94: Epidural Expectations vs. Reality: What You Need to Know Before Birth

Have “get the epidural” circled on your birth plan? Or maybe you’re curious but not sure if it’s for you? In this episode, we’re pulling back the curtain on what epidurals really are, how they work, what they don’t do—and why preparation still matters deeply, even if you’re planning on pain meds.

We’ll explore:

• What epidurals actually do (and don’t do)
• How they’re administered, and what it feels like
• Common misconceptions that leave people unprepared
• Side effects and interventions that often come with them
• What to do if an epidural fails or doesn’t fully work
• Why birth prep is still crucial with or without meds
• The essential tools every birthing person needs—no matter the plan

If you're planning an epidural, undecided, or just open to options, this episode will leave you feeling informed, empowered, and ready to advocate for the birth you deserve.

Resources Mentioned:

• The Path to a Powerful Birth – Clara’s childbirth course blending research, mindfulness, advocacy, and surrender.

Research Citations:

• Anim-Somuah, M., Smyth, R. M. D., & Cyna, A. M. (2018). Epidural versus non-epidural or no analgesia in labour. Cochrane Database of Systematic Reviews, (5), CD000331. https://doi.org/10.1002/14651858.CD000331.pub4
  
  
• Sharma, S. K., & McGrady, E. (2014). Early versus late initiation of epidural analgesia for labour. Cochrane Database of Systematic Reviews, (10), CD007238. https://doi.org/10.1002/14651858.CD007238.pub3
  
  
• Pan, P. H., Bogard, T. D., & Owen, M. D. (2004). Incidence and characteristics of failed conversion of labor epidural analgesia to cesarean delivery anesthesia: A retrospective analysis of 19,259 deliveries. Anesthesiology, 100(4), 908–914. https://doi.org/10.1097/00000542-200404000-00014
  
  
• Torvaldsen, S., Roberts, C. L., Simpson, J. M., Thompson, J. F., & Ellwood, D. A. (2006). Intrapartum epidural analgesia and breastfeeding: A prospective cohort study. International Breastfeeding Journal, 1, 24. https://doi.org/10.1186/1746-4358-1-24
  
  
• Beilin, Y., Bodian, C. A., Weiser, J., Hossain, S., Arnold, I., Feierman, D. E., & Martin, G. (2005). Effect of labor analgesia with and without fentanyl on infant breastfeeding: A prospective, randomized, double-blind study. Anesthesiology, 103(6), 1211–1217. https://doi.org/10.1097/00000542-200512000-00018

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Disclaimer: The information provided in this podcast is for educational and informational purposes only. Consult with a qualified healthcare professional for personalized advice.