I had my first epidural with my 5th birth. My previous 4 births were no interventions, non medicated..no hemmorrage but I did bleed heavy, I think. After my 5th (with epidural) I had a severe hemmorrage. There was nothing to precipitate it as far as cord yanking or anything..it was quite scary for me personally but a learning experience. While studying through the Lamaze Passion for Birth study guide, I have been reading a lot more about the hormonal cocktails of pregnancy and birth. I am starting to think that the epidural affected the catecholamine and endorphin release rate as well as other hormonal receptors like the oxytocin/stretch receptors in the lower uterus/cervical area, etc. to perhaps contribute to the hemmorage that may not have happened if everything had progressed without being interfered with. I did not have pitocin. Labor began on its own. No yanking of the cord/placenta, etc. The Dr. went to leave the room and the nurse called him back once she realized my uterus kept bogging up with blood and would not stay contracted. It took several different medications and procedures, and about 2 hours or so to get it stabilized. (I was quite thankful for my diligence with nutrition prenatally, postpartum..I think that is what saved me from a transfusion). The balance of chemicals and hormones is quite delicate..I have no doubt that adding an epidural to the mix has to effect that in some way..it likely varies from woman to woman but I don't think we can claim it has no effect, ya know? All that said, at this time I still think I made the right choice to have an epidural for my particular situation at the time. I don't think most women are fully informed of how an epidural can effect their labors/births/postpartums.