default avatar
Welcome to the site! Login or Signup below.
Logout|My Dashboard

Laboring under misconceptions: Epidural myths may keep women from reliable pain management

Font Size:
Default font size
Larger font size

Posted: Sunday, June 1, 2014 10:00 pm | Updated: 1:39 am, Wed Jul 30, 2014.

(BPT) - It’s one of the most effective, safest and widely used forms of pain management for women in labor, yet there are misconceptions about epidurals, a recent study shows. From fears of permanent back pain to allegations of potential harm to the baby, many women still harbor mistaken beliefs about epidurals.

“My own mother didn’t want me to have an epidural because she thought it would hurt my baby,” says Paloma Toledo,  M.D., M.P.H., lead author of the study. “But when I showed her the overwhelming scientific evidence that it was safe for me and the baby, she felt good about my decision.”

More than 60 percent of women in labor use an epidural, spinal or combined spinal-epidural anesthesia for labor, according to the National Center for Health Statistics. It is becoming increasingly rare to use spinal anesthesia for delivery alone, but combined spinal-epidurals are becoming quite common, according to the American Society of Anesthesiologists (ASA). To administer an epidural, a physician anesthesiologist inserts a needle and tiny tube (catheter) in your lower back and delivers medication to continuously relieve pain below your belly button. Spinal anesthesia is a one-time injection of pain medication.

Toledo, an obstetric physician anesthesiologist and assistant professor of anesthesiology at Northwestern University Feinberg School of Medicine, Chicago, frequently hears concerns and misconceptions about epidurals. With the ASA, she offers the truth behind some common myths:

Myth: Epidurals can cause permanent back pain or paralysis in the mother.

Fact:  Serious complications from an epidural, including paralysis, are extremely rare. Some women have discomfort in the lower back (where the catheter was inserted) for a few hours or days after the epidural, but it doesn’t last.

Myth:  Epidurals can harm the baby.

Fact: In Toledo’s study, published last year in the “International Journal of Obstetric Anesthesia,” women expressed concern that an epidural could cause cerebral palsy or be harmful to the baby. No evidence or research corroborates these concerns. Additionally, the amount of medication that reaches the baby from the epidural is so small it doesn’t cause harm.

Myth: Epidurals can slow down labor or increase the risk of having a cesarean section (C-section).

Fact: There is no credible evidence that an epidural slows down labor or increases your risk of having a C-section. If a woman has a C-section, other factors usually are at play, including having a very large baby or slow progression of labor due to other issues. In fact, there is evidence that epidurals can speed the first stage of labor for some women.

Myth: An epidural can interfere with the birth experience.

Fact: Some women express fear that their legs will be numb and they won’t be able to walk, feel a contraction or push properly. In fact, your legs should not be so numb that you do not feel them.  You may be able to walk after an epidural, depending on the hospital’s policy; however, walking generally is not recommended immediately after the epidural is placed. Epidural procedures have improved significantly in the last 20 years, and you’ll receive enough medication to relieve the pain without taking away your ability to move. Furthermore, the epidural medications will not cause you to be groggy or tired. In other words, you’ll be able to feel contractions – they just won’t hurt – and you’ll be able to push effectively.

Myth: There’s a limited window of time when you can get an epidural.

Fact: You can get an epidural any time during your labor – in the beginning, the middle or even toward the end. 

For more information about pain management during labor and delivery, visit the American Society of Anesthesiologists website at www.lifelinetomodernmedicine.com/Anesthesia-Topics/Labor-and-Delivery.aspx.

Rules of Conduct

  • 1 Use your real name. You must register with your full first and last name before you can comment. (And don’t pretend you’re someone else.)
  • 2 Keep it clean. Please avoid obscene, vulgar, lewd, racist or sexually oriented language.
  • 3 Don’t threaten. Threats of harming another person will not be tolerated.
  • 4 Be truthful. Don't lie about anyone or anything. Don't post unsubstantiated allegations, rumors or gossip that could harm the reputation of a person, company or organization.
  • 5 Be nice. No racism, sexism or any sort of -ism that is degrading to another person.
  • 6 Stay on topic. Make sure your comments are about the story. Don’t insult each other.
  • 7 Tell us if the discussion is getting out of hand. Use the ‘Report’ link on each comment to let us know of abusive posts.
  • 8 Share what you know, and ask about what you don't.
  • 9 Don’t be a troll.
  • 10 Don’t reveal personal information about other commenters. You may reveal your own personal information, but we advise you not to do so.
  • 11 We reserve the right, at our discretion, to monitor, delete or choose not to post any comment. This may include removing or monitoring posts that we believe violate the spirit or letter of these rules, or that we otherwise determine at our discretion needs to be monitored, not posted, or deleted.

Welcome to the discussion.



Your News

News for the community, by the community.

Mailing List

Subscribe to a mailing list to have daily news sent directly to your inbox.

  • Breaking News

    Would you like to receive breaking news alerts? Sign up now!

  • News Updates

    Would you like to receive our daily news headlines? Sign up now!

  • Sports Updates

    Would you like to receive our daily sports headlines? Sign up now!

Manage Your Lists