According to this study, the earlier in labor that the epidural was placed and dosed and or additional doeses given, the greater the risk of having a cesarean birth. So, what is the expectant mother who thinks she wants an epidural to do?
Be sure you are prepared with natural childbirth techniques like slow breathing and relaxation techniques prenatally. It's important to wait until you are in active labor (4cm dilated) to reduce your risks. Also be aware that epidural anesthesia works differently on each woman and sometimes is ineffective in getting you comfortable. That is another reason why it is so important to be prepared prenatally for the labor and birth experience.
A prenatal class or a prenatal visit with your anesthesia provider can be helpful and can allow an opportunity for discussion about techniques, medications, risks and benefits. During labor, some mothers do not wish to sit through a long discussion of risks, benefits and options and often consent to whatever will take the pain away. It's best to be informed ahead of time.
Related Links
http://www.childbirth.org/articles/wopai... How to cope with the pain of labor and brth without medication
http://home.ipoline.com/~guoli/home/pain... Different options available for pain relief in labor
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