OB/GYN Explains Epidurals and Other Pain Control Options for Labor

The Doctors Bjorkman, a board-certified OB/GYN and Pediatrician couple who are also pregnant with their first baby share what you need to know about your options for pain control during labor including non-medication options, epidural anesthesia, IV pain medications, laughing gas, and more! Stay tuned to the end to also hear what Sarah is planning to do for her own labor coming up in the next few weeks!
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Intro Music: A WAY FOR ME - Nicolai Heidlas by Chem Ocampo
Keywords: pregnancy update, the doctors bjorkman, third trimester pregnancy, pregnancy, obgyn, labor

[@novasmotion]

I’ve had 2 unmedicated births and and I loved it. The last 30 mins of labor was rough, I won’t lie. Especially since I had solo back labor with both of my babies. But as soon as the baby was out, I literally felt incredible. The pain was instantly gone. I can attest to having pressure on the hips and back helping a lot with the pain of contractions and also laboring on my hands and knees, and being in water were wonderfully helpful. If you want pain medication, that is TOTALLY FINE. But if you want to do it natural, you CAN DO IT. It’s 75% mental. You need to believe you can. You need to prepare. Eat well. Move lots, Rest well at night. Stretch often…walk walk walk! Labor and delivery is intense. But that sweet baby at the end is 100% worth it. And no matter what method you choose, you birthed a baby. You are a freaking warrior, no matter what. ❤️

[@sharalli3112]

Love love love this. I’m due in 6 weeks with my first. My husband is convinced I’m too petite to have a vaginal birth, but I really want to try, and go as long as I can without medication. I’m fully open to an epidural and c-section, but just want to try, since this will be my first and only pregnancy. ❤️♥️❤️♥️

[@novasmotion]

You absolutely CAN do it! Wishing you the best for your labor and delivery. Enjoy these last few weeks of pregnancy ❤️

[@nicoleconaway4322]

@@sharalli3112 I can tell you that although I don't know how petite you are It's possible, my 1st was a section but I was induced and I had just about any intervention you could think of because I don't think my body was ready but with my 2nd I had a vbac, and let me tell you what I am 4' 11 I maxed out at about 125 at a week overdue and my daughter was 8 pounds 5 oz And I was able to give birth to her so inform your husband that while you understand his concerns that a woman's body is Amazing and that he'll be really surprised if he'll just stand by your side and support you what you're actually able to do. Good luck.

[@dalaedriajames8684]

There’s no such thing as too petite unless you have a form of dwarfism. I’m a little under 5 foot and I did it natural no medicine at all. Like she said it’s really all mental. I was really nervous and the doctors were super patient because I was really jumpy and chaotic but after it was over I was like “that wasn’t even that bad” it was just not really knowing what to expect that psyched me out.

[@kazzled2048]

would you mind sharing your walking and stretching regimen? I am 37 weeks :D

[@gopherwombat]

Just to clarify something about epidurals slowing down labor - the meta-analyses mentioned often include older studies where 0.25% bupivacaine was infused into the epidural (a much stronger anesthesia solution than what is commonly used now, which is 0.0625-0.1%) which resulted in women getting motor blocks (unable to move legs or push effectively) which could slow down the 2nd stage. Many RCTs looking at duration of labor after the switch to dilute epidural solutions show much faster labor progress, probably because the epidural relaxes the muscles of the pelvis and perineum so the baby's head can descend more easily. Pain also slows down contractions (tocolysis) and pain relief can actually facilitate more frequent or effective contractions. Thanks for an excellent and informative video! :)

[@Jillianrc]

Love that we have doctors on KZbin and not just midwives/doulas who are very biased towards natural births. I suffered from HG, and I’m finally starting to feel a bit better at 27 weeks. If it weren’t for medical intervention so far in my pregnancy, I’m certain I would have died. Ive lost over 25 pounds even with medications, and I don’t want to think about what would have happened if meds/IV’s didn’t exist. Thankfully my baby is doing well, just measuring a bit small. The past 6 months have been the most miserable of my life, and I look forward to using medical technology to make me more comfortable during my labor. More power to those who can do a natural labor, but I’m done suffering.

[@chaninatasha1430]

This! I also have HG and was on IVs till about the 6 month mark. I’m 8 months now and still vomiting a bunch. Baby us measuring small as well but I’m doing everything I can to be a good home for her. It’s been extraordinarily difficult and I’m sure I’ll have another child because I too lost so much weight and almost died as well. I’m absolutely going to get an epidural because I have suffered so much already and I’m glad these doctors (and my own doctor) don’t demonize epidurals. Some of us are just hoping to survive this.

[@Jillianrc]

@@chaninatasha1430 I wish you good luck with your delivery! My baby measured small the whole pregnancy and came out over 9 pounds!!! She’s still in the 95th percentile for weight at 8 months. We still don’t understand how she got so big because I’ve never been more thin in my life even directly after delivery. I hope your delivery runs smoothly like mine did! We have both already suffered enough. Motherhood is really a blessing, and I feel like I appreciate it more because of what I went through.

[@xiaoandbao]

What is HG..?

[@Jillianrc]

@@xiaoandbao Hyperemesis Gravidarum. Basically excessive nausea and vomiting in pregnancy past typical morning sickness.

[@courtneycaswell1628]

First baby: we had a scheduled induction but baby came early and we weren't quite prepared. I wanted an epidural, but was only 1 cm dilated. I was having terrible bone/joint pain in my hips and pelvis during contractions. Counterpressure with every contraction was a life saver. The midwife offered therapeutic rest: a shot of morphine in my thigh and atarax for sleep. I slept between contractions for several hours. I dilated much quicker than expected and it was too late for an epidural. I used nitrous oxide and it was wonderful. It relieved anxiety and I rested well between pushes. I appreciated being able to feel my contractions and where baby was without too much pain. I delivered lying on my side. I did have pain with crowning and a 1st and 2nd degree tear, but by that point the excitement of having the baby was more important. I had local anesthetic for repairs. I didn't know therapeutic rest and nitrous oxide would work so well. Sharing for anyone who's afraid of an epidural or wants pain control but it's too late for an epidural.

[@faithharrison3755]

I had two unmedicated births, 48 hours for my first and 36 for my second and i’m so excited for an epidural for my third. It was entirely unnecessary for me to go through that level of pain. Don’t do it! I thought my second would be easier and I ended up having back labor! Giving birth is enough, experiencing that much pain shouldn’t be considered a “better” way of bringing your baby into the world. Thank you for this video.

[@miaeba]

I want to get epidural but my doctors are saying I'm going to have a quick labor estimated at under an hour. They said probably be a few minutes. And if I get it epidural it's going to prolong the birthing experience and not recommended

[@Princessbritta]

Thank you for sharing because I’m in the same boat. Had two unmedicated and am looking forward to medication with my third!

[@SamarElatta]

Thank You for this perspective

[@SamarElatta]

@@miaeba you should get different doctors

[@karladeavila4523]

I had an epidural and honestly it was the most painful thing ever. Also affected my back in a negative way afterwards. I’m going to go without an epidural in about 2 months for my second baby, wish me luck lol

[@DelorienAz]

I was undecided right up until I was in labor. I took the pain as long as I could and then I asked for an epidural. I'm actually glad it worked out that way, as I got a good taste of contractions, but then once the epidural set in I was instantly in a better mood. Relaxed and excited instead of stressed and screaming. Plus no needles needed to numb me for the many many stitches I needed afterwards😅 thank you for explaining all the options in an unbiased way!😊

[@shaindyhorowitz3783]

I used hypnobirthing and it was amazing! I've had medicated and unmedicated births (mom of 4) and something I didn't realize is that although epidural is nice during labor, the pain of recovery is soooooo much worse! Being able to be in better positions during labor and breathing out my baby instead of pushing like a maniac, I didn't tear at all. Recovery was a breeze.

[@rebeccaschadt7136]

This gives me hope!!! I have been doing hypnobabies and really hope it gets me through !!!!

[@zen_mindset1]

Lucky for me the pain was tolerable, All I remember was cramps and I barely knew I was fully dilated because it wasn't as horrific as women told me it'd be. Nurse was surprised I was having contractions and barely made any notice of discomfort. I'll thank a strong mindset and rasberry leaf pills. Hoping another good labor with baby 2 due in September. 🥰

[@TheDoctorsBjorkman]

You are so amazing and strong! Hope I’m half that tough 🤞🏻🤞🏻

[@soyouwanttolearnhowtocook411]

what are the raspberry leaf pills for ? iam also due in september

[@libertina11]

Do you think the tea works as well as the capsule form? I've been doing the tea for about the last week, week & 1/2

[@sjama100]

@@soyouwanttolearnhowtocook411 also due in September 🥰. I have also been looking into raspberry ☕️ and recommend the following video on it: kzbin.info/www/bejne/fpWmeYWprJuVbJo

[@zen_mindset1]

@@soyouwanttolearnhowtocook411 I took raspberry leaf supplements and it made for a very easy and quick delivery with no complications. I will be taking it again with this pregnancy, but remember, every woman is different. Raspberry leaf relaxes the uterus and lessens postpartum bleeding...I like the supplements because they come in higher concentration.

[@emilyorr8763]

My epidural with my first took beautifully, without side effects and I was up walking in the hour after birth. I’m due with my second and praying for a similar birth!

[@fernandatv]

How did your 2nd birth go?

[@Princessbritta]

How was it?

[@blandzx2h677]

Epidural is really the best. I tried for unmedicated. I labored hard for 27 hours. Baby wasn’t moving down. Come to find out after my c-section that he was wrapped up in the umbilical cord and according to the doctor “would never have been able to come out on his own”. Labor in total was 32 hrs. That epidural was magic.

[@laurenswift9368]

I felt weird pressure to go all natural with my first birth- which might have been self-inflicted but I was also around a lot of people who were in that mind set. And I remember my mom saying “look. If you want to go all natural, you go for it. But women, for all of time, would have been so happy to have relief in child birth. So if you want the epidural, get the epidural.” It was what I needed to hear to feel ok with my decision either way. I have had an epidural for 3 of my 3 births and loved it every time! I felt so mentally present for each birth and have felt so great physically during recovery. And I plan to go the same route with this pregnancy!

[@trevor_corey8037]

Just subscribed- it’s SO nice to hear this covered by medical professionals. And able to watch and rewatch. I always feel Rushed out the room, always Given contradictory advice or Unsure answers from the team I see. Some thorough education is SO APPRECIATED

[@sydneyparrish6979]

yall are just the cutest. I am newly pregnant with my first and I'm loving going through all your videos.

[@Everlycece]

I’m also pregnant for first baby. Thanks Sara for sharing with us what path you’re going to take. Wish you the best as you birth your baby. No medal 🏅🤣 is given

[@andreamiller9509]

This was very helpful relieving my anxiety around the pain associated with labor and delivery and the option so have. Thank you!!!

[@Lola-eh9cp]

I had a completely unmedicated birth 🥲 & it was horrible. I panicked and couldn’t grasp the level of pain I was in. But the repairs afterwards were ROUGH. They have to numb you, aka shots in your lower region, and it is awful. Especially when you just want to take in your baby and enjoy the moment. I will absolutely try to get an epidural next time. I’m pregnant with my second and have been stressing about pain management. Thank you guys for all the info!!

[@janinerudder9193]

This video is so valuable. Thank you! I'm 31 weeks pregnant and have been conflicted about whether or not to go the unmedicated route. My birth class video and other resources I've consumed are very biased toward "natural" births and I've been feeling judged / pressured. Your myth busting has helped me to decide on going with the epidural and feel good about it!

[@alaakamal2870]

Same situation👌 All birthing classes are so biased towards unmediated birth which is not practical in a lot of situations with different threshold

[@hananbellaismail9254]

Honestly i was gna go on the natural route but it was way too strong I couldn’t do it and the epidural was awesome

[@Princessbritta]

Story: i registered for a “first time mom” birthing class on accident (i was having my second) and when they were telling women how manageable the pain was, I raised my hand and said “it felt like i was dying. I felt like a zebra getting attacked on Animal Planet. I felt like someone was torturing me” and a year later one of the moms from the class came up to me on a playground and said “you were the girl that told the truth!”

[@Neillan]

Congrats on your upcoming birth. This stuff is insanely informative, and you guys work so well together on camera. Ya'll won't be just another KZbin family, that's for sure!

[@TheDoctorsBjorkman]

You’re so kind! Thank you. We’re so glad our videos have been helpful.

[@zen_mindset1]

They're educated doctors who know their stuff.

[@jamiecarter2192]

This video was so helpful thank you! I have been weighing up what pain relief to use for my induction coming up and this was so so useful!

[@luckydragon9779]

Thank you for posting such insightful videos. I hope your channel becomes a success!

[@TheDoctorsBjorkman]

Thank you! We’re glad that you think they are helpful

[@101AstyMasty]

I gave birth a week and a half ago. No meds, no epidural, on my back and induced in the middle of it all. My water broke at 7PM, Friday, gave birth Saturday 10:50AM. It's the induced part that really rocked me, the pain was intense and long, from 5AM till 10:50 I was holding on to the side of the bed and trying not to shout as those false labor pains tore me apart. Pushing was short, I literally pushed 4 times and baby was out, they did an episiotomy and I did tear in one place. I didn't feel a thing. And - my baby was bigger(4, 4 kilograms, cca 9lbs). What I'm saying is, if you can, have your labor naturally, breathe, breathe and breathe. And don't scream! You'll lose your energy that way. The pain is there but it's not the worst. You can do this, ladies!

[@lilybee9420]

I had one normal labour and 2 inductions and I swear after being induced it was so much more intense labour the contractions just came on faster and stronger and longer than I remember with falling into labour naturally. I did end up having epidurals but 24 hours of labour was just too much for me and I was exhausted and was greatful for the little rest it gave me before birth I wish I had the strength to not get the epidural but I dont hate myself for it...birth is a great feat no matter what pain options u take or don't...congrats to all the mummas no matter how u birth your precious bubbas 💚

[@101AstyMasty]

@@lilybee9420 I asked for an epidural after two hours of being induced, but here(Croatia) they supposedly don't give it out so easily ... So I was kinda scared I'll lose all my strength when it came to pushing. It's amazing how much our bodies are capable of enduring, when that adrenaline kicks in.

[@malikajoseph764]

I needed this. Thanks

[@meganmosley8586]

Thank you! Due in 4 days and this was so so helpful. I’d love to see a similar video with pros and cons of induction for healthy pregnancies past due date. Hopefully that video would be posted too late to help me (because I go into labor on my own 😉)

[@caylathecreatrix1645]

So glad this video was made! I’ve been researching options but google and mommy blogs can be super overwhelming. I feel much more informed my birth in October, thank you!

[@briannayoung12]

Super helpful and informational video. Thank you!

[@brianhudson7822]

My sister gave birth to my nephew without anesthesia. He weighed 11lbs 9oz. She said that would never go through that ever again, and will make sure the epidural is on full blast. Thank you for giving women all options available and what to expect.

[@TheDoctorsBjorkman]

Your sister is one tough woman! I can't even imagine. Epidural on full blast is the way to go lol. It doesn't always work perfectly, but often it does and it's amazing pain relief!!

[@anahivelazquez7017]

😂 wow shes realy brave.

[@hannahscott6604]

Jesus I was 7 pounds when I was born and my mom was in so much pain

[@danielleneuhalfen8102]

Another wonderful and informative video! As a labor and delivery nurse I love seeing these videos that help prepare expecting families. I am always surprised by how many people I labor with that honestly have received false or poor information about their pain control options or have done no research. The lack of birthing class options due to the pandemic does make it challenging for people to prepare for labor. Also, for all the mama’s wanting an unmediated labor you really need to prepare and practice the skills you will need in labor before the time comes to have the best experience.

[@TheDoctorsBjorkman]

We can’t tell you how much it means to have the approval of an L&D nurse! Thank you!!

[@daletyaveiro3883]

What skills would you recommend to learn?

[@lolsaXx]

Epidurals scare me. The process of getting one, the possibility of tearing more because I cant feel and having to be coached to push on my back without help from gravity, I fear it may affect the baby and may need other forms of assisted delivery. I feel very powerful giving birth. I feel strong. Your contractions will never be stronger than you are. I really hate hearing the word "pain" when I give birth. However you give birth, you will be so grateful for everyone and everything when you finally hold your little one in your arms. It is magic.

[@sarahjacobsen6638]

Can I just say, I had an epidural with my first, and tore bad. So with my second (2 weeks postpartum right now) I had the same thought as you, and went completely unmedicated and did a water birth, and I tore the exact same way, except I felt myself tearing this time. So yeah any future births I’m taking the epidural since going without it didn’t prevent any tearing for me.

[@humming_bird1118]

I love this so much !! But if doctors push to get an epidural though?

[@lolsaXx]

@@humming_bird1118 Your birth, your choice. You can listen to peoples advice but unless there is a medical emergency you dont have to follow it. Having a birth partner or even a doula who knows exactly how you want your labour to go is great. So they can talk to anyone for you and you only need to focus on your breathing and staying relaxed.

[@Elemenohpea440]

The women I know who had severe menstrual cramps before pregnancy tend to think labor isn’t too terrible. Honestly, my menstrual cramps were way worse than contractions. Also, contractions aren’t constant. I’ve had 5 unmedicated births and am planning another with baby number 6. Oh, and by the way, after I had my first baby, I no longer had menstrual cramps! For people planning an unmedicated birth, be sure to take magnesium supplements (check with OB/midwife first) during pregnancy. Magnesium can help your muscles recover from contractions.

[@vanderbam2741]

I hardly get menstrual cramps much but still found labour bearable. I suppose it's got an incentive at the end of it which a period doesn't really 😅

[@hannahscott6604]

Oh holy my menstrual cramps are the worst

[@Princessbritta]

I barely get menstrual cramps and found labor to be traumatizing. I support your message, lol

[@sandramaldonado2197]

where can i get magnesium

[@fighttheevilrobots3417]

@@sandramaldonado2197 literally any major pharmacy in the USA like Walgreens or CVS

[@laurabarnes4224]

Thank you for discussing all the available options!

[@TheDoctorsBjorkman]

Just want birthing mamas to have the best experience possible, and knowledge is power!! More information always helps me feel more comfortable, so wanted to make it easily available for others!

[@didipop7731]

Such an informative video. I loved it, thank you 🙏

[@mariastormer800]

Sarah you’re glowing! Wish you were my doctor! You’re so smart and not to mention the cutest pregnant lady ever 🙈♥️

[@TheDoctorsBjorkman]

You’re so nice. Thank you!

[@Brevislux112]

With my first I had an unmedicated birth, but it was very quick. It took three hours from start of active labor (which I understand as contractions during which you can't talk or walk and they're regular) to being fully dialated. Honestly even if I wanted an epidural it's likely I wouldn't have had the time to get it. But if this time labor is long (most likely going to be shorter but it never know) I'd probably get it. I can't imagine going through that for 24 hours or more like many women do. Contractions were so intense and close together, maybe that's why I progress quickly, but I can't imagine doing this more than a few hours - it's exhausting. You have to go on with an open mind... Every time.

[@sooh6299]

22 weeks today. My last birth was one of those 'no time for epidural' births. It wasn't very fun while it was going on, but from the first strong contractions until baby was out was around 2 hours, so it went quickly. I'm hoping to have time for epidural this time, but we'll see :) Congrats on your first baby!!

[@TheDoctorsBjorkman]

We’ll keep our fingers crossed that you have time for your epidural with the next one. You’re strong for doing the first one without- even if not by choice! Good luck!!

[@Princessbritta]

Did you get your epidural?

[@sooh6299]

@@Princessbritta lol no. My daughter wasn't patient enough for that, so I still haven't experienced having an epidural.

[@lilorange0x]

Thank you so much for this 7 months pregnant and this has gave me great information also this is my first☺ decided on what i want now.

[@TheDoctorsBjorkman]

So so glad it was helpful! And congrats on your pregnancy--you are almost done and will be holding that little one before you know it. You can do it no matter what you decide on for pain--you are stronger than you even know!!

[@chrissmarie455]

Thank you for sharing this information. Btw I have to say your baby girl is going to have the most beautiful eyes 💕

[@TheDoctorsBjorkman]

You’re so kind! We can’t wait to see her and find out!!

[@luzandluigifrascarelli5854]

Super helpful! Thank you.

[@mistylureify]

Im 27 weeks preggy. I'm a new subscriber and been watching your videos.

[@TheDoctorsBjorkman]

So glad to have you! Thanks for saying hi

[@tayloredwards8145]

Did you each choose shirts that would specifically match your eyes??

[@BlondieKaylz]

I found having the shower on super hot on my back was a good relief Both my labour’s were unmedicated BUT both my labour’s were FAST... if I had long labour’s I definitely would have taken anything drugs the nurses had on offer lol All in all I loved labour and delivery and wouldn’t change my experiences for the world :)

[@chandlerredding45]

When I was in labor 4 years ago, my birth plan absolutely called for an epidural. Got to the hospital at 3am, 5cm dilated, and wanted my epidural STAT. Unfortunately, there was no one on staff who was able to give me the epidural for several hours. This upset and panicked me so much that they had to give me oxygen and something else that made me very sleepy. When I finally did get the epidural (hallelujah) it only worked on the left side, regardless of moving, but no one ever came back in to adjust it. So now, with my second, I’m really praying that when I go into labor, the hospital will be well-staffed and equipped to handle these issues! Thank you guys for the video!

[@anahivelazquez7017]

Same happened to me only no laughing gas it was horrible now I'm pregnant and scared to do the epidural and scared to go unmedicated 😞

[@kimberlysnooks8311]

I got a one-sided epidural too, they replaced it when I ended up getting a C-section. The worst was just the gaslighting, they told me that it was because I wasn't pushing the medication button enough 🙄

[@MeganMarie1]

I've had three unmedicated births and am planning on another one for baby #4 coming in the fall. I have no judgement towards those who choose epididurals or other medicated pain relief. For me personally though, I feel such a sense of accomplishment after unmedicated birth that I feel would be different with a medicated birth. I also feel like the second baby and placenta are out I feel "normal". I love not waiting for an epidural or medication to wear off. Also, I love the freedom of movement.

[@TheDoctorsBjorkman]

You are seriously a rockstar! Many women feel like you do and I am always in AWE of their strength. I don’t think I am tough enough, but totally get why you would want to be able to move around during labor and then being able to be up and about as soon as the baby is born. I will definitely report back on how it goes!! Sending you wishes for a safe and speedy delivery with baby #4!

[@Katka-CestydoOrientu]

The women outside of the Western world have for ever done births without an epidural. In my country, it lasts for about 90 minutes so it can help some but not that much. If women put in their heads that they will not make it without epidural, then they won't. It's all in the mind.

[@angelbasham6631]

@@Katka-CestydoOrientu for me if I can go into labour on my own I can make it with no pain relief but if I'm induced and it takes 20 hours to have a baby that's a game changer bc I'm so tired and in pain for so long

[@kylennpetersen4407]

I had reservations about the epidural for my second after swearing by it with my first. I didn't listen to my intuition, but the delivering doctor coupled with a terrible support (who I no longer accept in my life). I had a complication due to the epidural and it made my recovery far more difficult. This time I feel more confident advocating for myself and have more confidence in my support. I think a smooth delivery is largely about your mindset.

[@mt8582]

Had epidural 3 times, , then twice without. And it was just great! Labor is faster and best of all, no back ache after birth!

[@raysha9932]

I chose epidural every single time because it really helped me afterwards not be so exhausted and enjoying the process alot more idk what other word to use lol. It just made my time with my baby afterwards more like in the moment

[@charmaynerobinson8678]

I had an epidural with my first. Everything went Great! Will get an epidural again for my 2nd, soon.

[@constitutionalcarrot3720]

Getting induced in 3 days with twin girls my MFM stongly encourages getting an epudural since they may have to reach up into my uterus to pull baby B out breach even though both have been vertex my whole pregnancy. Totally envying those with a genuine choice in pain management though, but I’m also probably underestimating the pain since these will be my first, and so I appreciate your expertise and explanation.

[@nancygs4555]

I hope you got the epidural!

[@sristigotsongs]

Even as a physician I learnt so much from this video. But as a FTM who's having a baby in July, this video has been a gold mine! Thank you for putting this up. Congrats on your pregnancy and good luck with your upcoming birth. PS: I am #TeamEpidural myself and my biggest fear (bigger than the birth itself) is "Oh no...its too late for one".

[@maritzaelizabetho.o.v5734]

Question.. did you get the COVID shot?

[@sristigotsongs]

​@@maritzaelizabetho.o.v5734 Hello Maritza, I am scheduled to get it next week. I wanted to wait until the third trimester. Having said that please note that I don't work in an inpatient setting and my interaction with patients is limited to those who are healthy and seeking preventive care. If I was working in an inpatient setting or if I had daily contact with sick patients I would not hesitate even one bit to take the vaccine. Please also note that I wear a full PPE at work and my entire family is vaccinated. Lastly, I don't meet people outside work and home to minimize my risk of exposure (so no grocery shopping, no salons, no restaurants-none of that). The reason I am giving a long response to your question is that I don't want you to feel that physicians themselves are concerned about the safety of the vaccine. I am not at all concerned about the safety of the vaccine-I just wanted to avoid getting fever (which is a common side effect of the vaccine) before 3rd trimester. Hope this is helpful-happy to answer any questions you have.

[@TheDoctorsBjorkman]

This makes us so happy to hear- thanks for sharing!! Good luck with your delivery. We can’t wait for all those baby snuggles

[@giselleali1979]

I am 24 weeks and is worried about my second birth. My first baby was delivered via C section because she was breeched. She is going on 8 yrs now and has been diagnosed with severe autism and I am the only one that she wants taking care of her or doing anything at all for her. Never thought I would have a baby again but life teaches us that its not over after your first life ends. Cant wait for my baby boy but also worried about the situation with my autistic daughter. Fingers crossed everything goes well and quickly too. Baby is due in April 2022.

[@soyouwanttolearnhowtocook411]

This video is so good ! i love your videos . Iam due in September and as much as iam so anxious to meet baby girl iam so scared but this makes me feel better

[@TheDoctorsBjorkman]

Congratulations on your pregnancy!!! We’re so happy our journey is helping you through yours 😊

[@wthomason8341]

This is so encouraging and helpful to me. I’m almost 34 weeks pregnant, and have been watching pregnancy videos, birth stories, child birth classes, etc. Most of the content I have viewed has shed a really negative light on using pain medication during labor. It made me feel like if I have an epidural or some other form of medicated pain management during labor that I would be considered a failure. I’m not sure how my labor is going to go, but if it’s at all possible I would love an epidural. So, this makes me feel like my decision is valid and I’m just as strong if I do go that route.

[@hxdcm]

Hope things are going well! My obgyn said 95% of their patients get an epidural so you shouldn't feel bad about getting one 🙂 cheers to a safe & fast delivery soon

[@tymom9313]

You still are going through birthing a baby! Why go through unnecessary pain?

[@lilybee9420]

No matter what u choose you are strong and amazing, you're birthing a baby and that's a big job no matter whether u have pain relief or not ive had 3 babies and 3 epidurals (29 weeks with my 4th now and may just do the same depends on the labour 😊)....after 24 hours of labour with my first and long labours with my 2nd and 3rd I was exhausted after hours of no pain relief (I did have gas but as they say it wears off fast and made me so drowsy) and the epidural was enough relief to gain some energy for pushing...did you get the epidural how did you go? And congratulations!!!x

[@Steph-yi4qc]

I started having horrible contractions that were 3-5 minutes apart 8 hrs after getting cytetoc( 41 weeks) I let them kick in from 9pm-3am before heading to the hospital and was barely 1 cm open when I arrived, however my blood pressure was at 160 from the pain I put myself through so I had to stay, I was then there 12 hours pushed for 4 hours until my daughter was finally born, I then lost consciousness for a bit loosing a lot of blood had a severe tear and had to stay another 2 additional days. My baby girl is now almost 2 weeks old and so perfect ❤

[@anniecchigoziee7591]

Thanks for this...still in my second trimester I'll be looking forward to labor pain gezzz God help us

[@TheDoctorsBjorkman]

You’re welcome! Hopefully this helps you be prepared for how you want to manage those pains

[@sharonmatheka4164]

Thank you so much for this information. Kindly shed more light on the pudendal block. Are there risks? How long does it last? At what stage of labor should you get it? Thanks so much.

[@dreaminginjapan]

I live in the countryside of Japan and most hospitals here don’t offer epidurals or medication during delivery. I would appreciate all the advice anyone has for having a natural birth 💕

[@katharinanaima8153]

Meditation/hypnobirthing!! I did it unmedicated and in the tub while meditating and breathing, worked like a charm! All the best for you, you are strong and you will succeed! 🍀🌻

[@dreaminginjapan]

@@katharinanaima8153 Thank you! I haven't heard of hypnobirthing so I'll definitely look into it!

[@ericagoforth8793]

No one talks about light medications for natural birth. Tylenol and Coca-Cola really helped. Also, a hot water bottle and Icy Hot muscle relief. I wish they would allow you to eat at the hospital because chocolate would have made me feel better. Contractions felt like period cramps. Also, at the peak of contractions take a long deep breath and exhale slowly. Then breathe normal through out that "wave" of contractions. While you are are in between contractions--REST.

[@dreaminginjapan]

@@ericagoforth8793 I’ll definitely take some Tylenol and chocolate with me to the hospital! Thank you so much for calming my nerves. Japan let’s mothers eat during labor to keep up energy (still don’t understand why America doesn’t!) so I’m gonna be chowing on all my favorite things if possible 😂

[@ericagoforth8793]

@@dreaminginjapan You're welcome 😂

[@Dancekat1414]

Due in 10 days.. thank you 🙏🏻🙏🏻

[@heavenlancaster20]

I was unmedicated until 6cm but decided to get the epidural which I was fine. But the labor was traumatic and my baby heart kept dropping and they wanted to do an emergency c section but ended up doing vacuum and episiotomy. I pushed for three hours and I was in so much pain. I felt them cut my private area and stitch it up. I also tore on the side and my butt. The first three days were awful I was crying so much. Well other than postpartum has been great for me and my baby is perfect. ! Any woman that goes through birth with meds or not our rockstars. I’ve heard so many stories and before I had my son I never knew birth could be like that for so many.

[@piccolinay89]

😭😭😭 why i love u guys this much!!!?????

[@TheDoctorsBjorkman]

Aw thank you so much for following along with us!

[@jadeharrington3133]

I’ve recently heard the term walking epidural. Can you elaborate a bit on what that is vs a classic epidural?

[@titandance2014]

I was induced with my first due to hypertension nearing pre-eclampsia. I personally couldn’t handle the pain so got an epidural. I had a 6 hour labor and only pushed for 15 minutes. I’m due in December with baby 2 and planning to try to go a little longer without the epidural but ultimately will get it again because I actually really enjoyed my labor

[@everydayjane3382]

Thanks for this video! So helpful. Do you know if epidurals increase chances of having other interventions like forceps or vacuum assisted delivery?

[@meippoliti]

Yes they do! It can delay labor and one is more likely to have interventions when getting an epidural. From labor slowing down to the doctor wanting to add Pitocin to speed up labor this can cause contractions to become even more intense.

[@kimberlysnooks8311]

Additionally, receiving an epidural makes it 4 times more likely that your baby will end up in a posterior facing position which may end in a C-section or an extremely painful attempt by the doctor to turn the baby internally.

[@elliegyurdiev2372]

6 more weeks before our little boy is expected to arrive. Epidural here for sure!

[@tiarraswsher3930]

Subscriber here! Thank you for the information! I will definitely be taking birthing classes to help manage the pain. I am terrified about getting an upadural. I've heard it causes back pain for the rest of your life? Is this a myth? I normally try and find different ways to manage pain than always taking medication. I want to wait as long as possible to take the epidural, but I know I will definitely want it when I am pushing. How long does an epidural take to fully work? Is there a cut off time (diameter wise) that I should take it by?

[@Trinitea333]

I love watching you guys. He seems so supportive. My man is from Africa, they dont give their women emotional support during labor. I dont think he will be strong enough for me. Thank God for my baby brother. He will be there for me as my masculine support.

[@mariahl.2052]

If you told your man that you need or want emotional support, would he? You guys could do a birth class and he could learn what a partner should or shouldn’t do!

[@Zahidafoodshare]

It’s a their culture, not cruelty or anything. But encourage him to be with you in the room. And then he will normalize. Same thing my husband my first child.

[@joselinfar.5185]

Ive had 3 unmedicated births, im in my 4th pregnancy #35weeks know, but this time i feel more week and tired so im definitely considering an epidural this time.

[@TheDoctorsBjorkman]

Joselin--you are amazing mama! Congrats on baby #4--you are legit superwoman. And you are so close to the end--I hope you are feeling good still and that you have a great labor, however it ends up. I LOVED my epidural, but have so much respect for the mamas who want to do it without. Remember, you get to take that sweet babe home whether you have an epidural or not!! So don't feel like you have to do one thing or another. Just make sure everyone knows your goals and allow yourself the option to change those goals if you want to!!

[@kellys4889]

This was so helpful, thank you!

[@beckt6953]

You guys make great videos! Wish I would have watched this before labor 4 weeks ago. I had a horrible experience. My epidural never worked, anesthesiologist checked it 3 times and had no idea why I was feeling my contractions. To make things worse I had a high fever during labor and a partial third degree tear. Everything was worth it at the end. I love my baby and would go through the pain again if I had to.

[@adileetalley1292]

I am having a VBA2C in July and planning to use Nitrous Oxide and IV pain meds if needed since epidurals apparently aren’t effective for me (neither of my 2 epidurals worked very well). Glad to have this info!

[@Princessbritta]

How did your birth go? I despised my iv med with my first!

[@Pineapples8theWorld]

I had a c-section with a spinal, and it worked awesome! I was so worried about it, but it hurt way less than, say, getting novocaine for having teeth drilled. I am still terrified of getting an epidural, but I survived a c-section (when all I wanted was a natural labor) with my breech baby. The worst thing was after the urinary catheter came out and I just couldn't pee. So it's not off the table, but I want to see what labor feels like.

[@elenapasnic60]

I had epidural with both my kids. First worked well. With second child worked only on half body, plus I needed a blood patch, I had terrible headaches as side effects

[@mistylureify]

Hi Dr, could you also discuss what are the effects for baby and mom if the lab test @ 26 weeks came out abnormal like hb, rbc, hct low. What are the s&sx as well as what are the mngt. Thank you!

[@AMREICANPRINCESS713]

I’m due next week and I keep praying and having faith in god everything will be ok and hopefully be fast but idk guys I’m still scared. I need to watch some videos on how to help dealing with pain and how try to relax while in labor as if it’s any time for relaxing lol 😐. I need to focus more on baby getting out safely. ❤️

[@sarahmarie3167]

Just remember that it’s your baby & body working together. “I can, I will, I am” repeat 💗

[@amorenea5384]

you’ve got this!!! let us know how it goes! praying for a healthy and safe delivery. ❤️

[@AMREICANPRINCESS713]

@@amorenea5384 it was the most painful thing ever :( Lost mucus plug around 1:30 am, by 8 am I started to feeling some mild cramp like feeling that was on and off, by 10 am it was a little stronger so I decided to head over to the hospital. I arrived at the hospital at 11 AM and they checked me and said I was 7 cm dilated. I thought great three more centimeters to go I got this and I’m going to follow through it with no epidural because it shouldn’t be long now. Well I didn’t give birth until 7:57 PM I was in so much pain for so long I had no energy to push when they asked me to push and my water didn’t break so they broke it pretty close towards the end. I also got 1 tear. Once the baby was out I was happy but still in pain and I thought good I’m finally out of the woods and I’m going to feel no more pain. I was wrong. After the numbness went away, I was once again in so much pain for 4 days after birth. I could not sit, I couldn’t stand up straight, i couldn’t lay comfortably, it was very difficult. The first 3 days I got 2 to 3 hours of sleep total. I also kept peeing every five minutes and it was starting to upset me because I spent more time getting up to use the restroom then with my baby. In went in very confident and prayed with every contraction for pain to go away but my experience was not good all. I wanted another baby pretty soon but after this I’m not so sure, it was pretty traumatizing for ME. This was just my experience, other mamas have a much more positive experience. I wish all the mommas who are about to give birth the best on your delivery.

[@amorenea5384]

@@AMREICANPRINCESS713 oh no :( well i’m hoping that you recover & feel more relaxed soon. that must be so tough, i’m sorry that you have to go through that & that you aren’t resting :( it’ll get better - but i’m glad that you & baby are fine. you did it ❤️

[@AMREICANPRINCESS713]

@@amorenea5384 I’m feeling a little better but I know healing takes time. At the end of the day it’s always worth it. Thank you :-)

[@karlasilva3681]

I can’t wait for your birth vlog🙂

[@drzenkobilas7770]

May I ask, had you heard of 'Aniball' or 'Epi-no Delphine Plus' birth facilitating devices, which help mum achieve the 10cm diameter opening for baby; which shortens birth, avoids episiotomy and likely hood of tearing? They are the mechanical versions of the traditional method of Opening Doors for Baby, and all use the Plastic Surgeon's technique of gradual, painless, 'skin tissue expansion', which are further explained in my KZbin video 'Avoiding tearing - Opening Doors for Baby to 10cm'. Pudendal nerve block for my wife took all the pain away in her OP birth. Thank you for your reply.

[@drzenkobilas7770]

Thank you. If you were able to put your success story on Mums Independent on Facebook, as much as you are willing to share, gestation (weeks of pregnancy) baby's weight, APGAR, whether mum was damaged or not, we would be grateful.

[@brittwells6220]

What would pain medication look like for a first time mom that has poly-substance disorder? I haven’t used drugs including opioids since I was 18. I’m 21 now, due in December. I’m very nervous because I’m not sure I can handle an unmedicated birth.

[@iasminaanton7615]

Thanks for the video. What are the risks of becoming numb forever after an epidural if this was delivered in the wrong place? Thanks

[@purplefreax]

Thank you for your advice my husband & I want to try for a baby but due my pallets elevated & progesterone low I guess we gonna have to wait):

[@ShaguftaJamali]

This video is a relief 😅

[@katrinascheuermann763]

You guys have such a calm, nice, vibe!!! You must be from the Midwest (the vibe + the accent) haha 🥰

[@elvanwyk6573]

Informative🤙🏽😊

[@Lorinda_Js]

All i can say is..... Every pregnancies are different , but everytime its always bcame the sweet memory 🥰😍

[@Princessbritta]

???? Not all pregnancies end well

[@Lorinda_Js]

@@Princessbritta oh sorry for all the sad ending thou....im just tryin to think positive here love 😄😄

[@racheg5421]

I was so fortunate i had an epidural with my labour before i had my c section

[@miaeba]

I want to do a epidural but my doctor said that because my baby is low set in a partially dilated already that I'm not going to have time for epidural once I get active labor should I still request one I do have a high pain tolerance but they said it was going to be a very short laboring experience most likely

[@danitapowell2291]

When I gave birth to my children, all I had was a little Demerol. I don’t even remember asking for it, they just administered it in my I.V. That was in ‘85, ‘87, and very first of ‘90.

[@jacquelinejacobson6789]

I had general for 1st baby ( emergency CS), and epidural for planned 2nd CS for baby #2. Everything was fine until they pulled baby out - it felt like all my other organs were coming out with her! Excruciating pressure/tugging caused me to scream out in pain! I heard the anes doc mumble something about "parasympathetic reaction". Could you elaborate about this phenomenon?

[@moonykmi]

With my first baby, I held off for as long as I can managed sans epidural. Requested mine when I was already 9 cmd, and the first epidural didn’t work on me. I had a minor moment of delusion and of tried to walk out of the room and “leave the pain behind 😂” then I got a second epidural, which didn’t fully take the pain off but took the edge. I don’t know what I would have done without it since I had to push for 5 hours for my 10.5-pound baby to be born. Needless to say, this time around with my second baby, i will be opting to wait less time to get my epidural.

[@smileyrulesinthe818]

Wow thats crazy. I asked for an epidural at 9cm too but the nurses told me no im ready to push. Then i spent 2 hours pushing and began to fall asleep between contractions. Very scary. I could not imagine pushing for 5 hours!!! You are amazing!!!!

[@Karadiddle]

Does the nitric oxide have any potential effects on the baby like the IV medications? Thanks for all of your informative videos, I’m 27 weeks pregnant with my first baby and this channel makes me feel so much more prepared.

[@hannahb7038]

No, it doesn't.

[@BD-ez9si]

I am 44 years old...almost 45 Due May 2024 with baby #4. Had 2 of my children with Nubain...I was feeling great! Nubain isnt used anymore. Child #3 I was given Stadol..didn't like it. Felt every single contraction. I felt sick to my stomach. Thinking about an epidural with this one, but my fear of a needle in my back and jerking..

[@gomalley88]

You guys are great!

[@TheDoctorsBjorkman]

Awww thanks!

[@boglarkabarna3800]

It amezes me that in the US paincontrol is in such focus. You can just opt in for epidural - it blows my mind. In Hungary usually no pain medication is used during natural labour (except lidocain for the stiches at the end). I had my first baby 4 weeks ago. I asked for some pain medication and I was told you need to feel the pain to successfully deliver the baby - and that was my pain management. :'D Though I could be in any pose I felt better.

[@Katka-CestydoOrientu]

Same in Slovakia, some women get it, some hospitals offer it only on the weekdays. The US women are too sensitive. Can be done without but people don't like discomfort. African women don't have that option at all.

[@dorkaballa-johnson1214]

I'm from Hungary also and there are many *many* hospitals that administer epidurals to any delivering mom that asks for one. Your experience sounds very unique and honestly that doctor sounds borderline abusive. Generalizing your experience across all of Hungary makes us sound like a third world country 🤦‍♀️.

[@moonykmi]

Oh god, :’( i’m so happy you got through it! I had to push my ten and half pound baby for five hours, with an epidural that didn’t numb me completely. I don’t think I could have made it through 5 hours of pushing without it taking the edge off.

[@boglarkabarna3800]

@@dorkaballa-johnson1214 We are in many ways... Im a medical doctor and I had to do practice rotations in multiple hospitals. I have never seen or heard that a delivering person got an epidural for natural labour. Obviously if c section was planned or needed they got it. In private hospitals you can buy the epidural as an 'extra'.

[@glokwizera]

@@Katka-CestydoOrientu African americans do have that option

[@cherishparkhurst8124]

I'm curious about the difference between the hormonal inducing compare to the chemical inducing and does an autoimmune disease have something to do with during and after pregnancy with a low whiteblood count and what could possibly cause that to happen

[@melm230]

I have spina bifida and I'm wondering if an epidural is even possible for myself and what kinds of other pain management is possible. I'm supposed to see an anesthesiologist soon.

[@MandiMomOf8Channel]

I've had 6 epidurals (that worked great) with 6 of my babies, I had one of my babies while I was completely unmedicated, and 2 weeks ago I had an epidural (while in labor with my 8th baby) that didn't work. It numbed my right side and not my left side whatsoever, I also felt numbness in my face and hands. It was an excruciating nightmare.

[@paulacohen4923]

So if you get an epidural early in labor, does the meta analysis show an increased rate of late labor slowing?

[@skyemanning3978]

the research I've done there's positions you can give birth in while having an epidural you don't have to be on your back they just need to assist you so is that like a hospital policy thing or is that just what's easier

[@ciarawatley6020]

I’m due on the 25th!!

[@TheDoctorsBjorkman]

So so soon!!! We hope labor goes well for you. It won’t be long and you’ll have that little baby in your arms.

[@sharonkayboone7043]

Do you have to be dialated to a certain centimeter before you can get a epidural?

[@kmorm.7666]

I’ve never been able to sleep even with the epidural. With my 1st, the epidural didn’t fully worked, but I had no side effects. 2nd baby, the epidural worked but after it not being able to walk for a couple hours and stuff and the back pain after the epidural like omg the worst. Now with my 3rd, I’m hoping I can have him without it.

[@firely7]

when exactly is "too late" for epidural? Or when is the perfect timing?

[@vla179]

Too late is if the baby is already in the channel coming out. Also anesthesiologist might say it's too late if your contractions are very close and you can't sit still. In order to get epidural you have to sit still and don't move. Anesthesiologist needs a time to run at least two tests to make sure the epidural needle is in the right place as well.

[@rabbit__]

Or if you're going through what's called transition. It's the last stretch before you're ready to push, and you're typically in great pain and shaking. That's not a state where you can sit still enough to get the epideral safely.

[@butterflytaylor2474]

I want a non medicated birth but I’m preparing myself for an epidural. Currently 20 weeks with twins. Not only am I high risk but there’s a good chance I’ll have to deliver via c-section. Also I’ve never had a baby and I’m not sure how I’m going to handle it

[@cassandralemley8112]

I'm pregnant with baby #2. My son is 8.5 but I was 19 when I had him. I had no pain meds or epidural and had him naturally, he was 10lbs 6oz. He was big for my 5'4 frame but I thought labor was easy. Pregnancy sucks lol

[@ewaszczesna3721]

Does scoliosis make placing the needle for the epidural more difficult?

[@kionnakelly2918]

Yes and make sure you notify your doctor and/or anesthesiologists before you go into labor. This way, your spine can be examined to see if an epidural is even a possibility prior to delivery so if it's not possible then you have time to choose a different method if pain management. Plus, usually makes it quicker, easier, with less trial/errors. Hope that makes sense and helps a bit

[@popmusic2008]

Are there pain relief options, like the opioids (not in the spine and taking away sensation in legs) that don't pass to the baby that you can take in the later stages of labor? I don't wanna feel much pain but I have lots of issues with medications and tend to get the rare side effects. I wanna be up and mobile as much as comfortably possible- showering, stretching, breathing hypnobirthing type stuff but also if the pain is too much to bear, which I expect it to be in the later stages not the earlier ones, I want some help where I am still able to move and be in control to take the edge off. Where it won't cause issues to me or baby. (Needless scare me, especially long ones. I can't handle laughing gas or numbing paralyzing things as they send me into a severe panic attack, I have bad issues with epinephrine which is in most local anesthesia, And have had severe chronic migraines caused mainly by meds) I've heard of a walking epidural, what's that? Is it a low dose where you can move around as desired? Also I really am concerned and wanting more info on the recovery rate effects of the different types of labor and pain relief options. I hear you have a faster easier recovery postpartum going medication free (low/no medical intervention) and a longer harder recovery if you did get an epidural, C-section or other medical intervention with medications. (Assuming this is all low risk vaginal delivery) Also, the contractions postpartum, the uterus shrinking down to normal size. Is that pain identical/similar to labor contractions? Are there meds for that that don't effect breastfeeding? What's the point of getting an epidural or other pain management medication for labor to remove/ minimize the pain just to have to go through it all un-medicated postpartum? If you're gonna go through it either way (not fun don't want much pain) then why add nasty side effects of medications along with it?