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Before you get your epidural, and before you involuntarily proclaim your love for the doctor who sets it up like I did, here are seven things I wish I had known about epidurals. You won’t get your epidural right when you request it. Some previous studies have suggested that the timing of an epidural can play a role in prolonging labor, as well as up the chances the mom-to-be could end up with a c-section delivery. It’s important to think about all your options so you can make an informed decision about when to get an epidural. Blood patch: If you get a spinal headache after a procedure, the anesthesiologist can create a patch with your blood to seal the leak. If there is a partial benefit (greater than 30% relief from pain) the epidural injection can be repeated for possible additional benefit, or it may be necessary to conduct additional tests to more accurately determine what is causing the patient's pain. Understanding lower back pain. When you are in labor and the pain is increasing, don’t be a hero. If you’ve tried at-home treatments and physical therapy and are still in pain, an epidural injection may be able to give you the relief you need. 1. Epidural injections can also diagnose the exact location of a person’s pain. This can relieve pain by reducing inflammation. The effects of an epidural can take a few hours to fully wear off, so if you’re looking to get up and walk immediately after giving birth, an epidural may not be the right decision for you. The needle can enter the epidural space through a transforaminal approach or interlaminar approach. Doctors inject a combined anesthetic and steroid into the epidural space of the spine. If you've planned on getting an epidural, here are a few reasons it might not happen. Big words but, like “epidural,” they just refer to where in the cervical spine the needle goes. The epidural can help you be alert and an active participant in your own labor, so that's a plus. Urinary catheter. The lumbar (lower) region of your back is home to countless nerves, muscles, tendons, and ligaments running in … Epidural steroid injections are a pain management treatment option that are typically used to treat lower back pain or neck pain. There isn’t, however, any correlation between women who get an epidural and an increased rate of c-sections. Some hospitals will place restrictions on when you can have an epidural. Take a look at the clip, below, from the documentary, The Business of Being Born . If you decide half-way through your birth that you don't want to go on without an epidural, you might be able to get to the main maternity ward in a very short amount of time. It may be that you must be at a certain point in labor, like four (4) centimeters before an epidural can be given. Even the best-laid plans can go awry, especially in the delivery room. Recommended Reading: Labour Pain – 8 Things That Can Make Labour Pain Worse . Post-birth numbness. 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