could have stood up or not though but also felt the pain majorly right at the end. The last probably 20 minutes when the contractions were one after the other and felt all the pushing. I only had about 2 hours of it actually working and of that only one side was working for half of it and they came back and adjusted the needle. It was bearable though because it was only the start of the labour and then the last 20 minutes that were painful. Midwife said that if I hadnt of had the epi I would have been through the roof because it all happened so fast and really intense.
But I must say that it wasnt that bad it not being as strong second time round because I wasnt as nervous and scared because I knew what to expect.


Posted By: justme
Date Posted: 24 April 2007 at 5:36pm

 Thank you everyone for your input & helpful advice!

After I had the discussion with my friend and saw how depressed she was. I realised that she was really affected by what had happened. This did freak me out. I have never been through childbirth so always anticipated that it will be very painful by what others have said & also what I have read.  She did say this was definitely her last one after this experience.

 I am concerned that she now has or is developing PND.  All I can do is be there for her & hope she makes it through ok.



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Posted By: BaAsKa
Date Posted: 24 April 2007 at 5:50pm
I agree with the other ladies - my first thought was that it was either not placed properly or just not as stronger dose


Posted By: Kellz
Date Posted: 24 April 2007 at 6:54pm
I have been majorly affected by my birth experience, I wont go into too many details cos I find it hard to talk about and it would put anyone off,..but my epidual didnt work near the end,..I was in extreme agony and the dr didnt believe me cos I had an epidural in. He only realised when I screamed when he started to stitch me up, cos I was talking to DH and didnt know he was about to stitch me.
I wish I had talked to someone "professional" about it. We did talk to our midwife, and did think about making a complaint.
I was ,..and still am so sleep derprived that I find it hard to talk about anything emotional.
I would suggest if she feels up to discussing it then she should get a referral to maternal mental health from GP or maybe plunket.


Posted By: justme
Date Posted: 24 April 2007 at 7:08pm

Yes, well I've been thinking that if do lower the dose now maybe they had given her a lower dose of epidural  because she's a really small build. Maybe they work it out dosage by your weight?. hmm..

It's scarey to think that maybe they didn't place the epidural properly.

Well, back to my breathing exercises. Don't want to rely on the epidural to get me through!



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Posted By: justme
Date Posted: 24 April 2007 at 7:23pm

Thank you kellz,

You poor thing. I appreciate that you shared this. I am really sorry that you had such a traumatic birth experience.

I hope time is helping you heal.



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Posted By: fattartsrock
Date Posted: 24 April 2007 at 7:33pm
Originally posted by Kellz Kellz wrote:

I have been majorly affected by my birth experience, I wont go into too many details cos I find it hard to talk about and it would put anyone off,..but my epidual didnt work near the end,..I was in extreme agony and the dr didnt believe me cos I had an epidural in. He only realised when I screamed when he started to stitch me up, cos I was talking to DH and didnt know he was about to stitch me.
I wish I had talked to someone "professional" about it. We did talk to our midwife, and did think about making a complaint.
I was ,..and still am so sleep derprived that I find it hard to talk about anything emotional.
I would suggest if she feels up to discussing it then she should get a referral to maternal mental health from GP or maybe plunket.


I had a very very similar experience with #1, and it was so traumatic, that I became very depressed during this pregnancy thinking about giving birth, and even worse when they pulled all epidural and non emergency c sections services (I was hoping to have an elective c section as my ewxperience last time was horrid.) Thankfully, this time round, the epidural worked, and I found the whole experience awesome, and no where near as bad as first time. Having said that, all labours and births are different, so having no problems first time dosent always mean #2 or subsequent births will go the same way.
Also, Kelly, I really feel for you chick.

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The Honest Un PC Parent of 2, usually stuck in the naughty corner! :P


Posted By: fattartsrock
Date Posted: 24 April 2007 at 7:35pm
Oh yeah, I meant to add, all services were reinstated shortly before I had Charly, much to my relief, although I still was unable to get an eletive c section.

Justme, I hope your friend has been able to talk to someone about her ecperience.

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The Honest Un PC Parent of 2, usually stuck in the naughty corner! :P


Posted By: Kellz
Date Posted: 24 April 2007 at 8:10pm
Thanks Annie,..good to know you had a much better experience second time around.

Justme, Im not sure how the epidural dose is calculated, but the anaethetist that puts in it, writes up a prescription for it, with a dosage range, so that it can be increased by the staff if needed. Mine was in for 12 hrs at the same rate, then taken out about an hour after I gave birth.
The coverage of the numbness depends on how it is placed, like sometimes one side is more numb than the other. The midwife has to regularly check where u are numb using ice or cold spray.
I would recommend anyone who needs one ask the anethestsit to explain the risks etc prior to doing it ( they legally have to do this anyway),... but mine just did it,..then after he made a mistake and went in to far, then had to do it again..then he asked for consent.


Posted By: Maya
Date Posted: 24 April 2007 at 8:40pm
Hugs Kellz, that sounds awful! You know where to find me if you need to talk about it!

Re: the epidural, I agree with some of the others that it sounds like the epi wasn't sited properly. I had an epi with Maya and I could still feel the contractions and urge to push but not the intense pain of the contractions.

I had a failed epi with the gremlins, it was numb initially after it was first inserted, and my blood pressure dropped dramatically and I got quite nauseous all of which also happened with Maya. I wasn't in labour at this stage, they broke my waters a wee while later and started synto to get labour established.

As soon as I started getting contractions I realised that the epi wasn't working properly (or at all) and I could feel all of the contractions. The m/w offered to get the anaesthetist resite it but I was coping OK and persevered and ended up delivering both babies with no pain relief. On average epi top ups last 1-2 hours, mine was last topped up at 3pm and the gremlins were born at 19.45 and 19.48.

There is an organisation called TABS which has been set up to help women deal with traumatic birth experiences, I can hunt down some contact details for anyone who's interested.



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Maya Grace (28/02/03)
(02/01/06)
The Gremlins:Sienna Marie & Mercedes Kailah (14/10/06)
Lil miss:Chiara Louise Chloe (09/07/08)
Her ladyship:Rosalia Sophie Anais (18/06/12)


Posted By: Kellz
Date Posted: 24 April 2007 at 8:45pm
DH would be keen to go to the TAB lol


Posted By: Maya
Date Posted: 24 April 2007 at 8:54pm
LMAO, so would mine. He was telling me all about how he is going to buy some more mussels tomorrow to preserve until I pointed out that the shops are closed. Duh! Men!

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Maya Grace (28/02/03)
(02/01/06)
The Gremlins:Sienna Marie & Mercedes Kailah (14/10/06)
Lil miss:Chiara Louise Chloe (09/07/08)
Her ladyship:Rosalia Sophie Anais (18/06/12)


Posted By: justme
Date Posted: 24 April 2007 at 9:23pm

Yes, thanks fattartsrock, your first birth experience sounded a a tough one too, sorry to hear this.  How relieved you must have been with your second birth! I'm really glad second time round was good to you  

My friend has spoken to me about her experience & to one other friend.  She is normally quite social but alot quieter these days which is why I believe she may have PND. She's very head strong so I'm not sure if I can actually say - do you have this? I think she does & with her personality I'm best not to say anything but just be there for her. Listen & talk with her, visit her & phone her to see that she's doing ok.  She hugged me so tightly when I left the other day. I could just feel that she appreciated me coming round

Kellz, thanks, I remember now that I have a pamphlet  which mentions talking with your anaesthetist - pamphlet came with my pregnancy info pack from my GP. I must dig it up & read through what it says & hopefully this will help me to be more prepared.

Thanks Maya, your latest birth sounded pretty scarey too! I'm not sure if I would be so brave! Certainly does look as if the epi may not have been sited properly! Pretty scarey thought all the same! . Yes please if you do find the TABS info & it's not a hassle. I'd appreciate the contact details. Maybe we might get to a time where she might accept outside help. Then I would love to be able to help her further.

Thanks everyone, you have all be so helpful!



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http://lilypie.com">


Posted By: Maya
Date Posted: 24 April 2007 at 9:28pm
Funnily enough I actually found their birth really empowering. I went into the labour thinking I'd probably end up with a c-sect so to have such a great outcome was really awesome, and delivering them without pain relief has given me the courage to consider a Birthcare birth next time around (if Willie gives in and lets me have my 'next baby' )

The TABS info wasn't so hard to find lol, I typed in http://www.tabs.org.nz/ - http://www.tabs.org.nz/ and up popped their website. Hope it is helpful in some way.

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Maya Grace (28/02/03)
(02/01/06)
The Gremlins:Sienna Marie & Mercedes Kailah (14/10/06)
Lil miss:Chiara Louise Chloe (09/07/08)
Her ladyship:Rosalia Sophie Anais (18/06/12)


Posted By: Kellz
Date Posted: 24 April 2007 at 9:45pm
Thanks for that Emma.
Hmmm,..interesting,..I had a look and could tick 10 of the common risk factors, and I dunno if u can self diagnose,..but looks pretty likely when I looked at the diagnostic criteria that I probably have post traumatic stress disorder.Hmmm!
Looks likely that your freind could have this too.


Posted By: my2angels
Date Posted: 25 April 2007 at 6:32pm
When you get an epi they check the level of numbness by putting a cold pack down your body, they can then tell how far its effected and if it needs more or less etc... My main reason for the epi was because I couldnt stop throwing up due to the pain, I mean constantly from the start till I got the epi and I have a phobia about vomiting (yes another phobia, what a surprise) Im scared Im gonna choke. Anyway that was also my biggest fear with addison, that I would vomit the whole time again but when I started retching they stuck in the epi and I was sweet! when the pain started with Addy the hospital midwife who was covering my midwifes break was busy telling me that it couldnt be contractions because I had the epi and they werent registering, when I told her to go get my f#*cken midwife she realised that maybe I was actually in pain!!!!!


Posted By: justme
Date Posted: 26 April 2007 at 11:55am

Thanks for finding that TABS site emma

That's awesome that you found the births empowering - And even more comforting to hear that you have thoughts about having another - this shows the experience certainly didn't put you off - Yay! 

Thanks my2angels - you poor thing with throwing up - wonder what I'll be like! I know that I'm a big sook so I'll have to be brave!

I can understand now thoough why they have lessened the dose, it makes perfect sense they want you to be able to use some of your strength to push rather than not feeling a thing after the epi & going limp then having to have an assisted birth which more often than not means they will cut you & have to use  forceps/suction cups to pull bubs out.. ouch. II've been a bit lazy but 'm off the gym again tomorrow. Gotta strengthen those muscles!!

Thanks alot  It really does help to hear different experiences. I understand how the process works more & believe talking about it is really helping me to prepare for DD.

 



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Posted By: Kellz
Date Posted: 05 May 2007 at 3:02pm
Originally posted by Kellz Kellz wrote:

Thanks for that Emma.
Hmmm,..interesting,..I had a look and could tick 10 of the common risk factors, and I dunno if u can self diagnose,..but looks pretty likely when I looked at the diagnostic criteria that I probably have post traumatic stress disorder.Hmmm!
Looks likely that your freind could have this too.


Sorry to thread jack,.again,..but I have been diagnosed with PSTD now, and was wondering how your friend is going, Just me?


Posted By: justme
Date Posted: 07 May 2007 at 10:46am

hi kellz,  I'm sorry to hear about your diagnosis. I hope your are ok. How are you doing?

It is more of a personal diagnosis with my friend - some of the things I see in her aren't how she was before - but I also realise that baby was quite prem & wondered if this was part of her being down too... I am not that close to her which makes things a bit difficult. She also doesn't live that close to me - I was envolved in a car accident a little while ago so I don't have the transport to go visit her unless I am with hubby. Also one of those things I don't think she would talk about with hubby there..  

I feel in an awkward space because I want to help but have no idea how to.

Personally I am dealing with a high risk pregnancy so I can't get too stressed - i have to look after myself  too.  I'm not much help other than fretting for her & wishing I could do more. I don't know any of her friends or have contact details for them. My only contact with her is her mobile. I phone & text saying hi, hope you're having a good day etc - how are you? etc etc... I realise that even though her & I havn't known each other for as long or spend as much time together that she is comfortable sharing things with me but she just won't talk to anyone medical about it



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Posted By: Kellz
Date Posted: 07 May 2007 at 1:44pm
Sorry you feel so helpless. Your friend is lucky to have you looking out for her, and its good she feels comfortable sharing things with you. I guess all you can do is let her know you are there for her if she does want to talk about it, and now u have info you can give her is she asks. I might take a while til she is willing or ready to accept medical help.

It took me a long time to get to the point where I could accept that I these feelings werent going to just go away if I tried not to think about it, or with time, or if I just had more sleep, and that I couldnt just deal with it by myself. That in order for me to really truely feel better I was going to need some Professional help.
I knew I wasnt depressed, but until Emma posted that info on PTSD related to birth experience, I had just thought I was being silly or weak or whatever having these feelings.



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