I’m going to explain ALL of this (including why tipping is a BIG no) — but if you just want info on what gifts to give click here.

First off, hello! I’m Hilary — many people know me as The Pregnancy Nurse . I have been a nurse since 1997 and I have 20 years of OB nursing experience. I’ve had patients of all income levels and some of my favorite gifts were mostly gestures, nothing expensive — but today I’m going to share some easy ways you can share your appreciation with the staff.

And yes, getting prepared in advance is one of our most favorite things — so come join me in my free prenatal class lesson to get started!

Before we get going, I want to be super clear that most patients don’t bring anything which is totally fine. We know it’s a stressful (and often expected) hospital stay — so we’re just glad you’re there and safe! So, if you don’t feel like this is something you can or want to do — that’s AOK! Nothing is expected!

Should You Tip Your Delivery Nurses?

We live a life of tipping.  We tip our doorman, our garbage man, and our mailman — but the area of health care hasn’t really succumbed to tipping. Perhaps for a few reasons…

• Price?  who’s going to tip 20% of your delivery bill?  Umm… no one.
• Sometimes you can’t actually put a price on our services.
• People of all income levels come to the hospital.
• The nurses really don’t expect anything — you won’t find tipping envelopes in your bathroom.

And perhaps, most of all — tipping healthcare workers is actually not legal — at least not for the nurses to accept (with some exceptions).

I love my job and I love my patients, and let me equivocally say that I very rarely get a gift.   And that, is OK.

I am 100% not in it for the delivery nurse gifts.

I love my job because I am helping new moms.  Not because I’m hoping for some lotion.

That isn’t to say that hospital staff doesn’t appreciate them during long 12-hour shifts.

I also REALLY want to say that NO ONE expects every expectant mother to give us a gift. It’s a perk when it happens — but we are there to make sure you and baby are safe and happy.

Why is tipping healthcare staff illegal?

Well, a tip is meant for exceptional service –right?

BUT, in health care, we really should be giving exceptional service to EVERYONE.  Most of all, I shouldn’t only give exceptional service to someone who looks rich and may tip me better than the homeless woman down the hall.

I am a big believer in this.  I rarely look at people’s insurance.  Once women are in gowns it’s often not as apparent who has money and who doesn’t — and I want to love and serve each of them the same.

Now, be rude to me or condescending to me, and that’s another story….

SO — you trying to tip me, that’s not illegal.

BUT, me taking it, that IS illegal.

I’m not saying that they can throw me in jail — but I can say that the hospital can get in trouble and I could lose my job.  In the healthcare ethics classes I have gone to for my work, they have made it VERY clear that tipping is NOT OK — for the reasons mentioned above.

Also, because people who are paid through government dollars (aka, Medicare or Medicaid) are not able to take tips.

Now, I have had one exception and that is the red envelope.  Some Asian families will prepare envelopes of thanks in advance for those who participate in the bringing into the world the new baby.  Not taking the envelope it is VERY rude.  So, as long as the envelope had less than $5 we were able to keep it.

**Some hospitals are more/less lax on this — so you may want to check with your nurse if you’d like to give her something really nice.  But, officially — gifts JUST for us with more than $10-15 in value are a big no-no.

What nurses can accept for thank you gifts?

Nurses are allowed to accept products.  But, at a low dollar amount.  I am not sure the dollar amount, but it’s low maybe $5.  If you bring me a lotion or a cookie — I can take that.  But, officially, we shouldn’t take gift cards or cash for any reason (although I have seen managers turn the other way when a patient is very generous).

Please note that the amount nurses are able to accept varies between hospitals, but a small inexpensive gift is almost always OK (you can call the unit ahead of time to check).

We are also able to accept larger valued products for the whole unit.  A tray of cookies, lunch for everyone.  Things like that.

You being prepared is probably the BEST gift you can give us! It sounds dumb, but I REALLY mean it!

The Best (and Easiest) Gifts for Nurses:

Ok, so what do they really want (and might I just say you’re wondering that instead of just bringing something rando — THAT is so thoughtful):

Food.  Food is always welcome.  If you’re going out for dinner, maybe ask her what she’d like and bring her back some.  I ALWAYS appreciate this, even if I sometimes turn it down.  It’s very thoughtful, and not a lot of extra work for you/your family.

Baked goods for the staff.  While you may just see one nurse, there is a crew of people behind her that are also helping out.  Techs, secretaries, housekeeping, doctors, managers, etc.  By bringing a tray of baked goods, everyone can share.  Remember that you will have both delivery nurses and postpartum nurses.  Those can be separate areas, so sometimes two trays is a great way to thank all of the staff. Think cookies, donuts, starbucks — any of the above is MUCH loved.

Candy — clearly, we don’t eat much…..  If you could give us a way to pee without leaving your room, that would be awesome too. Sweet treats can be shared and enjoyed by all the staff. These make it so cute (and easily individually wrapped)!

Lotion — our hands get SUPER dry as we wash when we’re in the room or sanitize, each and every time we’re in your room (plus, somehow hospital air is dryer).  I thought this set was pretty cool, and still under the dollar amount (and you could give one to each of your nurses). Lotion is one of the most thoughtful gifts you can give.

Lip Balm — Just like your lips get dry during labor, ours get dry in there with you. I thought these were so cute. Or these if you prefer a “slim” balm. This are great ideas for labor and delivery nurse gifts.

Snarky Tee’s — I have yet to meet a labor nurse who didn’t enjoy a little snark. I thought this T-shirt was so fun and cute, often nurses like to wear long t-shirts under scrubs if they get cold. There were also a bunch of other cute options available on that page too. This one might be a good one to give a nurse after delivery. You (or a friend) may even have a Cricut you can make a few L&D nurse shirts with iron-on vinyl! This would be amazing for your best labor and delivery nurse!

A Card — a gift certainly doesn’t need to be big to be meaningful.  One of my favorite gifts ever — I had a bad delivery and the woman’s mom sent me the nicest card about how she’d always remember what I did to save her grandchild.  I still have it.  Gives me many warm fuzzies. These are already themed for you, or just use regular ones (I love how those look!). Cards are REALLY thoughtful gifts for labor nurses, and really brighten their day! We often have patients just send them to the unit (and our director makes sure we get them) — bonus that you also don’t have to take baby/yourself to the hospital for that!

One of the BEST gifts you can give is to give a card with something in particular the nurse did that helped you out. It really means SO much to know that our little acts of kindness really do make a difference. << This has been my favorite gift I’ve gotten!

Pens — We’re always losing pens and loving some. These are my favorite, and these are amazing (and we’ll always remember you with those!) I also loved these labor-specific ones.

Badge Reels — Nurses all need labor and delivery badge reels to get around the hospital, and getting a few fun ones like those might be a fun way to say thanks. These are a bit cheaper (and more generic for any nurse). AND labor nurses love these dilation beads you can clip onto a badge (you could even make some if you were feeling crafty — each bead represents a centimeter). This is one of my favorite gifts for nurses.

Hair Ties are always appreciated. Love these, very nurse-appropriate (and I really like the price tag).

Some other gifts you can consider hand sanitizer, a coffee mug, a water bottle, or protein bars.

**Especially if you had a scary delivery we LOVE to know how things are going once you get home.  HIPPA rules prohibit us from finding out too much after you leave, but I had a mom try to die on me once — she went over to ICU and I never heard too much afterward.  The unit got a Christmas Card of her twins and I was so happy to see they were doing well.  It was better than any gift I’d gotten!**

When to give labor and delivery nurse gift?

All of these can be brought when you deliver, or afterward.  We’ve had patients do it both ways.

Some people keep the gifts in their room and offer them as staff come in, and some people take them to the nurse’s station (although, if I had my choice I’d say to take them to the nurse’s station as I am often busy when I’m in your room and later feel awkward about asking about it).

If you had a specific nurse you appreciated (or the one who delivers you) — feel free to give it to them at the end of their shift, or before they transfer you.

I forgot to bring anything last time (lame, I know) and I dropped something by the nurse who delivered me. For me, it was more important to write to her exactly how she’d helped me because I knew that words mean a LOT. So don’t forget to do that if it’s after the fact and you have a bit more time.

Pro Tip: Do not feel weird about bringing something by afterwards. It really means a lot no matter when you do it! You can always just leave it for them, and the unit is good to make sure they get it. We all know that a thank you is almost as good as a paycheck. You can also always as to see if they’re there, and seeing mom thriving post-baby is a BIG gift too!

The Problem with a Gift Card

While normally I’m a HUGE gift card fan, they can be problematic in the labor room. You may have several nurses, you may have a lot of staff that were very helpful. Often smaller gifts can be better as you can appreciate each one.

However, I have seen patients who had a specific nurse that really helped them come back with a gift card after birth (and often our manager has looked the other way)…. so, that’s something to think about if you really want to tell someone specific thanks for their hard work and help afterwards. Just keep in mind they may refuse it do to hospital policy.

How many Nurses Will I Have?

As an average guess I would think 2-3 labor delivery nurses and 4-6 postpartum, or mother baby nurses (that can really vary if they are on the schedule multiple days). However, it really depends on how long you are in labor and how busy the hospital is at the time of delivery. Sometimes I am with patients the full 12 hours, and sometimes I end up moving around and you get a lot of us.

Pro Tip: Baked goods are nice way to thank your whole delivery team — even doctors take a brownie on the way out their door. We work long shifts and we’re all always hungry. That way you don’t have to worry so much about how many team members there are — just bring a package of cookies or something from the grocery store for all the team members

Also, if your baby goes into the nursery you’ll have a NICU nurse to consider (you can see how this can be a bit of an issue).

Also, remember that after you have your baby, that unit (called mother/baby, couplet care, or postpartum) is often staffed with different nurses.

FYI, if you have a longer induction or a c-section you will likely have more.

And, if you’re wondering the difference between labor and couplet care, I go over ALL of that in this course. Couplet or mother/baby are the nurses who help you after you have the baby.

Pro Tip: Don’t forget you providers –– ones you saw in the office like a midwife or a nurse practitioner, or if you provider did something great at delivery don’t hesitate to write a thank you note or give a meaningful gift for them.

Do you have to bring gifts?

Absolutely not. Nothing is expected. Verbal appreciation, especially about anything specific you enjoyed is just as welcome, and you can obviously bring gifts for your labor nurse later if you want to.

We know you have had a lot to prepare, and it is not expected. Especially when it’s a surprise you’ve even come to our unit (like with preterm birth or a problem found at one of your appointments).

I also have a second post on labor nurse gift baskets you might enjoy on my sister site!

So, that’s that.  A few final thoughts:

1.  Never feel bad you don’t have a gift.
2.  You can always bring something later (and if you get caught-up in new-mommy-hood, that’s fine too).
3. NEVER forget to say thank you.  You may never know what she did that saved you.  You never know the meals she missed, or the pee she held.  We do it because we love it — and we enjoy a paycheck.  A loving thank you goes a long way. A heartfelt thank you is always a special time for your delivery staff.

Ok, now that you have the gift ideas taken care of — let’s get you PREPARED for that big day!!!! Remember, this class has many perks:

• It can be done in just a few hours
• It is an all-in-one class for pregnancy, birth and postpartum life.
• Is created by one of the top labor nurses in prenatal education — and will keep you both engaged!

Or, if you’re not quite ready for the full class, check out my free prenatal class — It’s your first step towards being your own birth boss.

The post The EASIEST (and best) Labor and Delivery Nurse Gift Ideas! appeared first on Pulling Curls.

When to Call Labor and Delivery

Being pregnant is such an exciting time. However, there are times that an emergency situation can arise and pregnant women need to know when to call their providers or head into labor and delivery.

How do I know all of this?

Hi, I’m Hilary — many people know me as The Pregnancy Nurse . I have been a nurse since 1997 and I have 20 years of OB nursing experience, I am also the curly head behind this website Pulling Curls and The Online Prenatal Class for Couples. ​ I have also triaged thousands of pregnant families with concerns that bring them into labor and delivery.

Fun fact: Almost everyone who is pregnant (and past a certain # of weeks) comes to labor and delivery first. From there, we help decide what’s wrong and if you need further help from other areas in the hospital, or if you are safe to go home.

So, in a sense labor nurses not only deliver babies, but we also basically run an ER for pregnant women.

And if you’re wondering how ALL of this works (like getting seen by a nurse and then admitted)… do yourself a favor and join me in here. In just a few minutes I can get you prepared on what to watch for, and what you can do in early labor to keep things going (plus, when to know when you should call or go into the hospital).

Reminder:  Please don’t take the advice on this website over the advice of your physician or a professional — Patient safety is our #1!

Also because everyone is an individual — please ask your doctor these questions for your specific circumstances.

Can you call labor and delivery for questions?

The per-policy answer:  no.

You have to remember that labor and delivery nurses are concerned with one thing (besides your health and safety) — liability.

We aren’t really supposed to answer questions on the phone. We also don’t know anything about you or your health history when you call, so in general it’s not safe for us to give advice.

Hence, we mostly tell you to call your doctor, or to come in if you are concerned.

OB doctors should have someone on for them 24/7.  It might not be YOUR doctor who replies to your call, but it should be someone.

This is something you should ask your OB at your first visit.  Ask them if there is a number you can use to get ahold of them 24/7.

Normally, you’d call the number and the answering service will give your number to the on call OB, who will return your call.  Now, keep in mind that in the evenings and nights that return call may take a while to get back to you.

That doctor may be in surgery or delivering babies consecutively, so don’t freak out if you don’t get a call right back.

ALSO, use that line very sparingly.  That isn’t the place to call if you need a refill or have a question that can easily wait til’ the next appointment with your OB.

Your provider or your health care team may have different ways to get in touch with them when it is urgent, so be sure to find out what they recommend.

Do you need to call labor and delivery before going in?

Absolutely not. We take everyone that is pregnant. If you feel like what you have going on is an emergency that can’t wait for a phone call with your provider please head on in. We are required to call your provider when you get there anyway (and they are required to call us back faster).

But you totally can. I prefer the heads-up as the triage nurse, it’s just a good idea to give them a heads up if you can’t (but clearly not required). You can also give this job to a family member, we don’t need much more info than the fact you’re coming in.

I have a whole post on when to go into labor and delivery that you might find helpful too!

Reasons to go to labor and delivery

Make sure to have your support person read through these as well (which is why I recommend a couples prenatal class, so one of you can remember them when you’re feeling crazy).

As your due date approaches, a LOT of things are going to seem concerning, so be sure to stay in touch with your provider (and, of course, this list is NOT exhaustive).

If your baby isn’t moving

Make sure you’re doing kick counts — and if you aren’t making the 10 movements in 2 hours (or if it’s off a LOT from what it is normally) call your doctor, and if they’re not back to in a few minutes, I’d call L&D — or go in.

We take decreased fetal movement very seriously, and we want you to as well.

Severe Vomiting

If you really can’t keep anything down for a full day I’d call your doctor.  This is different than morning sickness.

However, even with morning sickness, you should ask your doctor at what point you should be concerned, based on what he/she has you on.

Regular vomiting/stomach flu/food poisoning can still be helped with the info in this post.

A headache that won’t go away

This can be an indicator of preeclampsia.  It can also be dehydration or the hot dog you ate, so before you freak out:

• Take a Tylenol
• Drink 3 GIANT glasses of water
• Eat something
• Try to take a nap

If none of those work, I’d call your doctor (and if a headache is REALLY bad, I’d just go to L&D).

BTW, I have a whole post about if it’s OK to drink Gatorade during pregnancy.

Contractions

You don’t want to call your doctor for any little contraction.

But, if you’re less than 36 weeks of pregnancy, MD’s like to see less than 6 contractions in an hour.  Most often you need that many contractions to really push the baby into the birth canal. If you’re having more than that, I’d call your MD.

If you’re feeling contractions — make sure you:

• Drink two GIANT glasses of water (often, they are caused by dehydration)
• Eat something with a good balance of protein and carbs
• Take it easy — don’t over-do it!

If you’re still feeling them, call your doctor! Also, be sure to ask your provider what they recommend for YOU in this area. Every person/body/baby/hospital is different, and it may different if it’s your first baby or a subsequent pregnancy.

Painful contractions are definitely a reason to go in though (and probably our most-often heard complaint).

Remember, this is a very SURFACE review of what to call L&D or your provider for. I have seen pregnant couples SO much happier when they get a prenatal class so they really understand all these things. This one can be done in just three hours (so, even if you’re due soon — there’s TIME!!!!!).

Facial swelling

If you suddenly wake up and your face is REALLY swollen.  I’d call your doctor.  This can be another sign of preeclampsia.

I probably wouldn’t go racing into L&D for this, but it’s worth a call and likely a follow-up appointment with your doctor.

** Gradual facial swelling is normal — I’m talking you wake-up and your face is suddenly very swollen.

If you think your water broke.

I have a whole post on a few ways to tell if your water broke.  When in doubt, we have a test to see if it really is amniotic fluid.

Depending where on your amniotic sac your water breaks you can have a GUSH or just a trickle of fluid, so it can definitely be confusing.

If anything falls into your vaginal (like an umbilical cord) after your water breaks, get your bottom in the air (get on all 4’s and put your head on the floor) and call 911.

Problems with your pee

These include:

• You can’t pee
• You feel like you need to pee all the time
• Lower abdominal cramping
• Flank pain

This can be an indicator of a bladder infection.  Often you can just drop off a urine sample, and they can see if there are issues.

If you have a fever over 100.4

Having a high fever when you’re pregnant can be extra problematic, so give them a ring — see what they recommend! Illnesses like the flu or Covid can be extra problematic during pregnancy.

Bright red bleeding

Some vaginal bleeding can be normal — especially after:

• an internal exam (done by your doctor)
• sex

But, if you’re getting bright red bleeding that is much larger than the size of a quarter, I’d call your doctor.  If you’re soaking a pad — just go right into L&D.

Some bloody show (some bleeding as you’re in labor) isn’t unusual if you’re in labor, but if it’s a lot be sure to call. I have a whole post on spotting at 38 week’ish.

Pro tip:  Brown bleeding isn’t as worrisome, and may be part of losing your mucus plug. Changes in discharge aren’t unusual during pregnancy either.

Crazy Itchy

Now, mosquito bites are one thing, but itchy palms and feet can often be an indicator of an issue with your bile ducts, which can be problematic.  Call your MD.  If you just feel REALLY itchy and benedryl isn’t doing anything, call your MD.

In general this can be handled by your health care provider vs coming into labor and delivery (they just need to order some lab tests).

You have alarms going off in your head

Now, this is one that’s kind of hard to write about — but if you really feel like SOMETHING IS WRONG, call your doctor or head to L&D.

Now, on your way in — you need to be able to articulate what it is that is causing this.  Is it pain, lack of movement, anything like that?

Pregnancy can be full of anxiety, so I really wouldn’t recommend coming to L&D for any little thing, but sometimes mamma hearts just know.  And we want you to have a safe baby.

In this type of situation we will quickly monitor baby’s heart rate and make sure everything is OK there, and then move on to any other issues.

Whatever else your doctor says to watch for.

Pregnancy is full of complications, and everyone’s situation is very different.  Your doctor may have specific things that YOU need to watch for — so watch for those, and take action if need be.

** I think this is a good point to mention that pregnancy is not the same for everyone, so even if you have a friend who was told to come in at ANY sign of bleeding, doesn’t mean that your health care provider feels the same about you. Just FYI.

When to call labor and delivery if you’re high risk.

If you have something going on during your pregnancy — you need to have some clear guidelines as to when you should call him/her or when you should go into labor and delivery.

Medical conditions like this can be:

• Diabetes
• Placenta Previa
• Breech Baby
• High blood pressure
• And the list goes on….

So, make SURE to talk to your doctor about all of these things!

If you’re planning on delivering in the operating room rather than a vaginal delivery you may have other things to watch for, so be sure to stay in close contact with your healthcare provider.

When to go to the hospital in labor

I wish there were hard and fast rules on this, but I would 100% make sure you ask your doctor about this once you hit about 23 weeks or so.  It will be based on:

• How far you are from the hospital
• What number baby it is for you (first babies are often slower)
• If you’re preparing for a cesarean delivery or a vaginal birth
• Your past history (like if you’ve had previous cesarean deliveries)
• Your current obstetrical history, and if there is anything you need to be watching out for.
• Doctor preference

They should give you an idea of how long and how fast regular contractions are happening before you come in.

Most often you want to show up after you’re in active labor. Early labor is best managed at home where you can have the comforts of home, move more and enjoy your own things, but definitely talk with your provider.

Many women show up when they aren’t tolerating labor at home, and would like some pain medication. Keep in mind that we don’t usually offer epidural anesthesia until you are in active labor (and your cervix is opening).

Once your water breaks, you’ll want to call your provider to see when they recommend you head into the delivery room.

And yes, this issue is gone into detail in this prenatal class if you want more info — but since every situation is different, I’d recommend asking your doctor at your OB visit.

Not sure the signs of early labor? >> check out this post on signs of labor — but early labor can feel like pain in your lower back and then progress from there (if you’re actually going into labor).

The main difference between braxton hicks contractions vs “true labor contractions” (or the real thing) is that one goes away (false labor), and one progresses into active labor. So, sometimes you just have to be patient to find out.

What to Do When Your Labor at Home:

Some ideas of things to do if you’re laboring at home and not quite ready to go to the hospital.

• Clean – -get the house ready for baby
• Take a warm shower (or a bath if you like baths and can do it safely this far into pregnancy)
• Pack your hospital bag
• Use your breathing techniques to help you relax into the contractions (and let your cervix open)

I have a whole post on what to do in natural labor that might help, and I go into this in depth in my prenatal class.

I also have a whole bonus video where I share breathing and relaxation techniques in here.

What to Expect When You Go to the Labor and Delivery Unit

You will likely hit the admitting desk. Unless you are there for a scheduled procedure they should take you back to a room or a triage area. Sometimes patients are triaged in a private room, and sometimes they are in a curtained area.

The nurse will start fetal monitoring, take your vital signs, and will proceed to ask a lot of questions about what brought you in as well as your health history.

Then, she will call your provider and make a plan of care after that.

I talk ALL about what to expect when you get admitted in this class.

When do you go to Labor and Delivery Instead of the Emergency Department During Pregnancy

Every hospital I have worked at had differing rules. Some take moms past their first trimester, some not until 20 weeks, so as your provider what you should do depending on what hospital you’re going to.

When in doubt show up at the ER — and they can direct you (and get you help if you need it from the minute you walk in the door).

How to get admitted to labor and delivery

This one gets googled a lot. I’m guessing there are a lot of people that want to know how to get admitted to labor and delivery.

Yup, you can come in and lie, but we like mammas to go the full 40 anymore.  SO it really is hard to cheat the system of L&D at this point.

You can’t fake contractions, you can’t fake preeclampsia, you can’t fake a lot of stuff.  Usually, the nurse that runs triage is one of the most experienced nurses (and is also a delivery nurse).  Don’t undervalue that experience and be thoughtful to show up only when their care is necessary.

I’d love to know what kind of questions you have in the comments (I can’t answer individual questions, sadly — but it might make others feel better). Pregnancy is ALL so weird, sometimes it is hard to know what’s OK and what is not.

Ok, this was just surface information, now is the time to start your birth class so you can get TOTALLY prepared.

Remember it…

• Only takes a few hours
• Was created for couples to take it (and get prepared) together!
• Really SIMPLIFIES birth to make it easy to understand

I can’t wait to see you inside with me!

I love what Sarah M had to say:

“Hilary was great about explaining terms and not assuming everyone is familiar with medical/OB vocabulary. Her very approachable, down to earth personality made the course feel personal and easy to watch.”

Read more reviews here!

Or, if you’re not quite sure you’re ready for that full class, grab my Free Beginning Prenatal Class, where I talk about your birth plan, 3rd trimester testing and labor movement. It’s a good way to see if we are a good fit for each other.

The post Top 12 Reasons to Call or Go To Labor & Delivery During Your Pregnancy appeared first on Pulling Curls.

Reminder:  Please don’t take the advice on this website over the advice of your physician or a professional. This post is not medical advice.

This post includes (click to what ever area you’re interested in):

First off, how do I know so much about water breaking?

Hi, I’m Hilary — many people know me as The Pregnancy Nurse . I have been a nurse since 1997 and I have 20 years of labor and delivery bedside nursing experience, I am also the curly head behind this website Pulling Curls and The Online Prenatal Class for Couples. ​ I’ve helped hundreds, if not thousands, figure out if their water was broken — so I really an expert on this.

Before we get going, have you thought about what you’d like for your BIRTH? Grab my free birth plan tips & template here:

Did my Water Break?

Everything changes those last few weeks of pregnancy, it can be REALLY hard to tell (I get it).

First off, let’s try a little quiz — that might give you an idea:

Did my Water Break Quiz

I’m going to give you a Is my Water Broken Quiz? to help you determine IF yours is — and then we’re going to talk about ALL The answers, as well as some common mis-conceptions about water breaking.

Tip: If it’s taking forever to load (SORRY) you can also find it right here.

If your water IS broken, it’s time to call your doctor and pack your hospital bag. This is the big time! FYI, You are still going to be sure that baby is moving as you do those things.

However, if your water is not broken — I have a tip for you!

Maybe you’re feeling….

• Overwhelmed by all there is to know
• Really wish you could fit in a birth class but even THAT is overwhelming because Tuesdays at 6 pm just doesn’t work for the both of you.
• Want class with an engaging expert that you know you’ll really get something from.

The Online Prenatal Class for Couples was created just for you.

• It’s available 24/7 (and can be done in 20-minute “birth bites” so you’re not overwhelmed).
• It’s meant for couples — so your partner isn’t just a cheerleader but a teammate
• Is an all-in-one class that makes sure you’re not missing a thing!

What does Water Breaking Look Like?

A lot of people wonder WHAT it is going to be like. Honestly, most people feel a small trickle of fluid that just continues (sometimes the baby’s head corks it off), however most women have a different “story”

It is a varied feeling among women — but let’s talk more about how to know that’s IT!

What will it feel like when my water breaks?

Some women say it feels like a pop and then a big gush of fluid.

Some women feel like it’s just like they’re peeing, but they can’t stop it.

It isn’t painful, unless it is accompanied by labor contractions (and it’s the contractions that hurt, not the breaking of the water).

If you’re looking for the signs of labor I have a labor checklist you might enjoy:

What should I expect from amniotic fluid?

What does amniotic fluid look like? 

Amniotic fluid is WATERY, it’s not thick and it isn’t normally bloody (but can have streaks of blood or mucus, that’s normal).  If you do gush blood, you need to get yourself to the hospital, and if it’s a LOT you need to call 911, but amniotic fluid smells kind of like a public pool.  A little chlorine-y, and a little bit like urine (because amniotic fluid is made mostly of baby pee).

The amniotic sac is a membrane that surrounds your bag of waters. It normally is pretty tough, but can break (obviously).

Your amniotic fluid does NOT look like mucus. That could be your mucus plug, but be mindful that discharge changes a lot towards the end of the third trimester — or closer to your due date. I have a whole post on if it’s discharge or your water breaking.

How much amniotic fluid will come out?

You may get a gush, you may get a trickle of water.  Depending on where your on the “sac” it broke, it will gush or trickle.  It is likely to dump more when you move, or when you go from sitting to standing.  We call that a slow leak — when it’s only a little.

Check out most post on how much water comes out when your water breaks that helps answer this.

We go into detail about why that is in here.

When will the amniotic fluid stop coming out?

It will continue to come out.  If you get a gush, and then absolutely nothing, you can probably thank your bladder.  I’ve heard of pregnant women who had a “dry birth” and I’m not sure what that is.  It does keep coming out, it’s baby pee.  And in case you didn’t know it already — baby pee is in a seemingly endless supply!

Can I tell if my water is going to break?

Not normally, but I do have a post on the signs your water may break soon.

I have a bunch of posts on water breaking you might find helpful:

• What Does Water Breaking Look Like?
• What Does It Feel Like When Your Water Breaks?
• Can Your Water Break While You’re Peeing?
• What Makes your Water Break During Pregnancy?
• Signs Your Water Is Going To Break

How to tell if your water broke or you peed

I JUST had this the other day.  A lady came in to tell me that about 5 hours previously she had woken-up to a SOAKED bed and was sure her water was broken.

I asked her if she had any leaking since then, and she’d had none.

And her water hadn’t broken.

She’d peed.

And frankly, guys – it’s not unusual.

Especially, it was her 3rd, she was older and she just didn’t have a “young” bladder anymore.

The big thing to watch for is if it KEEPS coming out.

Your amniotic fluid is made of mainly baby pee — so it KEEPS coming out.  Coughing, or going from sitting to standing should elicit another gush.

It really helps to know that a lot of what you think is CRAZY is actually VERY normal in the land of labor and delivery — learn stuff like that from an expert!

Did my water break or is it discharge?

AS I said above — when your water breaks, it is super watery.  Yes, you can have a trickle, but if you cough or change positions usually more comes out.  Discharge is more constant and often thicker or white. However, at the end of your pregnancy it will likely thin out. BTW, I have a whole post on vaginal discharge during pregnancy.

This can be hard to tell — which is why we have the test I talk about next….

How to check whether your water broke

In order to REALLY know if amniotic sac ruptured — you will have to go to your doctor or to the hospital.  Your Labor & delivery nurse can test it. There is also this “at home water leaking test“

The hospital does have a definitive test to tell if your water has broken. It’s called Amnisure (other hospitals may use Ferning, and some may use Nitrazine paper as an initial test) — it is a very simple test.  It isn’t something you want to wait and wait to decide if it’s broken, but you can certainly wait a couple of hours.  Maybe shower, put on a sanitary pad and see if it’s still coming out.

If you THINK it might be broken, I’d call your doctor to see what they recommend. And yes, I do go all into contacting your doctor late at night in this class.

What to do if you can’t decide if your water is broken?

Sometimes there’s LOTS of fluid, and sometimes there isn’t much fluid (thanks to the baby’s head shutting it off) — and that can be confusing.

First off, put a call into your provider. Sometimes they don’t answer right away, and they might give you some good advice for your particular circumstances. This is definitely true if you are not yet full term. If you think have premature rupture of membranes, also called PPROM, call your provider immediately.

Second, put on a pad or panty liner on and do some stuff. Lay down and read for a bit, and then get up — does more come out? Most often it will (but not always) if it is amniotic fluid.

You should hopefully have some pads on hand — you’ll want some for after baby (grab my checklist for after baby here):

Tricks to Tell if Your Water Broke:

There are a few tricks you can try (I go over these and other tricks in the prenatal class for you):

Stand up (or lay down for a bit and then stand up). If your water is broken, most often you’ll get a gush of fluid that has collected in your vagina and runs out when you stand up.

One other time I see a lot of fluid come out is when women lift their hips up off the bed (most often they do it when we’re changing out something that’s under their butt). Often a lot of fluid comes out with that.

Cough — sometimes coughing will also make fluid come out (but also if you have a week bladder, it can make you pee instead, and no coughing won’t induce you).

What happens after my water breaks?

Water breaking itself isn’t all that exciting, but it normally does start “labor” — so, what REALLY happens after it breaks?

Pro Tip: Most nurses have to chart how long labor lasted, and we most often say that labour starts when your water breaks (especially if it did it naturally)

If you’re worried about fluids on textiles around your home (your bed, couch or car) I recommend these. I think they can also be helpful for YEARS to come with kids!

Will I go into labor after my water breaks?

Once your water breaks, contractions usually start in the next few hours.  If you’re heading to 12 hours without contractions you can expect that your doctor is going to want to start you on some Pitocin (the other induction agents are limited once it is broken).  There is an increased risk of infection now that barrier is broken.  They’ll take your temperature frequently (enough to drive your nurse insane).  An infection is the main concern if your fluid is broken for a long time.  They also may start you on antibiotics after it’s been a while.

They will want to see you in active labor sooner, rather than later. Especially if you have certainly risk factors like group B positive (most providers call this the GBS test). Your risk of infection increases the longer your water remains broken.

BTW, you might be feeling some cramps and wondering when labor is going to start — all very normal! It is harder than you imagine to know if you’re in labor. In fact, I have a whole podcast on labor signs.

The thing is there can be some time between water breaking and labor really getting going, which is why I tell you what to do during that time in this class.

Can bad things happen after it breaks?

If anything comes into your vagina  besides fluid from your uterus (or just your basic discharge — I’m talking about the umbilical CORD or an ARM), you need to get your butt in the air (hands and knees with your face in the floor, bum in the air) and call 911.  The cord can slip out when your amniotic sac breaks and this can have serious consequences.  Don’t take a shower, don’t have dinner.  Call 911.  The end.

If you feel something in your vagina, feel free to reach up and check

BTW, this is pretty rare, but it is certainly a pregnancy emergency. Talk with your provider if you have questions about this.

Things to take note of when your water breaks

If you know your water’s broken (and it’s often fairly obvious) check coat:
C — Color of the fluid (is it clear or green?)
O — Odor (does it smell funny?)
A — Amount of fluid (giant gush or a slow trickle)
T — Time (what time did it break, remember the clock starts going after your water is broken)

If you know this, they will answer most of the important questions your healthcare providers will ask.

And, when in doubt — call your health care provider or head into L&D.

I also have a whole podcast on how to tell if your water broke that you can listen to while you read:

And, of course a video too!

Water Breaking Common Questions

Ok, now that we’ve talked ALL about that amniotic sac. And guys, that’s a pretty small part of the whole picture.

Come join me in The Online Prenatal Class for Couples.  It is SO important to get prepared for your birth, but the traditional Tuesdays at 6 pm for 3 hour class just doesn’t work for families anymore — so I made my own. It really covers everything from bump to bassinet!

Or, if you’re not quite ready for the full class, check out my free pregnancy tips class — It’s your first step towards being your own birth boss.

Be sure to check out my post on EVERYTHING you need to know about your water breaking for more on this important topic!

This post was originally published in March 2014, and has since been updated.

The post Did my Water Break Quiz: How to tell if your water broke appeared first on Pulling Curls.

First off, hello! I’m Hilary — many people know me as The Pregnancy Nurse . I have been a nurse since 1997 and I have 20 years of OB nursing experience, I am also the curly head behind this website Pulling Curls and The Online Prenatal Class for Couples. ​ I have seen thousands of inductions, and talked to many patients and providers about WHY they are being induced.

If you’re looking to get induced — be SURE to grab my induction question checklist:

Before we get into it — I want to say that as a labor nurse I am a HUGE fan of letting mother nature take her course, and allowing your baby to be born on their own timeline as much as possible (even if that means going overdue). A lot of people believe that doctors push inductions, and I actually believe more patients want them than doctors push them.

That being said, there are a lot of reasons we shouldn’t wait for mother nature, so let’s talk about them (be sure to check out my Pregnancy Nurse post on being induced at 37 weeks). I also have a whole post on if you can ask to be induced at 37 weeks.

Reasons to Induce Labor in Pregnant Women

Today I want to share 5 reasons why a pregnant woman might be induced. I go into the vast majority of reasons why women get induced in my labor course, but I think this will give you a good idea (and will also help you translate into whatever condition you’re facing). BTW if you’re likely getting induced check out my easy ways to prepare for an induction.

** Of COURSE there are LOTS of medical conditions that require an induction, but I am speaking to the most common ones.

Fun fact: Pain is not normally a reason for an induction.

Large Baby (Large for Gestational Age)

If your baby is measuring large, they may make the choice to induce you.

They can measure the baby in a couple in a few ways:

• Measuring tape (your provider measures from the top of your pubic bone to the top of your uterus)
• Leopold’s Maneuvers (your provider will feel where the baby’s head and limbs are in in your uterus with his/her hands)
• Ultrasound — keep in mind that earlier ultrasounds are more accurate on baby’s weight, as there is more baby to measure the further along you get. I did a recent podcast on ultrasound testing:

Those measurements, possibly in combination with a vaginal exam to determine how large your baby exit area is (depending on the angle and positioning of your pelvic bones) will help them determine if an induction is appropriate.

There are some potential risks to a large baby, but the main one is that they won’t fit through your pelvis. However, this might not be your best option, so be sure to discuss it with your provider. If this is the case they are trying for you to have a vaginal delivery vs a caesarean section.

Diabetes (including Type 1, Type 2 or gestational Diabetes)

Due to the sugar in your system sometimes diabetes grows a larger baby.

In fact, if you fail your 1 hour glucose test, it can also mean that you could have a larger baby as well.

All of this then reverts back to the large baby paragraphs above. It depends on how well your glucose is controlled, and a number of factors. I do find that most diabetic women are at least induced by 40 weeks.

Prior to the past few years, often they were induced WEEKS before their due date, but lately they’d prefer baby stay inside a bit longer unless there are other health problems or medical problems.

BTW, my friend Katie shared her experienced with GDM (Gestational Diabetes Mellitus). I also have a post on what to eat before your diabetes test, and also how not to fail the test.

Preeclampsia

I won’t get into what preeclampsia is — because I have a whole article on preeclampisa, and I have another one about protein in your urine (which is why they test your urine at appointments.

It makes your smooth muscles relax, which leaks protein in your urine and fluid into your ankles (again, tons more info in that article I linked to above).

BUT, the only way to stop it is really to get the baby out, which leads to induction.

However, just because you have high blood pressure doesn’t meant that have preeclampsia. Gestational hypertension (high blood pressure during pregnancy) is a reason to be induced as well.

Just a guess, but I think blood pressure issues/preeclampisa, is one the most common reason pregnant women are induced for a medical reason.

Low Fluid Levels

Your baby and body produce the amniotic fluid that fills the amniotic sac surrounding the baby (it’s mostly baby pee though).

If that fluid gets too low (or frankly, too high) it can be problematic for baby’s health.

This fluid level is measured with ultrasound in a test called an AFI (which we talk about in this free class). If your AFI is too low The American College of Obstetricians and Gynecologists (ACOG) recommends an induction between 36-38 weeks.

If the level is too low and you’re close enough to your due date, it’s likely they will induce you to maintain the health of your baby.

This is why, if you’re worried your water has broken, you should mention it to your provider. Once your water breaks there is an increased risk of infection, so that is a whole other ball game.

I also talk about how they test for all these types of things in my free beginning prenatal class << join me right there!

Elective

An elective induction means you’re making the CHOICE to be induced, for non-medical reasons.

Either you, or your doctor has encouraged it.

Maybe your moms in town, or the doctor is leaving town. Or, you’re just tired of being pregnant.

I see this often, but please consider the reasoning before you just plan to get the baby out. I truly do think that letting the baby grow inside until they are ready is best. However, it’s up to each couple to decide what’s best for them.

And I’ve certainly started a lot of elective inductions.

Pro Tip: An elective labor inductiona isn’t allowed before 39 weeks of pregnancy (and possibly longer depending on your health care provider and the delivery hospital).

We talked about reasons you might want to get induced on a recent podcast:

A note on elective inductions: You’re at the “bottom of the list” for inductions. That means if your hospital is busy they will take all inductions that have a medically necessary reason before you.

I know it’s annoying, but it does make sense since we’re there to do our best for the people who need it most.

That ALL being said, I was 12 days over with my last baby and had to be induced. I wasn’t happy about it, but as soon as they broke my water I had a baby. Life’s fun like that.

That’s why having a birth plan is nice, but it doesn’t always work out the way you’d planned.

FAQ’s about Inductions:

That’s it for inductions right now. But, if you still have questions or just want to learn about the whole thing start to finish come join me Inductions Made Easy. I can really simplify it so it’s easy for you!

Not sure we’re a good fit check out my free class — It’s your first step towards being your own birth boss.

The post Induction: Reasons Pregnant Women are Induced appeared first on Pulling Curls.

Ok, so why do I know about contractions?

Hi, I’m Hilary — many people know me as The Pregnancy Nurse® . I have been a nurse since 1997 and I have 20 years of OB nursing experience, I am also the curly head behind this website Pulling Curls and The Online Prenatal Class for Couples. ​ I have literally helped THOUSANDS of couples learn what contractions feel like (and I’ve seen even more in labor). I am a trusted resources as you’re figuring out what to expect from your body.

Of course, this is NOT MEDICAL ADVICE and we recommend you talk to your provider about all of the pains you are having. But, ESPECIALLY before you are 36 weeks your provider would prefer that you aren’t having many contractions in an hour. Please be sure to contact them if you’re having more than 5 uterine contractions in an hour and are less than 36 weeks (or whatever the # is that they have told you).

Before we get going — have you made a birth plan? Let me help you out here:

What does a contraction feel like?

I spent MUCH of my first pregnancy wondering WHAT the big day would feel like?  What would contractions feel like?  What would labor feel like? All of those are very normal first-time mom questions!

What is a contraction?

A contraction is your uterus (which is basically, just a large muscle) tightening down on the baby. I really like how this video shows it:

I like to think of your cerivx as a tight sweater neck.  Where the uterus is just slowly pushing the baby’s head through it.  So, it starts really small and grows as the head pushes on it more and more (I explain a bit more about that in my vaginal exams post)

All of that is thanks to contractions.

There are different types of contractions. Some are meant to soften your cervix to get it ready to have the baby go through it, and some start at the top of your uterus and really PUSH that baby down. All of them are important, but some don’t really lead you into having the baby within the next day.

While you might call that a “false alarm” — but it’s important to remember that ALL these pains have their own place in this process.

When you hit ten centimeters (check out this post to learn more about vaginal exams), you’ll push in time with your contractions to give that baby it’s final shove out your vagina.

It’s all really a miracle.  Just sort of a painful one.

Want more info on contractions, check out these posts:

• Contractions vs Braxton Hicks Quiz
• What Toco Reading is a Contraction?
• True Labor Contractions: The signs of real labor
• What To Do When You’re Having Contractions
• Where Do You Feel Contractions?

I’ll be the first to say that all of this sounds kind of scary and alien-esque if I think about it too much without the proper support.

Pro Tip if that’s you: Come join me The Online Prenatal Class for Couples — it is your ONE STOP SHOP for birth prep:

What will I feel?

For me, contractions felt like a bad stomach ache or cramps with your period.  You have to realize that you might just feel “crappy” much of the day — similar to how you feel during a bad period.  That can be contractions (or, you just feel crappy).

Sidenote: if your stomach is gurgling during pregnancy << I have a post on that too.

Period cramps ARE contractions — they’re your uterus wringing out what was left of the lining that it built up since it’s not pregnant.

Often they start out as just “tight” or some mild discomfort, and continue to be more painful from there.

Contractions are “wave-like” (like the tidal waves of the ocean) in that they come in, and go away, and come back, and go away….

Most pregnant women describe them this way:

• Dull pelvic pain that comes and goes
• Menstrual Cramps or period pains
• Stomach cramps (but a bit lower than you’d feel them with actual stomach cramps)
• They intensify (get more painful)

Please note that contractions tend to come and go, meaning a constant dull ache in your pelvis is not too likely to be labor (unless also accompanied by other pains).

I have a whole post just on true labor contractions and how to differentiate them between false labor.

Of course, you likely haven’t had a period in quite a while.  So, while that is a bummer — just try to remember back….

For a lot of women, that can be somewhat confusing (don’t miss my post all about the signs of labor)

SO, I have a solution… The Online Prenatal Class for Couples talks about it in depth — a snippet of it can be watched below:

Where do you feel your contractions?

Because your uterus is a pretty big muscle — you can feel your contractions in a variety of places.  Areas women often feel them include:

• Lower abdomen
• Back (both lower and a bit higher)
• Hips

Pro Tip: It is really hard to pinpoint the start of labor. You can look back afterwards and realize when things got more serious, but the start of labor is pretty nebulous.

The weirdness of all of it is why it’s probably great to get a few things in your hospital bag soon:

Contractions feel like the baby moving?

I get this question a lot.  Large amounts of fetal movement can trigger a contraction — so sometimes those happen together.

Contractions CAN feel like the baby is moving — they cause similar pangs and pains.  A lot of my patients, once I have them on the monitor — and tell them it’s a contraction, will say — “Oh, I just thought the baby was moving.”  So, that’s not unusual.

Looking for more info on baby moving? — be sure to check out these posts:

• It Feels Like My Water is Going to Break When Baby Moves
• Normal Daily Fetal Movement – Kick Counts
• When to Go To The Hospital for Decreased Fetal Movement?
• Feel Baby Move in Lower Abdomen
• Fetal Movement & Kick Counts

How do I know I’m contracting?

Your uterus will start to feel hard under your skin when you contract.  It can be hard to tell for sure — but if you lay down, and really try to relax, as well as pressing on your belly when you feel the contraction, as well as when you don’t — you might be able to feel it.

But, you’ll also know it from a lot of pain.

If you’re sure not sure I’d call your provider and talk it over with them.

Contractions on the monitor but I’m not feeling them

This actually isn’t unusual at all.  Contractions come in all shapes and sizes.  Sadly, you usually need to feel them in order for them to do any work for you, but a lot of women have no idea they’re contracting until I put them on the monitor.

I actually have a whole post on The Pregnancy Nurse on what to do in if contractions show but you don’t feel them, and a post on what the contraction monitor (called a toco) sees at the hospital. And yes, it does vary depending on how close you are to do your due date. If your belly is super small, they will likely show-up smaller.

Those monitors can feel REAL intimidating, which is why we go over what to expect from them a bunch in here.

What do Braxton Hicks Contractions Feel Like?

Here’s the crazy thing, Braxton Hicks contractions feel pretty similar. Yes, they are likely less intense or painful… but yeah. They all seem similar. So, that makes it hard.

The main difference for “real contractions” is that you eventually go into labor. But, the other contractions I felt in the weeks up to actually going into labor felt VERY similar to the early labor contractions that pushed us into the “real thing”

What The Signs of “Real Labor Contractions”

I think a table would be helpful for this one:

Remember, that these “false labor contractions” really are your body’s way of softening your cervix and getting your body more ready for labor (so it’s easier to think of them as early contractions). Braxton Hicks contractions (often also called practice contractions) are just making VERY small changes to your body before baby heads into the birth canal with real contractions.

In fact, sometimes the latent stage of labor (also called early labor, or if it’s long prodromal labor) can really last quite a while and sort of “turn on and off” a few times before you get into the active stage of labor.

I have a whole post that explains the stages of labor (and goes into how long labor will last).

Pro Tip: If you’re feeling contractions frequently, it’s not a bad idea to time contractions. At least at that point you’ll know how frequent they are (and if they’re in a pattern or random). This is a great thing for your partner to do (and there’s lots of apps out there that can help them). And yes, we talk all about how to do that in here (I teach your partner too!).

Feeling like you have a LOT to learn about labor? Grab my free insider tips here:

How Do I Go Into Labor?

I have a few posts that share about how you might get contractions going if you’re feeling SOMETHING but really want to have your baby:

• Will a prenatal massage put you into labor?
• Will jumping jacks put your into labor?
• Will a warm bath put you into labor?

Other tips are to make sure that you frequently change positions (unless you’re asleep) so that baby can find their best way out.

Make sure you’re eating, to give your uterus muscles the energy they need to do their job.

Maybe you’ll agree with me in that what seems like it will “just happen” can feel really confusing at the end.

It helps SO much when you have an expert simplify it for you. The Online Prenatal Class for Couples is truly the EASY way to get prepared for your hospital birth. It takes just a few hours and you’ll be prepared before you know it (even on complicated things like this).

Or, if you’re not quite ready for the full class, check out my free insider tips — It’s your first step towards being your own birth boss.

I have a whole vide on this that you might enjoy:

The post What does a contraction feel like? appeared first on Pulling Curls.

Don’t miss my video on this same subject:

Creating a Birth Plan

What is a birth plan?

A birth plan allows you to make choices in advance and communicate them to your health care team at your chosen delivery destination. Of course, you can/may change your mind at any time — it just is a quick way to share what you’d prefer for your baby’s birth with your healthcare provider.

Printable Birth Plan Template

This printable worksheet is going to go over what is most frequently on birth plans and you might want to consider before you head into a delivery.

Grab my birth plan template here (I also have a video that shares why birth plans are important!

What to do if I have no clue what I want on my birth plan?

One of the most important things you can you can do for your labor is to think about what you want in advance. However, it can be difficult to figure out what you want for your birth preferences when it’s all so new!

That is why most people take a prenatal class. The Online Prenatal Class for Couples is the easiest way to get prepared.  I want all of my patients as comfortable as possible at the hospital, and now you don’t even have to fight traffic to do it!

Honestly, birth plans are something I encounter frequently as a nurse. Although, not as often as some people think.  I would guess maybe 5% of our patients have a birth plan.  I would think the number would be closer to 2% at my last hospital (different populations).

I think this free printable birth plan template will help you solidify plans for your birth — so it’s great for that!

Also, I have a video all about what a birth plan is:

Pro Tip: One of the BEST things you can do is to talk to your provider about your big day in advance! Don’t be afraid to show them your preferences for baby’s birth early in your prenatal care. Don’t wait for your due date to communicate with them, and share it first off with your delivery nurse.

Things Most Often on a Birth Plan

Make sure to talk with your whole support team (partners, moms, doulas etc.) as you make these choices so everyone understands what everyone wants.

Birth plan questions for labor:

Induction — if you want one, or would prefer none

Pitocin – both for your induction or afterward

What you plan to wear — our gown or your own clothes/gown

Are you OK with an IV? IV’s are the general standard of care at the hospital

How do you want to position yourself in labor — Sitting, standing, laying on the bed, etc?

Do you hope to eat in labor?

Are you OK with continuous fetal monitoring, or do you have specific preferences otherwise?

Are you hoping for a home birth (but keeping the hospital as a backup)?

Are you planning on an unmedicated birth?

What do you want for pain relief? Do you plan on an epidural, other pain management options or going natural?

Who do you prefer to be in your room at delivery

Birth plan questions for after delivery:

How long do you want for delayed cord clamping of the umbilical cord.

Do you want the baby medications for after delivery?

What types of newborn procedures do you want?

Do you want the baby skin to skin after delivery (this is standard of care as long as baby/mom are well)

Do you want the baby to have a bath (or when do you want it to have a bath?)

Are you planning to breast or bottle-feed?

Do you plan to use a pacifier?

**Clearly there are plenty of other items then this that could be on your birth plan, but these are the most frequent ones.

Looking for more information about your upcoming birth? — be sure to check out these posts:

• The Role of Preparation in Preventing Birth Trauma
• Why Most Birth Classes Fall Short: Preparing for the Unexpected in Labor
• Birth Classes: Everything you need to know to get prepared!
• Essential Tips for Plus Size Moms During Pregnancy and Birth with Dr. Tori O’Daniel
• Birth Plans: Wish Lists, Preferences, and Realities

While we’re here — grab my third trimester printable pack too:

What do nurses think of birth plans?

**I have been a labor nurse since 2001, and this is just what I have experienced from those who have birth plans — you might find the insight helpful**

I have a whole post about what your nurse thinks of birth plans.  Also, if you’re wondering if you should bring a gift to L&D — I have a whole post on gifts for labor and delivery nurses.

Keep in mind that due to policies and procedures we require certain things of our staff in the hospital. So, even if you prefer certain things, it might be good to review it with your doctor in advance to make sure that he/she is OK with all of it.

I constantly wish I could just deliver babies without policies or charting or worries.  But, lawyers have made that a thing of the past.

Just remember that your nurse is on your team.  She wants the same thing you do — a healthy mom and baby.  It’s no good trying to fight it.

In summary:

1. Don’t forget to grab that free customizable birth plan template right here in my free beginning prenatal class.
2. It is important to think about what you want for your birth, and share it with your healthcare team.
3. Be sure to get educated about ALL the things surrounding your birth in a prenatal class.

The Online Prenatal Class for Couples is just WAITING to prepare you for your confident hospital birth. It only takes a few hours, and we would love to have you inside!

This post was originally written November 2012, but has been updated.1

The post Birth Plan Worksheet: Flexible Birth Plan for Success! appeared first on Pulling Curls.

First off, hello! I’m Hilary — many people know me as The Pregnancy Nurse . I have been a nurse since 1997 and I have 20 years of OB nursing experience, I am also the curly head behind this website Pulling Curls and The Online Prenatal Class for Couples. ​ I’ve heard SO many labor myths (and sure seen a lot on Tiktok) — so, let me clear some up for you today.

Come join me for your pregnancy:

Labor and Delivery Myths

By “myths” I mean things we’ve heard from friends or the internet that most moms come to L&D believing, not the Zeus kind of myth.

You Can’t Say No

I think we feel like we just can’t say no to a doctor, but that just isn’t true.

The doctor should be presenting you with choices, and then YOU make the choice.

I compare it to a bus analogy. I drive my regular route (because frankly — most patients don’t have feelings one way or another on most topics). I try to explain things as I go along, and at ANY point you can tell me no, you want to go a different route.

In fact, I did a whole podcast on saying no in labor. It’s great, and I 100% recommend you listen to it:

And if you enjoy podcasts, I did a whole one on refusing routine things in labor with a favorite OBGYN.

Things you can say no to:

• Eating — if we say you can’t eat, and you want to — you can! (caveat, if you’re set for surgery, the anesthesiologist can refuse to do your case if you’ve eaten, so all choices have consequences).
• Vaginal exams — don’t want to be checked (and I have a whole post on what vaginal exams mean), just say no! Totally up to you!
• Breaking your water — would you prefer your water to stay intact longer, you can tell your provider no! BTW, a lot of ladies can’t tell if it’s broken at home — and most women get theirs broken at the hospital.

Hopefully, you are getting the point that you truly are 100% in control at the hospital, and if your doctor isn’t making you feel like that. Go back to informed consent, it has your back. Yes, you truly can refuse anything in labor.

BTW, if these myths are things you believe (even just in part) I bust a TON of myths in my Online Prenatal Class for Couples. Save 10% with code PC10.

You Won’t Feel Anything With an Epidural

A lot of women plan to be 100% numb with an epidural, but that just isn’t true. In fact, I have a whole post on how much you’ll feel with an epidural.

Cliff Notes: The epidural is designed (when done correctly) to take 80% of the pain away.

Reasons you will still feel with the epidural

• It gives your body feedback, which they’ve shown is important to help labor progress.
• We need you to help us turn you (laboring on your back isn’t the best way to do it)
• You will want some sensation in order to be a good pusher!

So, while most of us picture bliss with an epidural, it’s just something to be aware of. And believe you me, even at 80%, it’s still bliss compared to labor.

Wanting to know more about pain control — I have a whole post on pain management in labor.

AND, in The Online Prenatal Class for Couples, I have a whole chapter on it, including a TON on Epidurals!

I also currently include a bonus section that gives breathing techniques to both get you to the epidural, and to also manage the 20% of pain you will likely still feel after its placement.

And yes, we have a whole chapter on pain management (and all your options) here.

You Have Control

I know, I know — I said in myth #1 that you can say no, which is 100% true.

You really should have control over what us staff/practitioners do to/for you. BUT, you don’t have control over what your body does.

I think one of the BIGGEST myths is that when you create a birth plan, birth will go like that. Don’t get me wrong, I’m a HUGE fan of creating a birth plan (mostly just to know what you’d prefer so it’s not a big question mark when you get to the hospital)

And yes, I do have a 3-step birth plan right in here:

However, once you reach the hospital you just have to let your body and your baby do what they are going to do.

Things you don’t have control over (some of these things we can shift and work on, but not always):

• Baby’s position (head down, bum down, head looking up/down)
• Your pelvic opening
• Your vagina (which may mean you may tear no matter how much perineal massage you think you’ve done to help)
• Baby’s size at delivery
• Mother Nature

I don’t know if you’re a person of belief, but labor is one of the times I most realize that life is going to turn out how it was always going to be, no matter what we’re doing to try to counteract that.

YES, try your hardest for the things you’d prefer, but at some point, you have to just let go.

So, those are my 3 favorite labor myths, and yes I do bust a WHOLE lot more in here. I’d love to see you inside to get you prepared!

The post Labor and Delivery Myths: The Lies of Labor appeared first on Pulling Curls.

First off, hello! I’m Hilary — many people know me as The Pregnancy Nurse . I have been a nurse since 1997 and I have 20 years of OB nursing experience, I am also the curly head behind this website Pulling Curls and The Online Prenatal Class for Couples. ​ I’ve helped with thousands of epidurals and really have a good idea of how it all works.

Jump into my personalized pregnancy emails here:

Does An Epidural Hurt?

When people ask this question, I think you need to think of it split into three areas:

1.  Does the process of putting it in hurt?
2.  Does the epidural hurt once it’s in?
3.  Does the epidural hurt coming out?

This post is part of my series on labor epidurals and my labor pain information so don’t miss those pages that has ALL the links to my posts on it!

How bad does getting the epidural hurt??

Getting the epidural put in is the most painful part of the epidural, most often.  However, I would put the pain (after watching thousands getting 3 of my own) on par with the pain of getting your IV.

BTW, an epidural is placed by an anesthesiologist or a CRNA

I have a whole post about the process of getting an epidural during labor.  But, let’s do a quick review here.

1.  The doctor will feel your back — he may push quite hard to find the bones and the landmarks that show him where to go.
2.  The doctor will numb your skin on your back.  This feels like a sharp bee sting and may last for a few minutes, at the most.
3.  Then, you will feel a lot of pressure as he is putting the needle in.  It won’t feel sharp.  I always think it feels like the doctor is pushing his pen on my back very hard.

You will also need to curl-up around your baby during this process.  It is vitally important that you NOT move during this time.  Some people find that position painful while in labor.

I will say that each of my children, the epidural placement was better/worse. Sometimes them putting the catheter into my back (catheter is another word for tube in the hospital) hurt like CRAZY.

Most often, after the initial numbing, I feel like they are pushing hard on my back with their pen. I don’t feel anything sharp, but it is uncomfortable.

BTW I go through the whole epidural process in this video:

And, if you’re really wanting to dive into the process and know more about it (as well as how it feels the whole time, check out this class.

I also have a podcast on 4 tips if you’re afraid of an epidural.

Does the epidural hurt while it’s running?

When the epidural is flowing in, you will just feel cool fluid on your back sometimes.  The process of the epidural medicine going in doesn’t hurt.

You will also have a large amount of tape on your back.  That may pull and tug at times.

If you’re wondering how long an epidural lasts << that post will answer your questions!

I also have a new video on when to get the epidural:

What does an epidural look like?

An epidural needle looks much scarier than it actually is.

Keep in mind that most often the doctor isn’t using much of that needle at all, maybe 1/3?  BUT, if you want to see one — you can check right here.

The other good news is that it’s humanly impossible to see the needle while he puts it in.

Unless you go all exorcist on us.

The epidural process is really not all that scary. The idea of it is worse than the actual process. But I’m here to discuss all your pain management needs in here.

How do Contractions Feel?

Uterine contractions feel very similar to stomach cramps, or the cramps you feel when you’re getting your period.  I have a whole post on what do contractions feel like?

What does the epidural do?

The epidural is designed to take away about 80% of your labor pain.  This post talks all about if labor still hurts with an epidural.

Does an epidural hurt after birth?

As far as the epidural coming OUT.  It feels like us ripping a lot of tape off your back.

The actual epidural catheter coming out doesn’t hurt at all, most often.

Some women feel like their back is a bit bruised.  When the water in the shower hits that spot, it will ache, similar to your IV spot. I have a whole post on if an epidural can cause back pain with some studies linked.

So, that’s the nitty-gritty on if it hurts to get an epidural.  Just a reminder this is part of a series on labor epidurals.  Don’t miss the others:

• Does labor still hurt with an epidural?
• Epidural during Labor — the procedure & more.
• How long does an epidural last?

And, if you’re interested in more info on pain management during delivery be sure to check out my Online Prenatal Class for Couples hosted day and night on the internet, with your’s truly.  Hundreds of couples love this class.  It’s:

• Accurate — you’ll get the RIGHT info.  Since I still deliver I really know what I’m talking about
• Engaging — there are videos and questions to help you take it at your own pace and stay involved
• Available — no more having to fight traffic, and find the right classroom.  It’s here just waiting for you.

Not sure we’re a good fit check out my free class — It’s your first step towards being your own birth boss.

The post Does an Epidural Hurt? appeared first on Pulling Curls.

Why would you want or need to be induced? We’re going to talk about ALL the reasons so you can be prepared for your upcoming birth!

This episode was inspired by my post on the WHY’s of induction, lots more info in there if you are looking for more!

Big thanks to our sponsor The Online Prenatal Class for Couples. It goes into ALL of these reasons in depth and more — you do NOT want to miss it.

I also have a free beginning class, like I mentioned in the episode that you can check out first:

Induction Reasons Podcast

Mentioned In Induction Episode

• LGA (Large for Gestational age — means “big baby”)
• Diabetes
• Preeclampsia — check out my full post on preeclampsia
• Fluid levels in your uterus (I talk about fluid levels in my free prenatal class)
• Elective Inductions — I am a fan of going the full 40
• I also answer people’s questions about inductions
  • How much pitocin is needed to put you in labor (Pitocin is one of my labor vocab)
  • If you can eat when you’re being induced
  • Are you more likely to get a C-section if you are induced
  • VBAC inductions (I have a whole post on VBAC’s here)
  • The study showing it is safer to get induced at 39 weeks.

**These are not ALL the reasons you might be induced, but they are the most common ones.

Other things that might interest you on Inductions

How to go into labor podcast (where we talk about “how long” you’re in labor)

How to say no podcast

My Pregnancy Nurse post on Inductions at 37 weeks

Vaginal Exams (if you’re wondering what the HECK I’m talking about with all the exam numbers, this post explains them)

Producer: Drew Erickson

Check out my other pregnancy podcasts:

Check out all my podcasts:

Hilary Erickson 0:00
Hey guys, welcome back to the pulling curls podcast today on episode 49. We are talking about inductions, Get the baby out of me. Interestingly enough in one of my Facebook groups somebody just asked recently Why on earth would someone want to get induced Of course you want the baby to stay in now that person was less than 35 weeks and I think we all think early on of course I won’t get induced that doesn’t seem smart. But I think as we get closer to 40 weeks, it’s so darn miserable. We start to think maybe that’s not such a bad option. So let’s untangle it.

Welcome to the pulling curls podcast where we untangle everything from pregnancy parenting Homer, teens, even some family travel because heavens knows our lives are tangled. I’m your host Hilary Erickson. This is the part of the episode where I beg you to leave a review. The problem with creating a podcast that’s for busy moms is that you’re busy moms and nobody has time for review which I 100% Get but I only need a few words, please leave me a review.

Thank you so much. Okay guys, before we jump in, I wanted to remind you about my free online prenatal class, it talks about all the reasons why you might well not all of them, because you know, I can’t mention everything, but it talks about the reasons you’d want to head into labor and delivery or call your doctor.

It’s super, super helpful also talks about common third trimester testing, which is actually what might lead you to end up being induced with some of these reasons we’re going to talk about so definitely jump inside. You can find it in the show notes, and this is episode 49. At pullingcurls.com.

This episode of The pulling curls podcast is sponsored by the online prenatal class. for couples. It simplifies understanding labor so you can have a more relaxed pregnancy and birth taught by a highly experienced labor and delivery nurse and can be done wherever you are whenever you want. No more arranging busy schedules to fit in a prenatal class, say 15%. With the coupon code untangled You can find out more at pulling curls calm and the menu under courses or in this episode show notes.

Okay, so today, we’re first going to talk about The five most common reasons that women get induced and then I’m going to answer some of your most burning questions about induction. So let’s talk about why you might get induced. Okay, so the first reason is that your baby is too big. It’s also known as LGA or large for gestational age. It’s usually done via ultrasound, although some doctors just measure you with our tape measure.

You know, when you go to your prenatal checkups, and they measure from your pubic bone to the top of your uterus, they can tell that as well as also we do a thing called Leopold’s maneuvers, which is where we just feel your belly and really skilled practitioners can really know how big a baby is without as well. So if your baby’s too big, and it just keeps getting bigger, it may not come out of your pelvis. And so that’s why we would induce you early diabetes is becoming a very frequent reason that women are getting induced, most often the lower you go at least till 39 weeks, often 40 weeks even if you’re a well controlled diabetic.

It’s basically the same reason as large for gestational age when you are diabetic, it is likely that you are growing a larger baby because of the sugar levels in your blood and so It’s just better to get the baby out. Also, there are more risks with a gestational diabetic baby.

So they just want to get them out a little bit earlier, they very rarely would let you go past 40 weeks, as far as I’ve seen with gestational diabetes or type one or type two, honestly type one, they probably go early because that has even more complications and something that you’ll be dealing with your whole life. As you will know if you’re a type one diabetic preeclampsia is a reason that we see a lot of people get induced preeclampsia is a disorder where the smooth muscle in your body relaxes.

And so we see that as protein in the urine, you swell you get headaches, that is kind of the main reason that your doctor is checking your blood pressure and your urine when you go in for a checkup. So if you end up having preeclampsia, that would be a reason to be induced.

Usually preeclampsia is diagnosed though with a blood test and we bring you into the hospital and monitor you before we decide it’s preeclampsia. If you’re interested on more information about preeclampsia, I have a whole article about it that’s really helpful and useful, but I would not worry about it if you haven’t been discussing it with your doctor previous to now.

Okay, low fluid. If your doctor thinks that you might have a low flow level, they will send you the hospital for a test called an EFI. FYI, we talk about all these types of tests in that free prenatal class that I had mentioned. And so the EFI measures how much fluid is in your belly around the baby, if there’s too much fluid, it can be a problem. And if there’s too low of fluid, it can be a problem as well.

So we just like to have a good amount of fluid around the baby to cushion the cord and make sure baby is healthy and doing well. So getting an asi that is too low could be a reason for you to get induced and too high. It’s you know, it goes both ways. Finally, the reason that most women end up getting induced is an elective induction.

Now it can be elective on your side, it can be elective on the doctor side, it just means that you have decided that it would be better to get the baby out with no medical indication, it can be because your mom’s in town or your husband’s leaving town or your doctors leaving town or you’re just tired of being pregnant.

If any reason just an FYI, on an elective induction, you do fall behind anyone who has a medical reason to be induced, of course, we are a hospital and we do need to treat those who have a medical condition before people who just kind of want to be treated if that makes sense. And so if your hospital is busy, sometimes you end up getting put off Pause or hold for a little bit until we’re able to find a room for you. But an elective induction happens very frequently.

I, of course, do recommend avoiding electrical induction if at all possible, but sometimes it just isn’t. And people get induced and it is not unusual. And I’ve started a bajillion elective inductions in my time. So those are the five reasons that you might get induced. Of course, there are other reasons why you might get induced, I go into all of those in the full online prenatal class for couples, but I just wanted to give you an idea of the top five and what is most commonly seen.

Okay, let’s talk about your induction burning questions. Okay, are there different degrees of pain with pitocin if you only need a small dose versus a large dose, so pitocin reacts very differently on every single patient. Some people only need a very small dose and some people need a giant dose and of course, it varies. If you are getting induced for specific reason and your cervix is closed, they can high it is probably going to take more pitocin to get the baby going through that cervix versus someone who’s already four centimeters and the baby is low and all those kinds of things as far as the pain early in labor when the pitocin is low as we increase it just a tiny bit.

Every 30 minutes, it does get harder the higher that amount of pitocin goes for some people, some people, it doesn’t get painful. And that isn’t a great sign because it does require a little bit of pain for your cervix to open because pitocin is putting you into labor, we do need to have some pain in order to have a baby. So as we increase the level of pitocin.

Yes, it does get more painful. Okay, next burning question. Does it make labor longer if you have an induction? Now that’s hard to say? Because we’re actually we’re supposed to fill out how long the labor lasted.

And a lot of times, I’m like, I have no idea because when does labor actually start? If you listen to a podcast with my friend Mandy, she always says that labor starts in hindsight, which I totally agree. If you labor at home, a lot of times you just won’t feel well, but you’re still going about the things that you’re doing. You’re making dinner, you’re cleaning your house, you’re going to work all those kind of things and then suddenly you start to be like, Oh, I think I’m in labor.

I think I just wasn’t feeling like crap versus while you’re at the hospital you’re laying in bed, you have absolutely nothing else to focus on other than feeling like crap and so it starts like from minute one for you for You know all that time that you were feeling not so well and didn’t know you were in labor but now you are. So in general though, and deduction does take longer because Mother Nature is not on your side, but not always. So there’s my super vague answer for you.

You’re welcome. Okay, can you eat once you’re in the hospital? Oh, if you are getting a deuce it depends on how you are getting induced in general once you’re on pitocin you cannot eat although I do provide my patients I ships and juice sometimes I give them ice or popsicles or those types of things. You can have clear liquids but they do prefer that you not eat.

Of course I always just it’s your own body. You can decide what the heck you want to do. But you might see the food again and a lot of people honestly once you get into hard labor are just not interested in eating. So that’s something to consider. Well, sometimes if Potosi has been going for a while we will give you a pitocin break we’ll let you get up and shower and eat and sometimes I feel like that really helps your body just get all the pitocin out of its system and do a fresh start and you just feel so much better once you’ve eaten.

So sometimes that happens if you’ve had a longer induction Are you more likely to need a C section if you are induced This is a two fold question. People that are induced have higher risk because people who have medical problems are often induced and so you have to take that into account plus the elective people who just made the choice to be induced.

Yes, getting induced does have a higher c section rate. Yes, higher risk pregnancies have a higher c section rate, but it does go against your body’s natural course. So sometimes it does end up having a higher c section rate, which is why we encourage people to not have a C section it is a more natural way for your body to have a baby.

I have to be fully honest in the fact that I was 12 days overdue with my last baby. I am a big believer in waiting until Mother Nature says it’s go time but my doctor really convinced me to go ahead and be induced I wasn’t doing I was reticent to have them break my water which is one way that they can do shoe and once they did, I had the baby like two hours later, I was walking around at like five centimeters so I just my uterus is done. It’s pieced out.

Okay, we had a question about VBAC inductions, which is a little bit different than regular inductions. The main difference is that your doctor needs to be in hospital hold time and it’s a little bit more high risk. So a lot of times we’ll insert a monitor called a UPC that gives us a direct idea of how firm your contractions are and kind of how the baby is tolerating it depending on how hard the contractions are.

The main thing though, is that your doctor has to be there the whole time. And so a lot of doctors are more reticent to do a VBAC induction because it is hard for them to be there the whole time that you’re getting induced. If your doctor has an office on the hospital premises or near the campus, then a lot of times they can let you labor while they’re at the office. And so that works out well for them. If you are considering a VBAC, I would talk to your doctor about if they will induce you ahead of time just to find out and have your expectations at a certain point.

They may induce you with certain things like they might be willing to break your water but they wouldn’t be willing to do pitocin or something like that. So talk with your doctor about what they’re wanting to do early in your pregnancy if you’re hoping for a VBAC, and if you find that your provider isn’t willing to do what you’re hoping for, there’s no reason especially before 20 to 25 weeks that you can’t shop around with a provider who does seem a little more willing to work with you. Okay, final question is there is a study out there which of course, I’ve heard all about that it is safer to induce people at 39 weeks.

It is one study, the peer review Wasn’t that awesome. It doesn’t have a huge sample size. As far as my 20 year career in labor and delivery, it goes against things that I know to be true just in watching people. So I disagree with it.

A cog, which is our physicians group in the United States does not agree with the study, they still recommend that patients go towards 40 weeks and we only induce if medically necessary before then, if possible, so that study is all the rage and I’m sure anyone can find a study to support whatever they want to do with their body.

So there you go. I mean, if you really want to get a noose before 39 weeks talk with your doctor about it, there’s absolutely no reason not to. It really depends on what your cervix is. If your body is showing you that it’s not ready your cervix is closed thick and high. You know, your cervix is firm, that is not a great sign that your body is anywhere near going into labor.

But if you’re four centimeters and the baby is low, The service is soft, then that shows that maybe your body is ready and it could just use a little shove and then you’ll go into labor. So it really depends on what your body is showing you and your particular circumstances.

So I would encourage you to talk with your doctor. Also if you are miserable at whatever stage of pregnancy you are at talk with your doctor about that they might have recommendations that they can help you with final word. When you are heading to 40 weeks your main job in life is just stating Yes, your other kids might watch a lot of TV Yes, you might feel like a slob just kind of sitting on the couch all the time, but it is hard to grow a full sized human inside your own body.

So give yourself credit for that. You don’t need to be induced because you can lay around and just just stayed if that’s possible. So hang in there lots of reasons you need to be a noose lots of reasons you don’t need to be induced Big thanks to today’s sponsor, the online prenatal class for couples if you guys have any questions about that, I would love to answer it.

If you go to the page about it. There is a question mark down on the side where you can ask questions and you can directly email me through that link as well. I go all into inductions how they happen what’s Expect all those kinds of things so if you have any questions, it is a great time to get started. That course is newly updated and has awesome videos and outside materials if you have specific concerns that you can read through as well and I have to say the biggest lover of that course is the partners they are loving how engaging it is how quick it is how I do not waste your time because I am not a time waster here

people. If you like today’s episode, we’d love it if you would share, subscribe and review it really makes a difference. We drop an episode every Monday and until then I hope you have a tangle free day!

Transcribed by https://otter.ai

The post Induction: 5 Reasons Why — PCP 049 appeared first on Pulling Curls.

I asked for questions on my social media, and got some great ones to answer for you today!

Be sure to find out the answer to my #1 question on epidurals:

[thrive_leads id=’28896′]

Big thanks to today’s sponsor The Online Prenatal Class for Couples — if you’re looking for more information on all aspects of pregnancy, do NOT miss it! Be sure to use the coupon code mentioned in the episode!

Questions Most Often Asked:

• How often does an epidural not work?
• What are the consequences of an epidural?
• How does recovery compare with/without an epidural?
• What are the complications of an epidural?
• Does the epidural increase your risks for tearing?
• How much pain does an epidural take away?

Items Mentioned:

• My post on Does labor hurt with an epidural?
• Informed consent post

Other things you might find helpful:

• Tearing at delivery
• Does getting an epidural hurt?
• Labor Epidural placement
• Pain Management in Labor

Producer: Drew Erickson

Check out my other pregnancy podcasts:

Check out all my podcasts:

Transcript:

Hilary Erickson 0:00
Hey guys, welcome back to the pulling curls podcast. Today on Episode 40, we’re talking about the happy-dural. Yeah, that’s what we used to call it at one of my hospitals. We’re talking all about the epidural and I can’t wait to answer some of your most burning questions. Let’s untangle it. Welcome to the polling girls podcast where we untangle everything from pregnancy parenting, home routines, even some family travel because heavens knows our lives are tangled. I’m your host, Hilary Erickson.

Okay, you guys are just sitting there on your favorite podcast platform. Now’s the time to leave a review. We’d really appreciate it. Thank you.

This episode of The pulling curls podcast is sponsored by the online prenatal class. for couples. It simplifies understanding labor so you can have a more relaxed pregnancy and birth taught by a highly experienced labor and delivery nurse and can be done wherever you are whenever you want. No more arranging busy schedules to fit in a prenatal class, say 15% With a coupon code untangled, you can find out more at pulling curls calm and the menu under courses or in this episode show notes.

Okay, question number one about epidurals, how far long should I be before I get an epidural? Now there’s a reason this is question number one because it’s the question people ask me in the hospital, in my groups all over the places and in fact, I have a whole thing that I can send you. That’s all about when the best time to get the epidural is so jump on over to pulling curls. This is Episode 40. Check it out in the show notes. Find out it’s all in there. Okay, next question. How often does an epidural not work? Now some people think

their epidural isn’t working if they feel anything at all, and I have a whole post on how much you should feel if even if the epidural is working. So don’t feel like if you get an epidural, you’re going to be completely numb. That’s not the plan because I need you to help me help you move and all those kind of thing. So that type of thing happens sometimes that you’re well it should happen a good amount of the time. You should feel something with the epidural It should take about 80% of the pain away now people that are getting less than 80% How often does that happen? I would say not super frequently. I will say that as you get further into labor, sometimes we need to increase the dosage or the anesthesiologist needs to come take a peek at you.

Some anesthesiologists are better at that than others. And so just make sure that you let your nurse know if it isn’t working. Sometimes you have to be a little bit insistent. Sometimes the only thing they can do is replace the epidural so you need to be open to that the procedure of the epidural placement again, sometimes that’s the only thing that can fix it because if you’re if the little tube that gives you epidural medicine moves out of the place where they put it then it can’t work. So just something to think about. It doesn’t happen all that often most people get good relief with their epidural because these are highly trained anesthesiologists that you are paying a lot of money to so other tip you are paying them a lot of money. So if they are unwilling to come into your room, I would make dang well sure that they just come into your room. So yeah, that’s my tip for episode.

Okay, next question is what are the consequences from the epidural? And how often do I see them. So when your anesthesiologist comes in, they’re going to provide informed consent and they’re going to give you all the risks and benefits including the most often consequence is a spinal headache, which is where they go a little bit too far and a little bit of spinal fluid leaks out and that makes it so that you have a headache, there is something that they can do called a blood patch that can fix it that sounds a lot worse than it actually is. They just take a little bit of your blood and they kind of just stick it there so that you aren’t leaking spinal fluid. That happens somewhat frequently. I think the number is around 1% of the time. The most important part with all that is to try and stay as still as you possibly can while they’re putting in the epidural but it is something that can be fixed and isn’t really a huge deal once the blood patch takes effect.

Other consequences Some people say that they have back pain, you are going to have a little bit of pain there because they have stuck a needle and you just like you’ll have pain where your IV was and things like that. But a lot of new moms, regardless of an epidural have back pain because you’re carrying the car seat. you’re leaning down into the crib, you’re awkward angle trying to breastfeed all those kind of things and so back pain is kind of part of new motherhood as well. Most people don’t have real specific things related to the epidural as far as having it put in and those types of things. That’s what I’d say for consequences from the epidural. Okay, next question, how does recovery compare with the epidural and without the epidural so initial recovery is a little bit different. We turn off the epidural right after the doctor finishes their repair, which means if you need any stitches, the epidural is confusing for that portion of your recovery as well.

Getting up to the restroom can be a little bit more problematic the first couple of times with an epidural because your legs aren’t used to walking and sometimes they’re a little bit numb and so the nurse will stand by as you get up to the restroom. However, the nurse would stand by a couple of times before you get up to the restroom, even if you didn’t have an epidural. After the first 12 hours or so the recovery with an epidural versus not an epidural is pretty much the same. However, new moms without an epidural are probably more likely to be able to shower quicker and be up and take care of the baby a little bit more than a mom who had an epidural. But it really isn’t that much of a change a few hours into recovery, I did get asked what are the complications of an epidural, we kind of went over that the spinal headache. Obviously, when your anesthesiologist comes in, they’re gonna go through informed consent, which we’ve talked about before.

But if they do it correctly, one of the consequences could be death, however, you’re more likely to die driving to the hospital than you are from the epidural. So don’t let that freak you out. That’s just an important part of them saying the risks and the benefits of the procedure. Yeah, I mean, if we gave informed consent for turning on your oven, it would also end in or you could die every single time you turned it on and we still all bake. So yeah, we just hospital informed consent is just very thorough versus like oven big. Okay, somebody asked if it increases your risk for tearing. Now, this one’s complicated because it really depends on your person. But I actually find that the epidural decreases your risk for tearing just in my personal opinion, not in any studies, just the 20 years that I’ve done it. The reason behind that is as you push you Baby through the very end of your vagina, some women just want to push it out like a bowling ball and then that rips you a little bit more as the baby comes out. If you have an epidural, however, it makes it so you can listen to your doctor’s instructions give small pushes, so that your parents can stretch rather than tear as the baby comes out. So it just makes you a little bit more controlled because you don’t have that, quote, Ring of Fire as the baby is coming out.

Keep in mind that if you see studies about tearing versus not tearing, women with an epidural are usually a little bit more high risk in general than women without an epidural. They might have bigger babies, etc, etc. So that’s just something to keep an eye on with studies as well. studies are difficult to predict what will happen in your circumstance either way, and then the final question is how much pain do they take away? We kind of answered this it should take away about 80% of the pain. I do have posts where I share exactly what happens when the epidural goes in how much pain it should take away what exactly will happen when they put it in and What to watch for all those kinds of things.

So if you’re interested in more information on epidurals check out those posts, but if you want to have the whole Encyclopedia of epidurals definitely check out the online prenatal class. for couples. We have a whole section on pain management, there are other options besides an epidural, don’t think that you have to get an epidural. I think it really depends on the area of the country you’re in or the country you’re delivering in. If you’re not in the United States, when I delivered in San Jose, there was a much lower epidural rate just because of the cultural population that we served. So don’t think that epidurals is your only option in the online prenatal class for couples. I do review IV medications and nitrous oxide and we also talk about natural pain management. So there are other options and I think that you just need to be flexible and do what works for you. But I do think you also need to be informed about what the options are so that you can be prepared to make the choice as you confront labor.

All right, that’s today’s episode. Again, if you want to learn more about epidurals, I do have posts that I’ll link to in the show notes and I have that whole email that I will send you about when to get the epidural which I think will be super helpful. for you guys. If you like today’s episode we’d love it if you would share, subscribe and review it really makes a difference. We drop an episode every Monday and until then I hope you have a tangle free day!

Transcribed by https://otter.ai

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