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Drug-free to Epidural?

post #1 of 26
Thread Starter 
I posted in my ddc, but I think this is the more appropriate forum.

Anyone have a healthy natural, drug-free birth (home, birth center, or hospital), and then choose to have a hospital birth with an epidural the next one (or are planning it for this one coming up)??

I'm really struggling with this and just want to see if I'm totally crazy for even considering, or if others have been, or are in the same boat!
post #2 of 26
Ok, so first birth I had an epidural etc, horrible birth ended up with PTSD.

Unsurprisingly, I considered a c-section for the baby number 2 and then decided that was being defeatist and opted for a home birth.

Had baby number 2 at home, it was a 12 huor labour and really, it was good, but the pain............ Baby was back to back for a lot of the labour, 3 hours of pushing, 2nd degree tear running the whole of my perineum (thankfully it didn't affect muscle too bad, almost ended up with an epidural anyway just to fix the damn thing).

I dunno....... I freaked, during birth number 2 I had flash backs about horrific brth number 1 and also about previous abuse. It was so fantastic and sucked so bad at the same time.

So, decided on no more kids, I didn't want to breastfeed ever again (have breastfeeding issues, I tandemed in spite of it all but it was rough.

Fell pregnant accidentally with baby number 3. Decided I wasn't going to breastfeed and that I was just going to go straight in for an epi or a section. However, I just couldn't do it, I hate being in hospital, I didn't want to be away from my family, I didn't want to eat crappy NHS food, I wanted to be in control, I wanted to have a bath in a bath a zillion other people hadn't used and to use a toilet I was used to and to sleep in my own bed, the usual things. So I gave in and had another home birth (accidental UC in fact) and then after all the fuss I made about breastfeeding I couldn't not do it so I went ahead with the breastfeeding too....... Ha ha ha bloody ha.

I wouldn't change a thing really and I am glad I didn't opt for the whole epi/section things but then, I guess its all about WHY you want to have an epi, your attitude etc. I get funny about things, I hate being seen as weak and this isn't so much about how I see other people but about how I see myself, I put up with chronic pain, had a lignocaine infusion the other day for all the good it does and its horrible. Labour pain is a good pain to me, its a positive pain. I guess I have a dessire to experience it because something good actually comes out of it????? I don't know.

So, anyway, I can't blame you for thinking about it, but you have to make sure its what you really want.
post #3 of 26
Thread Starter 
I have a lot of experience with natural birth, as a doula, etc., for years, seeing over 50 natural births. With my own, I had 1 almost natural, 1 not, last natural at home, and I just don't know what to do with this one. I am so completely torn. My labor experience with the last was so incredibly painful (duh...it's labor). I am NOT one of those people that came away from the experience thinking, "wow! that was such a great experience! I love natural birth!" lol No way, not me. I HATED labor, and though I loved the immediate relief when it was done, I couldn't even marvel at my newborn baby for a while because I was just in such a state of shock at the pain and almost panicked that it wasn't truly over. I BEGGED my husband to take me to the hospital and got mad when he didn't (although he didn't really say no. he just listened but I knew even if he said yes there would have been no way I could have made the 40 minute drive in the car to the hospital). I told my husband and the midwife that I made a horrible mistake and that if I'd remembered how much it hurt (from the first), I wouldn't have made the choice to have the baby at home.

After the birth, like I said, I still kept telling my dh and everyone else, that it was such a horrible experience, BUT, that the postpartum made it worth it. And that's where I feel so selfish for even considering a hospital birth, let alone with an epidural. My precious son was born without any drugs, into my husband's arms, and didn't leave us at all, have bright lights, cold tools or rough hands. No scrubbing or suctioning, no scratchy blankets, hats, or clothes. We didn't have to constantly fight anyone and everyone to get what we wanted and avoid what we didn't want. I went straight into my own bed and took a shower when I wanted, went to sleep when I wanted, nursed when my baby wanted, etc. My dh and I laid in bed together with our newborn. The pain was gone, except for the afterbirth pains, which won't even go away in the hospital, lol. I wasn't hooked up to anything, my baby didn't have to be pricked, poked, stabbed, gooped or tested.

During the labor, though it sucked royally, and, seriously, was so friggin intense from the get-go. I'd been having strong contractions every day for weeks before actually going into real active labor, so once the real thing started, I never had any of the slow labor contractions where it's just the beginning and you're still able to talk and laugh and joke in between, and even sometimes during, contractions. The labor wasn't long compared to my other two (10 hrs), but it wasn't 10 hrs start to finish with early labor, active labor, and transition all in there. Nope, it was just really intense active labor about 7-8 of those hours, with 2 or 3 at the end being horrible, "kill-me-now" contractions where every single one I knew there was no way I'd make it through that one, let alone any more afterwards!

So anyway, all that to say, most of my reasons for wanting a hospital birth are totally selfish and have to do with my desire to not have pain (I remember the sheer joy of having the epidural after natural laboring for so long with my first), and 100% of the reason for wanting an epidural is because I have no desire to put myself through that ever again. However, even though my experiences before in the hospital with my children were quite positive, ever experience is different, and I don't know how I could forgive myself if something happened in a hospital that would have been prevented had I not had the epidural or been forced to give control over to someone else Can't midwives do epidurals at home yet??

As far as whether or not it's something I really want, yes, I really want the pain relief of the epidural. I hontesly do not care about the natural birth experience at all. I know, without a shadow of a doubt, that if I make the choice to have a natural birth again, and I'm at home, I will be kicking myself and so mad that I chose to do it because it will be the same thing as last time: that I'm telling myself it was a horrible decision because I didn't remember how horrible the pain was. BUT, I know I'll get through it, too. It's not like I'd have a choice NOT to get through it, ya know? And if it was like last time, the postpartum would be amazing. I just don't know if, mentally, I can make myself go there again.

I've thought of doing natural in the hospital, but I also know, without a shadow of a doubt, that once it got to that point of horrendous pain, I'd be calling out for the "epidural man", lol. But maybe that's not a bad idea. I know if I were in the hospital I'd go as long as I possibly could, but it makes me nervous when they put the time constraints on you ("speak now or forever hold your peace") when maybe I'm feeling like I could go much longer but would feel forced into getting one earlier because of the fear of waiting till it's too late.

Wow, ok, sorry about the novel!
post #4 of 26
Oh, I saw your ddc post first and ddcc it I'll just repost what i posted there-

My vba2c was epidural free, and I really don't know if I want to do it again. The labor for the most part was very easy, but transition was so intense, it was really overwhelming. I've been hesitating about commiting to a doula because I'm afraid that if I get an epidural this time I'll feel like I'm letting her down. And I'm just generally surrounded by pro-natural birth people and I feel pressure to conform. So, no advice, but I empathize!
post #5 of 26
With baby #1, I had an induction turned cesarean. I hated the experience, regretted the epidural I got, and vowed next one would be a VBAC. At home.

Baby #2. Homebirth. The birth was a little traumatic with a shoulder dystoica and hospital transfer at the end. I know I will never have another homebirth again -- not only due to the fact that in case of another SD, there will be a full team of nurses, a NICU and OR available down the hall instead of a car or ambulance ride away -- but because of the PAIN.

I was so blindsided by the pain, I was in shock. The pain was traumatic in and of itself. When my DD was crowning I felt I was going to rip wide open. I was screaming and subsequently lost my voice for a few days. Birth wasn't great or empowering for me. It was just plain scary.

I am looking forward to birthing in a hospital again. And though I will try to go as long as I can without pain meds, I am pretty sure I will end up with an epidural. And you know what? I am EXCITED about it. I am already feeling good about any future births because I know I will be where there is relief from the pain. Maybe I can actually enjoy one of my births for once.

So no, you are definitely not crazy. Just human.
post #6 of 26
I was in your shoes during my last pregnancy. My first baby was an attempted homebirth, hospital transfer, and I got an epidural at the very end. My second birth was a successful drug free homebirth. My third pregnancy I really struggled on whether to have a hospital birth or a homebirth. For me, the pain of labor was traumatic. I experienced fetal ejection reflex with my second birth and it was shockingly painful and I was completely overwhelmed and unprepared. I think it took me longer to work through what just happened to me with my homebirth than it did my hospital transfer with drugs, interventions, internal fetal monitoring...

Anyway, I chose a hospital birth. I did ask for an epidural, as I knew I would, but my doctor guided me to the tub instead and only an hour after arriving at the hospital my baby was born. So I did not have any drugs, IVs, interventions, etc.

I am glad I chose a hospital birth the third time as it was a great experience, but I am also glad that I did not have the epidural. I vastly preferred the immediately postpartum experience without an epidural. I wasn't thankful while I was going through the pain, though, and without a doctor who was committed to getting me through the birth drug free, I would never have made it.
post #7 of 26
My first I only had 1/2 shot of nubain once in my 25 hour labor. I had her naturally in the hospital. My next I was induced and swung for the intrathecal epidural. Biggest mistake of my life. They messed up more than 2 times and I still have back pain 8 years later. I have gone naturally for the last two and will again no matter what. I have had back labor and inductions and I understand *why* people have them. But after my experience (and later experiences of my friends) I would never, ever choose that again for me.
post #8 of 26
With my first I also only had a small dose of nubain just once during labor...and it was actually just before I started pushing and did NOTHING for the pain, it just gave me a headache because I couldn't focus my eyes.

But when I was pg with my second, I decided to try for no drugs, and totally couldn't do it. Honestly, my second labor was SO much worse than my first. I had so much back labor the second time around. And it was so much longer, with days of contractions. Then, at 8cm, I had such an overwhelming urge to push that I simply couldn't control the urge to push and the pain at the same time. So I got the epidural to remove the pain, so I could maintain control over the urge to push.

This time around, I am going to try drug free again. I was so exhausted the last time from the days of contractions before that I really just wanted to stay in bed, this next time around, I have asked DH to try to encourage me to walk more, try the tub some etc.
post #9 of 26
Thread Starter 
Quote:
Originally Posted by shells_n_cheese View Post
I was so blindesided by the pain, I was in shock. The pain was traumatic in and of itself. When my DD was crowning I felt I was going to rip wide open. I was screaming and subsequently lost my voice for a few days. Birth wasn't great or empowering for me. It was just plain scary.
That's how I felt. I knew all about the process of birth, had been through it a few times, myself, and seen dozens of natural births, but the pain of labor for me has always been so incredibly traumatic.

Quote:
Originally Posted by shells_n_cheese View Post
I am looking forward to birthing in a hospital again. And though I will try to go as long as I can without pain meds, I am pretty sure I will end up with an epidural. And you know what? I am EXCITED about it. I am already feeling good about any future births because I know I will be where there is relief from the pain. Maybe I can actually enjoy one of my births for once.
That would be so nice! Ever since my first was born, I've dreaded labor since BEFORE I knew I was pregnant, but especially after getting the positive pg test. The last birth I spent the entire pregnancy reading book after book, birth story after birth story, watching just about every natural labor video online, took natural childbirth classes, etc., etc., etc. And all of it was to prepare my mind...not my body, or the knowledge of the process. I had to spend just about every day talking to myself and convincing myself that I could do it. Was I proud of myself for making it through without meds? Of course! But was I happy about my choice? I don't know. Again, definitely not for labor, but yes for postpartum. But maybe being in a Baby Friendly hospital would help with the postpartum. I would love SO much if I could actually be in the mindset where I was looking forward to not only getting the epidural, but the challenge of laboring as long as I could, and just looking forward to the whole process, instead of stressing about it, being mad at myself mid-labor, hating my choice, etc., etc.
post #10 of 26
Thread Starter 
Quote:
Originally Posted by StrawberryFields View Post
I am glad I chose a hospital birth the third time as it was a great experience, but I am also glad that I did not have the epidural. I vastly preferred the immediately postpartum experience without an epidural. I wasn't thankful while I was going through the pain, though, and without a doctor who was committed to getting me through the birth drug free, I would never have made it.
that would be really cool. My current doctor was, and is, very supportive of natural birth, so I know those physicians do exist!
post #11 of 26
i had a home birth for my third.. he had both hands on his head.. it was excruciating.. i would have probably wanted to go to the hospital for an epidural this time around but with my second baby i had a horrible experience with the epidural.. they had to do it 7 times bfore it worked..... the recovery from that was horrible and i still get back pain from it.. so.. i really knew/know i can't go through that again. so no.. i'm not having one this time.. but i definitely understand how you feel and your desire for one!
post #12 of 26
I think the important thing is to have a plan and make an informed decision. I had a client who got an epidural when we got to the hospital. She was 6cm when we arrived, 9cm when she got the epi, and she LOVED her birth experience. I had nubain with my first, an intrathecal with my 2nd, and a natural hypnobirth/waterbirth/homebirth with my third. My third was the most painless and enjoyable experience for me. I was not prepared for my first, got extremely ill from the intrathecal with my second and had to be catheterized 3 times because I couldn't pee and suffered back spasms for weeks at the injection site. My healthiest baby was with the nubain, which wore off before delivering.

It's really up to you and no supportive person will think you're a bad person for choosing pain relief.
post #13 of 26
Not personally - I had a hospital medicalised traumatic birth the first time, and next time I'm hoping to go more natural (although I'm planning on doing Hypnobabies, so I'm definitely hoping for less pain next time). I can totally understand why you'd go for an epi for a second birth, though. I don't think they're the Utopian ideal of childbirth, but if you've already done childbirth, you know what you can and can't handle, and that's an important part of informed consent. No two people experience labour the same way, so don't let anyone's "I could handle the pain just fine!" faze you - they had their experience, not yours.

The only thing I'd say is that if you're planning an epi, you shouldn't be in a headspace where you absolutely rely on blissful pain-freeness as soon as it takes hold. They don't always work perfectly - and I'm not saying that to put you off, most of the time it seems they do work pretty well - but it's possible you'd only have partial pain relief. And, having been disappointed in labour before, I feel it's very important not to hang your hopes on an absolute, be it "I MUST have a water birth" or "The epi HAS to block out the ring of fire"... or whatever.

I'm trying not to read too many "I had a totally pain-free birth with Hypnobabies" stories for that reason. I figure if I can minimise the pain (which it seems the majority of women can), that'll be good enough, and anything on top of that's gravy.

If you're struggling with the idea of an epi for medical reasons (side effects, etc), it might be worth looking into some other natural options. Hypnobabies, a TENS machine, labouring in water, etc. Have you tried those kinds of things with your other births?
post #14 of 26
Hypnobirthing works, if you practice, practice, practice. With hypnobirthing and water, I had a pain-free third childbirth after two, what I would consider normal, births. I would consider spending time learning how to cope with the pain differently. PP is right in that epidurals don't always work the way you expect them to.
post #15 of 26
I thought about it for #4. #1 was a traumatic (though not anything close to as traumatic as I've heard!) almost natural hospital birth. I said never again, no more kids! Buuut... that didn't stick for very long. #2 was a perfect blissful homebirth. #3 was a homebirth, but much more difficult, I finally understood why women begged for a c-section. In the days afterwards, I said I was done, no more kids, I couldn't do it again. Got pregnant again, and I did conider a hospital birth and an epidural for a while, but I couldn't seriously consider putting my baby through a hospital birth just so I wouldn't have to deal with the pain. I ended up having the most amazing homebirth I can imagine. Super fast, nearly painless, and straight to my own bed for a week.
post #16 of 26
Not *quite* the same thing, but in a similar vein...

I went from 2 inductions (1 with epi and 1 with stadol) to a completely natural birth (no induction OR pain drugs), and then had an elective induction with #4 at 42 weeks.

It was difficult, deciding to go against what I truly believed in, and I (obviously) tried to wait it out. But I was very conscious of my options, completely aware of all of the "what ifs", and took my history into account.

I fully intend to do a completely natural birth this time around, but I'm confident that any potential deviations from that plan will come from an informed, intentional place.

I've never *opposed* birth interventions, per se. I do oppose interventions without information. It's your body and your baby. As long as you're aware of the pros and cons (as I'm sure you are), do what you think is best!
post #17 of 26
I don't think you're crazy at all. And if you feel like an epidural would help you to actually enjoy the births of your children, go for it! You're not a bad or broken person if your body giving birth is just designed such that your labors cross the line from what is manageable to what is not manageable.

I mean, thank GOD we have pain relief, because it is flat out wrong for a woman to be dreading the birth of her children because of the pain involved. And it's not the woman that is "wrong" in that case. It's that the pain is too much, and that's what should be eliminated.

I would focus energies on finding a ped who will agree to an early discharge from the hospital so that you can come home ASAP. And be aware that epidurals don't always take the way you want them to. But if medically you're a good candidate and psychologically it makes you happier as you approach the birth of your child, go for it! Just because you *can* have a natural birth doesn't mean that it's the best allocation of your physical, emotional, spiritual reserves of strength.
post #18 of 26
I agree with what the pps have said about making an informed decision based on what is happening during labor. I can very much identify with what the OP is saying/asking. My first labor was induced due to low amniotic fluid. I was 7 days past my due date, and I knew nothing about amniotic fluid or induction, etc... in fact the only reason I did not ask for or want an epidural was because I was (am still) terrified of having a needle in my spinal area. In any case - very painful 14 hour labor ending with dd#1 getting her shoulder stuck (dystocia) and breaking her clavicle, but thankfully she was otherwise healthy. Second labor was again induced because my OB was scared about the SD from labor #1, and she used Cytotec. Again, I had not taken the time to read or educate myself about induction and all the possible forms it could take, or I would have said no way to Cytotec. Very quick, very overwhelming painful 5 hour labor. Again no epidural and it was traumatic. So with #3 I did my homework and found and OB who allowed me to go into labor when it was time - no induction - but he was very pro-epidural and he was constantly working on me to use an epidural. When I went into labor I was sick and I got to a point where I just couldn't breathe through my contractions and I consented to a walking epidural - horrible experience. For some reason I neglected to ask what pain killer would be used and the OB used Morphine (I react very badly to narcotics) so I ended up itching all over and feeling drugged up until it finally wore off and I ended up birthing dd#2 with no pain med. anyway. Then I vomited for 4 hours afterward in reaction to the morphine. So, needless to say I am facing birth #4 in a couple of months with exactly the same questions/feelings that the OP describes. The most important thing I can say is to ask questions and stay informed and make decisions based on what is best in the situation. That's what I'm trying to do - but I will birth in a hospital (many reasons, I've already gone on too long), so I will have the option of using an epidural. Though, I honestly do not want to have to go that route.
post #19 of 26
I've had epidurals 3 times. The first time I got very scared during a long labor and by 5cm got the epidural -- it took completely and I couldn't feel anything at all.

My 2nd was a completely natural labor/birth but I started begging for the epidural at 7cm ... but by the time I got it, it didn't take (only a little part of my hip was numb and the rest of my contractions were still there) but I had to push immediately anyway ... by the time the epidural was in I was fully dilated and ready.

My 3rd I swored I would do it all naturally -- but I needed an induction. I lasted again until 7 cm and I felt I really couldn't take the pain. It was 100x worse than my 2nd or 1st labor ... I begged for an epi around 7ish cm ... the same thing happened. It didn't fully take but within a couple of contrax I could feel the head pushing down and needed to push. The OBs couldn't believe how quickly I went through transition both times. This did not happen with DS1 but with my last two times... and I could walk and use the bathroom right away afterward, too. With DS1 ... it was hours before I could get up... and had to be cathetered.

I'm not sure if the epidural helped me speed through transition and pushing (3 pushes both times and they were out). My 2nd was almost 10 pounds and I had no trouble pushing and I think I could have done it in retrospect without the epi. My 3rd was 8.5 pounds but because of the pitocin, I don't think I could have gone through pushing without that epi (even though it didn't fully take) ... because I even yelled out during the pushing phase that I couldn't do this...couldn't continue. It really burned and hurt and I was in tears.

I really considered a homebirth with this one, but I guess I'm in the same boat as some of you. I think I could hold out again ... maybe even make it to the end if I don't have pitocin, but if I do need to be induced again, I'm not sure. I remember thinking that I would get a "break" if I had that epi -- and I didn't really ... but it took the edge off the pitocin contrax.
post #20 of 26
You've gotten a lot of great responses here. The only thing I would add is that just as every woman is different, every labor is different. So even though your last labor was terrible, it's possible that your next one could be totally manageable. I've heard lots of stories about this happening. So there's no need to decide until the moment arrives. Re whether or not to do it at home, it depends on how you think you would be treated (and any potential financial consequences that would be material) if you transferred for an epidural.

I think that even those who are generally in favor of unmedicated birth, as I am, feel this way because all other things being equal, it is safer for mothers and babies. But, for those labors where the suffering is truly that great, epidurals can absolutely be beneficial enough to outweigh the risks. I have been fortunate so far to have manageable labors and only unbearable pain during pushing. But I know that if I had had a labor as you describe, I would have thrown in the towel for sure. There's no shame in accepting meds for pain when you need them.
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