Is pain less delivery safe and what are its side effects? | Paras Bliss Hospital Panchkula

Is pain less delivery safe and what are its side effects?

Is pain less delivery safe and what are its side effects?

by: Dr. Surinder Kaur Gambhir
Sr. Consultant - Obstetrics & Gynecology Paras Bliss, Panchkula

Motherhood is the most valuable and charming moment in a Woman’s life. On one side, it is the delight of bringing a new life in this world, while on the other there is a dread of labor pains. Women who have fear of agony and pain, decide on the Caesarean section unnecessarily when they can deliver in the natural way. Yet, now the ladies can deliver even without pain. This has been made possible by epidural anaesthesia which suits those patients who cannot tolerate pain. This procedure is completely safe for both baby and the mother. The thought and perception of pain during labour and delivery varies between different persons.

Pain control options during delivery are a personal choice and a birth plan can typically be individualized according to mother’s wishes. The circumstances of labor and individual medical conditions can sometimes determine which route to baby delivery has to be taken. It ranges from pain control medications to nerve blocks and anaesthesia. So women during the ante natal stage should get proper guidance so that they can know about different options, physiology of labor pain and regarding nutrition. It is better to discuss with the doctor before the delivery.

Sometimes pain medications are given like-


These are given in small doses and usually administered during early stages of labor to avoid complications for the mother and the baby. It provides pain relief and does not interfere with a Women’s ability to bear down. It helps to reduce anxiety and improve mother’s ability to bear labor pains. But there are some side effects like nausea, vomiting, itching, dizziness, sedation, decreased gastric mobility and hypoxia due to respiratory depression. Opiates cross the placental barrier and during labor produce side effects for the baby like CNS depression, respiratory depression, impaired early breast feeding, decreased ability to regulate temperature.
So your own baby may need other medications to counteract the effect of opiates.
Best is the epidural anaesthesia
The most effective is the epidural anaesthesia. This is a type of local anaesthesia. This is the most popular form of medication used during child birth. An epidural is a way to deliver anaesthetic so that it stops pain signals travelling from spine to the brain. It involves injecting a small amount of anaesthetic into the epidural space of the spine. The anaesthetic numbs the spinal nerves, blocking the pain signals. Epidural cannot be used in women who are allergic to anaesthetic drugs or have blood clotting problems. During labor the medication is injected into the lumbar area, which is the lower part of the spine. If it works properly, you will not feel pain. You can move around with a bit of help.

Side effects of pain less delivery-
1. Low blood pressure- In about 14 out of 100 women, the epidural causes blood pressure to
2. Fever- Epidural causes fever in about 23 out of 100 cases.
3. Problem in urinating- Epidural can make it hard to urinate too. Approximately 15 out of 100women have problems urinating.
4. It can cause dizziness, headache and shivering.
5. Epidural can cause numbness in the lower part of the body after delivery.
6. Sometimes spinal fluid might leak out. If too much fluid is lost, it can cause severe headache that may last up to few days. This happens in about 1 in 100 women
7. It may increase chances of c- section by 2.5 times
8. Epidural has significant impact on all hormones of labor. They increase the duration of labor

Paras Bliss Guraon
Paras Bliss Panchkula