Daily Mirror (Sri Lanka)

Myths associated with Labour Epidurals

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Epidural anesthesia is the most popular method of pain relief during labour in developed countries. Women request an epidural by name more than any other method of pain relief. More than 50% of women giving birth at hospitals use epidural anesthesia.

Unfortunat­ely, in Sri Lanka, only about 6% of mothers have a sound knowledge of this and only 15% have a positive attitude towards labour epidural analgesia. Epidurals generally provide safe and effective pain relief during labour. But neverthele­ss, myths persist. Here are few truths behind some common myths.

Myth No. 1: They will cause permanent back pain Labour itself can cause back pain: Pushing for several hours combined with the hormones that cause the muscles in your lower body to relax can strain muscles and ligaments. But epidurals themselves have not been proven to cause to longterm back pain.

Myth No. 2: They can paralyse you Serious complicati­ons from an epidural, including paralysis, are extremely rare. It is exceedingl­y rare from an anesthetic procedure.

Myth No. 3: They will harm your baby Low dose and low concentrat­ion of local anesthetic­s and opioids — lower than what you’d receive in an IV - are considered safe for your child.

Myth No. 4: They will slow labour Epidurals don’t slow down your labour, but they may lengthen the time it takes for the second stage of labor when you start pushing the baby.

Myth No. 5: After you get an epidural,

you’ll need a C-section

Many studies determined that epidurals do not increase the likelihood of requiring a cesarean delivery.

Myth No. 6: You can only get an

epidural during a limited timeframe The only requiremen­t is that you must be able to remain still for roughly five minutes so that your anaestheti­st can safely perform the procedure. It is sometimes challengin­g for women in the advanced stages of labour.

Myth No. 7: Epidurals cause

headaches

A post procedure is a known risk for individual­s who receive an epidural, but the incidence is about 1%.

Myth No. 8: Anyone can have an epidural Women taking blood thinners, must stop these medication­s within an appropriat­e timeframe.

Women with other conditions, such as spinal deformitie­s, or who have had back surgery, may not be eligible to receive an epidural.

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 ??  ?? DR ROSHANA MALLAWAARA­CHCHI Consultant Anaestheti­st Base Hospital, Dickoya
DR ROSHANA MALLAWAARA­CHCHI Consultant Anaestheti­st Base Hospital, Dickoya

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