Dr. Manasi Thakur | Gynaecologist In Nagpur | Pregnancy, Delivery | Abortion | Cosmetic Gynecology
Painless Labour | Dr. Manasi Thakur – Zenith Hospital, Nagpur
Most women who do not receive pain relief during labour describe the pain as severe. With the advancement of modern medicine, skilled practitioners, and safe techniques, it is now considered essential in many parts of the world to provide pain relief during childbirth.
What is an Epidural Injection?
An epidural involves placing a small injection in the lower back through which a thin tube (epidural catheter) is inserted. Pain-relieving drugs are administered through this tube at intervals to block pain in the lower body while allowing the mother to remain alert and able to move.
Contractions are still felt but without pain
The medication is safe for the baby
Provides effective relief throughout labour
Why Choose Epidural for Painless Labour?
Epidural analgesia is the most effective method of pain relief during childbirth. Benefits include:
Allows the mother to rest, relax, and actively participate in childbirth
Makes the birthing experience more positive and less stressful
If a cesarean section is required, the same catheter can provide anaesthesia
Helps reduce fatigue, irritability, and exhaustion
Who Can Opt for Epidural?
Any woman in labour who desires pain relief and has no medical contraindications
Recommended for complicated or prolonged labour
Beneficial for women attempting vaginal birth after cesarean (VBAC)
Advised in conditions such as heart disease, hypertension, or preeclampsia where unmanaged pain may cause complications
Who should not have an epidural:
Women with bleeding disorders
Those on blood-thinning medications
Patients with history of certain spinal surgeries or neurological disorders
How is an Epidural Done?
The mother is asked to curl on one side or lean forward while sitting
The back is sterilized, and a local anaesthetic is given
A fine catheter is inserted into the lower back
Pain-relieving drugs are delivered continuously via a pump
The anesthetist monitors effectiveness throughout labour
Safety Monitoring After Epidural
Blood pressure and pulse are closely monitored
Baby’s heart rate is checked regularly, just like in normal labour
Ensures both mother and baby remain safe during painless delivery
When Can Epidural Be Given?
Anytime during established labour when contractions and pain are significant
Can also be started earlier in anxious patients
Effectiveness of Epidural
Provides significant pain relief while allowing awareness of contractions
Some pressure may still be felt during pushing, which is normal
Occasionally, adjustments or repeat placement may be required if the block is incomplete
Side Effects & Complications
Drop in blood pressure (prevented with IV fluids)
Itching (usually temporary)
Prolonged labour or reduced urge to push, sometimes requiring instrumental delivery
Rarely, post-dural puncture headache (PDPH)
Temporary numbness or heaviness in legs, which resolves after discontinuation
Risk of permanent damage is extremely low
Common Myths
Does epidural cause backache?
No. Backache after delivery is usually due to pregnancy and childcare, not the epidural. Minor soreness at the injection site may last a few days.Does epidural increase the chance of cesarean section?
No. Research confirms that epidurals do not increase cesarean rates.