Ask your OB about an intrathecal
Posted By: fiddlestix on 2009-06-13
In Reply to: Epidural or not? - First timer
I have 3 kids. With the first one, I was 2 weeks overdue, so I was induced. Up until the contractions started, I told my OB I wanted a natural birth. But after being started on Pitocin, I changed my mind and I wanted something for the pain. Unfortunately, the contractions were coming so fast that the baby's heart rate had dropped, so they couldn't give me any. Since I had planned on a natural birth, we had never really discussed my options. Fortunately, my baby was 7 pounds and had a 13-inch head along with 13-inch shoulders, making for a fairly easy delivery. My arms hurt more than anything from pulling myself up with the bedrails to push.
Fast forward 3 years, with this pregnancy, I decided beforehand that I wanted pain medication. My OB told me about an intrathecal and I went off to discuss it with the anesthesiologist. I can't remember the exact details now, but I think the intrathecal lessens the pain considerably but still allows you to feel the pressure, as well as full sensation in the legs. I also had to be induced with this pregnancy and I was able to have the intrathecal. It worked very well. I had some pressure sensation, so I knew when it was time to push, but not near the pain as with natural. Good thing, too, because this baby was quite a bit bigger 8 pounds and 6 ounces and his head was a lot bigger.
For my final pregnancy, 2 years later, I again pre-opted for the pain meds. Things went well and my delivery was induced but went very fast. My OB said it was like a log chute. He came out so fast that he had actually had bruising around his forehead from the amniotic fluid that hadn't all "broke". He was smaller than my first 2, which was probably part of the reason. My second child really opened up the old birth canal.
At any rate, I had back pain before I had kids and I still have back pain. I don't know whether it had anything to do with the intrathecal or not since I can't tell if it was any different after. I do know that having been through a natural birth, I wouldn't do it again without pain meds, especially if you have to be induced.
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