An epidural delivers numbing medication into the epidural space of the spine to block pain signals, numbing from the belly down to varying degrees.
✅ Epidurals are considered very effective and can help laboring people when exhausted and in need of sleep/rest. Or if they simply desire one!
🩺 Other interventions like blood pressure monitoring, oxygen monitoring, IV fluids, a catheter, continuous fetal monitoring are routinely included when epidurals are used.
⚠️ While considered very effective, epidurals don’t always have the same impact on everyone. Sometimes labor progresses quickly and the birthing person doesn’t feel the full effect — sometimes they don’t provide as much relief as desired — and sometimes (~10% of the time in one study of ~19k births) they just don’t work.
⏰ It’s also worth noting that epidurals can take *time* — while it may only take 10–15 minutes for the procedure, it can take an hour or even a few hours before the anesthesiologist comes in, and then 20-30 minutes to feel the epidural’s full effect.
❌ There are potential side effects and risks — including drops in blood pressure, headache, difficulty urinating, and back pain for birthers.
Discuss your pain management preferences with your care provider + birth team in advance. What other coping techniques are you interested in using alongside and/or instead?
When the labor comes, with the support of your stellar birth team — you can enact your plan AND hold space for change if that’s what best fits for you.
💬 Have you had an epidural? Do you have epidural-related tips/info to add? Share in the comments below.
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This post is based on content from our Labor + Birth Toolkit — a teaching tool perfect for doulas, midwives, OBGYNs, childbirth educators — really any professional who supports pregnant people.
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