NHS Suffolk and North East Essex - Labour and Birth Booklet

24 Epidural Epidurals are the most effective pharmacological form of pain relief in labour. This method of pain relief can only be given on an obstetric unit (labour ward) by an anaesthetist. An epidural is a special type of anaesthetic that is given as an injection into the back, numbing the nerves that carry pain impulses to the brain. Once the first dose is given it takes around 20 minutes to work, then either you or your midwife will top-up the medication as needed to maintain comfort. An epidural usually provides effective pain relief, however some women do not always find it works fully, and it may need to be adjusted or re- sited. If you have an epidural you will also need to have a drip in your hand and continuous electronic fetal monitoring. Some women are still able to move after an epidural, although you will be asked to remain on the bed. Often your legs will feel heavy and be unable to support your weight. Some women will find passing urine difficult, if this happens a catheter may be needed to empty your bladder. Depending on your stage of labour, this catheter may stay in until the day after birth.