If epidural slowed contractions down to almost a halt w first birth, how likely is it to happen again w second? Anethsisioligists please
Convuluted response. Generally speaking, epidurals do not slow or stop contractions. Often the uterus is irritable from dehydration and it is customary to give patients extra IV fluid with epidurals to prevent low blood pressure. This can often slow or eliminate contractions if not really in active labor(more than 4 cm dilated) . Pitocin (oxytocin) will bring them back and you will still be comfortable for delivery.
Epidurals and labor. Epidurals can and often do slow the frequency and strength of contractions during labor. There is some controversy about when a woman in labor should have an epidural. In general it seems prudent to wait until a woman has established a good pattern of contractions and dilation. Even if labor is slowed, obstetricians often "augment" contractions with oxytocin. Talk to your anesthesiologist.
Epidural. Ob-gyns and anesthesiologists have been at odds about the idea that epidurals slow contraction. It is a fallacy that epidurals stop contractions. Epidurals minimize pain. Labour contractions are initiated and progress by other factors not dependent on pain. Subsequent pregnancy labour progresses at different rates from the initial pregnancy. Your contractions will proceed as fast as nature dictate.
Difficult to say. Reduction in frequency of contractions can be determined by multiple factors. If you are in active labor that is being managed closely by your obstetrician most labor is slowed for only 20-30 minutes following epidural placement. Keep in mind that your labor epidural must be managed appropriately as well. You should receive an analgesic dose of local anesthetic and not an anesthetic dose.
No. Old epidural techniques often slowed labor because much stronger local anesthetic solutions were used. Current techniques using dilute solutions usually do not lengthen labor. The pattern and frequency of contractions might be initially altered, but this is often followed by more efficient contractions that might shorten labor.