epidural during pregnancy
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  • 30.05.25

Thinking about an epidural during labour? Here’s what to know

If you’re getting close to the end of your pregnancy, you might have started to think about your birthing options in more detail. You may be considering your options for pain relief, where you’d like to give birth, who you want by your side and how you hope things will go on the day. 

Epidurals are an option for pain relief in Australia, but like any medical intervention, it comes with both advantages and risks. Here at Grace Private, we want you to know that we support your choices and want to help you feel informed – no matter how you choose to birth. If you’re leaning towards an epidural, are feeling unsure or are still looking for information, we’re going to walk you through the pros and cons so you can make a decision that’s right for you. 

What is an epidural? 

An epidural is a form of regional anaesthesia that blocks pain in a specific area of the body. During labour, it numbs the nerves that carry pain signals from the uterus and birth canal.

It’s administered by an anaesthetist through a small tube placed into the lower back. Once in place, medication is delivered through the catheter through a continuous infusion to help reduce or eliminate labour pain.

Let’s talk about the benefits:

Many women choose an epidural as effective pain relief. It reduces pain during labour and birth, helping you rest during labour. An epidural can help you feel more alert and calm if you’re feeling anxious. It is continued throughout labour and allows you to stay awake and pain-free if a c-section is needed by having it topped up by your anaesthetist at the time of surgery. 

Epidurals – the risks

Epidurals are generally safe, however, there are some potential side effects and risks.

  • Drop in blood pressure, which we will monitor closely over the course of your labour
  • Unable to mobilise, as the epidural may make your legs feel heavy or numb. You will need to rest in bed
  • Longer second stage of labour (pushing phase)
  • Increased chance of assisted birth (with forceps or vacuum)
  • Difficulty passing urine, you’ll need a catheter to keep the bladder empty
  • Headache (in rare cases, if the needle punctures the spinal cord covering)

It’s also possible to experience temporary back soreness or small bruising at the site of the injection.

Remember that an epidural can only be given during certain stages of labour and may not be suitable or available in all situations, for all women. If you arrive at the hospital too far along in labour, there may not be time to administer it. Your birth suite midwife will guide you on your specific situation.

Is an epidural right for you? 

Grace Private obstetricians and midwives are here to be your biggest advocate during birth – helping you make informed decisions – there’s no right or wrong way to approach labour. 

Some women hope to go without any kind of pain relief – choosing a natural birth, while others may be wishing for or open to an epidural if needed, especially if the pain becomes more than they anticipated. 

What matters most is that you feel supported and respected in your choices, and your Grace Private obstetrician and our midwives are here for you. We are committed to personalised care, whether you’re planning to use an epidural, aiming for a natural birth, or still deciding what feels right for you.

We’re here to talk you through your options and answer any questions along the way. We have your back! 

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