Does labor still hurt with an epidural?

Most women’s #1 fear of labor is the pain they will be in.  One of the most often asked questions is does labor still hurt with epidural? — Will the epidural take away ALL the labor pain?  Let’s find out.

Labor pain comes from your uterus contracting.  There are ways to reduce it and this post will specifically talk about labor pain management.

Just like when you’re carrying 12 bags of groceries up 3 flights of stairs — your bicep hurts, so does your uterus.

Labor Pain

They start as cramps, and then progress into more painful contractions.  They feel very similar to horrible stomach pains that never let up.  They are manageable — but many women get an epidural.

The Epidural

The epidural is pure magic.  At least, that’s what it seems like to me — on the other side of the patient.  Yes, there is a lot effort and schooling that have gone into your anesthesiologist to put it in, but once it’s in it should make you fairly numb from about your bra line to your knees.

This post is mostly going talk about how pain-free you should expect to be with an epidural, but if you’re wanting to know more about the procedure/risks be sure to read my epidural post.

Do Epidurals take away all of your pain?

Notice above, I said “fairly”.

Yes, you’re still going to feel pressure, some sensation and, when done correctly — it will not make you entirely numb.

You read that right — it will NOT make you totally numb.

Yes, you’re paying thousands of dollars for that epidural, but it will cover about 80% of your pain when done right.

Why is that?

1.  We still need you to move a little bit.  It’s still important to move from side to side and be able to assist in positioning yourself.
2. You need to feel pressure — that helps you know it’s time to push.
3. That pressure helps you push better, and can help decrease your pushing time.  If you’re ENTIRELY numb, you can’t push well.

Of course, pressure can very much feel like pain.  I can guarantee that the pain you’re feeling is much less than it would be if you didn’t have the epidural, even if you find it very painful.

Problems that can happen with an epidural

There are a few other things that can go wrong with an epidural:

1.  The catheter can “migrate” — or sometimes just pull out.  The doctor will tape your back a LOT, but as we move you, there’s always the chance it could pull out (or could move internally)
2. You might have a “window” where the nerves are bundled and the spinal medication can’t get to.
3. Sometimes they don’t get it right on the first try, and it’s just not effective — in which case, the only thing they can do is try again.

Keep in mind that the placement of an epidural has many factors including:

1.  How you’re positioned (that’s up to you to listen to the doctor and follow orders)
2.  Your anatomy (and yes, skinny girls are often easier to get it in than larger girls)
3.  Doctor skill

Think of your back as a banana.  The doctor is feeling for a space like between the peel and the banana.

What you can do to make an epidural easier

Things you can do to help your epidural:

1. Listen to your nurse/anesthesiologist to position yourself as well as possible
2. Stay still — a moving banana would certainly be extra hard to get it right!
3. Be realistic — as I said above — your pain will be 80% taken away.
4. Give your nurse as much info as you can.  Did you ever get pain free, is it in a specific spot?  That helps us know if there’s anything we can do?

I’d also recommend having some basic pain management skills going into labor — whether you are planning on an epidural or not.  I share one of women’s favorite ways here. 🙂

And that, my friend, is the real magic (because you’ll need pain management techniques for the next 18-40 years with that child). 🙂

Common questions about an epidural:

Does it hurt to push with an epidural?

Not usually too much.  But, every person is different.  Again, you will likely need to feel some pressure, so don’t plan to be pain-free.  Most people find it a relief to push.

Can you feel your baby coming out with an epidural?

Most women don’t expeirience the “ring of fire” with an epidural.  But you will likely feel pressure.

Does an epidural hurt?

I find the placement of an epidural similar to an IV placement as far as pain is concerned.  Often, women who get it while already in the heat of labor find that it is even less painful due to the contractions huritng so much.

How long does an epidural last?

Most modern epidurals have medicine fed through a pump that, as long as the catheter doesn’t move, keeps you at that 80% through delivery.

Labor Pain Management Classes

I teach an online prenatal class, but I am the first to say that it is not full-fledged pain management class.  We do teach some VERY basic pain management, but I believe you need a separate class that JUST does pain management.

The one I recommend is Hypnobabies.  I have seen SO many successful moms use it.  I have heard they have used it later in life as well — that it is just a good one for coping mechanisms.

Here’s how it works:

1. Purchase Hypnobabies here: http://www.HYPNOBABIES-STORE.COM/link.cgi?affiliateID=344 (to qualify — purchase SA 101 or 102)
2. Fill out this form (it’s going to ask for your name, email,  date & time of your purchase, as well as your IP address so I can match sales)
3. I will email you with a 50% off code

You can find my Online childbirth Class here: https://www.pullingcurls.com/online-prenatal-class-couples (but, if you’re planning to do this deal, do not purchase it until I send the code).

**Again, you must purchase Hypnobabies through that link above in order to qualify for the reduced price on my course — directly after you purchase, fill out this form and I’ll send you the coupon.**

Don’t miss that other full post all about epidurals during childbirth and what to expect when they put it in.

Below, I answer the #1 question related to epidurals (and check out all my other pregnancy posts below that):

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