As your due date draws closer and closer, you might find yourself beginning to feel apprehensive about the idea of going through the birthing process - and rightfully so. Especially if this is your first pregnancy, you aren’t really sure what to expect, even though you’ve taken the classes and read all the books.
I’ve personally “birthed” five children, and trust me, I have a very vivid memory of which methods of pain management were the best for me. I’m not attempting to replace any of the research you may have already completed in your quest to make an informed decision on what is the best option for you. My goal is simply to provide “soon-to-be” Moms with a new perspective on the matter - personal experience.
I remember when I was pregnant with my first child, and I was so nervous about what was about to happen to me, I read every book on childbirth that I could possibly find. Absolutely NONE of them ever told me how much pain I could expect. I needed to know! Keep in mind, I was nineteen years old for the first half of my pregnancy, and the worst pain I had ever known was having the flu. I had never broken a bone, never received any type of surgery, and looking back - had been a pretty lucky individual.
Anyways, the big day came for me to pack up and go to the hospital. I was pretty determined that I would opt out of any drugs to control my pain, and that I would simply utilize my own method: mind over matter. That lasted until I was four and a half centimeters dilated - and then I beggged my nurse for something to stop the pain. At that point, I was given Demerol through an IV - and I’ll be honest with you, it put me to sleep. The interesting thing about Demerol is that it may have subdued the pain enough for me to sleep in between contractions, but I definitely still felt pain. I labored for approximately four hours before actually giving birth - and because I was able to sleep, it helped the time go by much faster. The last thirty minutes before my son was born, and the contractions were constant, I was awake, and in my opinion, feeling the pain intensely.
The one comment I have about Demerol is that it didn’t stop the pain. I felt every contraction with full force, and I will never forget that pain. It simply relaxed my entire body in between the contractions, which can be very helpful; especially when most of us are scared for the next contraction to begin.
With my second and third children, I had made up my mind that I would be giving birth - drug free. I figured if I was going to feel pain anyways, why not just deal with it? It made sense to me at the time. For those of you considering going without any pain management whatsoever, I will disclose this to you: you can do it! I am the biggest baby on the face of the planet - and I did it. One thing to keep in mind, be flexible in your decision. There may be issues that require that you are given some type of drug to control your pain. For instance, with my fourth child - I was told my entire pregnancy that my daughter was going to be a very small baby, and her head was average in size. Mind you, I had a total of four ultrasounds during my pregnancy, so I was pretty confident that I would be having another natural childbirth. WRONG! As it turned out, I was given a final ultrasound the morning of my daughter’s birth, and they were able to estimate her weight at approximately 10 lbs. With this information, I decided I would go for an eppidural, which was a relatively easy process.
To get the catheter started, I had to sit on the hospital bed, “indian-style,” and the anesthesiologist inserted the catheter. The key to this is trying to stay relaxed. They numb the area before they actually do the insert. Expect this to feel like a pinch, and there will be discomfort for just a second or two. Next, the anesthesiologist sets you up so that the pain management medication is delivered through the catheter in your back.
It is routine for the OB/GYN or Midwife to continue the eppidural until you are ready to deliver. At this time, they cut off the medication, so that you can literally push the baby out. Up to the time my midwife cut off the eppidural - I was amazed that I could see my contractions on the monitor going “through the roof,” but it didn’t hurt. I was laughing and joking around with everyone in the room, practically in shock that anyone can have a baby without pain. It was awesome! Then they shut off the eppidural, and it was show-time. Honestly, it hurt during those final fifteen minutes - but seriously, when you compare fifteen minutes of pain to hours and hours I had endured during natural childbirth, I felt like it was a no-brainer at that point.
Now, here’s where the line of comparison begins to blurr. When I had delivered my two previous children naturally, within seconds of giving birth I was able to get out of bed, walk around, take a shower, go for a walk - and I felt absolutely fine! I felt so good it was wierd that I had just been through hours of labor. After having the eppidrual, I was confined to be for the first hour after delivering, and then when I was allowed to get up, I fell to the floor. I did not get all of the feeling back in my legs for nearly 5 hours. That may not bother most new moms, but for me, I felt totally helpless.
Another thing about AFTER having the eppidural was the fact I had a headache and bachache for about three months. I don’t want to give the impression I was in horrible pain, but I was often uncomfortable. Ibuprofin became my new best friend, because without it, I couldn’t sleep or focus. As you research eppidurals, you’ll find out that this doesn’t necessarily happen to all eppidural recepients. This is my experience, and had I personally known that I would have to deal with after-pain for three months after the baby - I wouldn’t have done it.
For my fifth child, I had a C-Section. I made the decision to go this route because my husband and I decided that our family was complete, and I would have a tubal ligation to prevent future pregnancies. Here’s something to think about - within five minutes of the commencement of the surgery I heard my baby crying, and the doctor handed him to me less than thirty seconds later! It was amazing - no labor, no pain to speak of - and I was holding my baby. My baby wasn’t distressed, which often occurs during vagional delivery - and he had the most beautiful shaped head I’ve ever seen. Up to this point, having a C-Section got the thumbs up from me.
Then I went into recovery for a few hours. Mind you, I was really medicated at this point, and I was terrified to move because I thought my stitches and staples would rip open. I couldn’t be with my baby - because I had to recover from the surgery, and once the determined that the bleeding was controlled, and I was doing okay, I would be taken to my room where I would stay for four days. Here’s where I started NOT liking the surgery. I had four other kids at home, and had to stay in the hospital for four days?
The next challenge was to walk. I mentioned before, with natural childbirth I was able to get up within minutes and resume pretty normal activities. I remember getting up from my bed with assistance from the nurse for the first time, and I was in tears it hurt so bad. To me, walking after a C-Section hurt just as having a baby in the first place! The next problem was going to the bathroom. You will never have any idea how many stomach muscles it takes to go from a standing position to sitting on a toilet, until you have surgery like this. Trust me, there were more tears - and it took me about 90 minutes to go from the hospital bed, from a standing position to a sitting position and back up, only to return to bed and lay back down.
The one thing I can say about going through a Cesarean birth is day two of recover is probably the worst. The high powered pain meds you were given by IV are stopped, and you are changed over to pill form. Getting around is rough, and you will get tired very quickly. After day two, each day you can expect to feel exponentially better. Recovery does take time - and if you have time, I’m sure it’s not that bad. For me, I had to get home to my other kids, and take care of everyone. I wore myself out, when I should have taken help from friends and family. Learn from my mistake on that - if help is available to you - take it. Otherwise, you will over-do it, and your recovery will take more time than it should.
For more information on various types of pain management available to mothers during the birthing process, click here.