{"id":36655,"date":"2011-02-07T17:54:11","date_gmt":"2011-02-07T09:54:11","guid":{"rendered":"https:\/\/www.columbiaasia.com\/malaysia\/?post_type=health-article&#038;p=36655"},"modified":"2025-05-20T15:05:47","modified_gmt":"2025-05-20T07:05:47","slug":"obstetric-epidural-for-labor-pain-control","status":"publish","type":"health-article","link":"https:\/\/www.columbiaasia.com\/malaysia\/health-articles\/obstetric-epidural-for-labor-pain-control\/","title":{"rendered":"Obstetric Epidural for Labor Pain Control"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"36655\" class=\"elementor elementor-36655\">\n\t\t\t\t<div class=\"elementor-element elementor-element-8a8e2df e-con-full e-flex e-con e-parent\" data-id=\"8a8e2df\" data-element_type=\"container\" data-settings=\"{&quot;jet_parallax_layout_list&quot;:[]}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-90f4a11 elementor-widget elementor-widget-text-editor\" data-id=\"90f4a11\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.23.0 - 15-07-2024 *\/\n.elementor-widget-text-editor.elementor-drop-cap-view-stacked .elementor-drop-cap{background-color:#69727d;color:#fff}.elementor-widget-text-editor.elementor-drop-cap-view-framed .elementor-drop-cap{color:#69727d;border:3px solid;background-color:transparent}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap{margin-top:8px}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap-letter{width:1em;height:1em}.elementor-widget-text-editor .elementor-drop-cap{float:left;text-align:center;line-height:1;font-size:50px}.elementor-widget-text-editor .elementor-drop-cap-letter{display:inline-block}<\/style>\t\t\t\t<p>Almost all women experiences pain during the process of labor and delivery. In some societies, pain during labor is considered as natural phenomenon and should be tolerated by women. Some consider childbirth&#8217;s uterine contraction as severe and need intervention. In one study, 60% of primiparae described labor pain as severe and intolerable, and another 30% experienced moderate pain. In comparison, 45% of multiparae describe it as severe, and 30% experienced moderate pain.<br \/><br \/>There are multi-factors that influence the intensity of pain during labor such as age and parity, frequency of uterine contraction, stage of labor, fetal size and presentation, as well as psychological factors.<br \/><br \/>Women who experience pain during uterine contractions in childbirth can have adverse physiological effects such as prolong stomach highly acidic contents emptying, hyperventilation, increase blood pressure, dis-coordinate uterine contraction and reduced placental perfusion. These adverse effects can be minimized by effective pain control.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6feca6e elementor-widget elementor-widget-spacer\" data-id=\"6feca6e\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.23.0 - 15-07-2024 *\/\n.elementor-column .elementor-spacer-inner{height:var(--spacer-size)}.e-con{--container-widget-width:100%}.e-con-inner>.elementor-widget-spacer,.e-con>.elementor-widget-spacer{width:var(--container-widget-width,var(--spacer-size));--align-self:var(--container-widget-align-self,initial);--flex-shrink:0}.e-con-inner>.elementor-widget-spacer>.elementor-widget-container,.e-con>.elementor-widget-spacer>.elementor-widget-container{height:100%;width:100%}.e-con-inner>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer,.e-con>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer{height:100%}.e-con-inner>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer>.elementor-spacer-inner,.e-con>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer>.elementor-spacer-inner{height:var(--container-widget-height,var(--spacer-size))}.e-con-inner>.elementor-widget-spacer.elementor-widget-empty,.e-con>.elementor-widget-spacer.elementor-widget-empty{position:relative;min-height:22px;min-width:22px}.e-con-inner>.elementor-widget-spacer.elementor-widget-empty .elementor-widget-empty-icon,.e-con>.elementor-widget-spacer.elementor-widget-empty .elementor-widget-empty-icon{position:absolute;top:0;bottom:0;left:0;right:0;margin:auto;padding:0;width:22px;height:22px}<\/style>\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a709a2b elementor-widget elementor-widget-heading\" data-id=\"a709a2b\" data-element_type=\"widget\" id=\"subtopic01\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.23.0 - 15-07-2024 *\/\n.elementor-heading-title{padding:0;margin:0;line-height:1}.elementor-widget-heading .elementor-heading-title[class*=elementor-size-]>a{color:inherit;font-size:inherit;line-height:inherit}.elementor-widget-heading .elementor-heading-title.elementor-size-small{font-size:15px}.elementor-widget-heading .elementor-heading-title.elementor-size-medium{font-size:19px}.elementor-widget-heading .elementor-heading-title.elementor-size-large{font-size:29px}.elementor-widget-heading .elementor-heading-title.elementor-size-xl{font-size:39px}.elementor-widget-heading .elementor-heading-title.elementor-size-xxl{font-size:59px}<\/style><h3 class=\"elementor-heading-title elementor-size-default\">What methods of pain relief is available?<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0ba3e98 elementor-widget elementor-widget-text-editor\" data-id=\"0ba3e98\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Non-pharmacological methods which might reduce use of medication to ameliorate pain<br \/>\u00a0<\/p><ol><li>Coping strategies and support such as prepared childbirth, support from a partner and midwives, calm breathing and massage during labor, aromatherapy, reflexology, water bath.<br \/>\u00a0<\/li><li>Transcutaneous nerve stimulation (TENS)<br \/>\u00a0<\/li><li>Acupuncture<\/li><\/ol>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-00422b5 elementor-widget elementor-widget-spacer\" data-id=\"00422b5\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0353b61 elementor-widget elementor-widget-heading\" data-id=\"0353b61\" data-element_type=\"widget\" id=\"subtopic02\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Pharmacology methods which are commonly used<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-94b99d2 elementor-widget elementor-widget-text-editor\" data-id=\"94b99d2\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ol><li>Entonox- a mixture of 50% nitrous oxide and 50% oxygen, which is breath through a mask. It is quick to act, but effect only last for a short while. It does not reduce the pain completely, and cause dizziness.<br \/>\u00a0<\/li><li>Intramuscular opiods injection which is usually injected by midwives. It takes about half an hour to work and last for a few hours. It can cause nausea and vomiting, drowsiness, and respiratory depression to the newborn.<br \/>\u00a0<\/li><li>Epidural analgesia is the most effective way of pain relief for labor pain. This procedure is performed by the trained anesthetists under aseptic technique.<\/li><\/ol>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9fce581 elementor-widget elementor-widget-spacer\" data-id=\"9fce581\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-324e5a7 elementor-widget elementor-widget-heading\" data-id=\"324e5a7\" data-element_type=\"widget\" id=\"subtopic03\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Obstetric epidural \u2013procedures involved<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9a3b966 elementor-widget elementor-widget-text-editor\" data-id=\"9a3b966\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>First, an intravenous cannula will be inserted on the hand, in order to run intravenous drip. Then you have to sit bending forward. The anesthetist will clean the lower back with antiseptic. After identifying the point of insertion of epidural at the lower back, the anesthetist will inject local anesthetic into your skin, so that putting in the epidural needle does not usually cause much pain. An epidural catheter (a very thin tube) is then threaded through epidural needle to reach near the nerves in your spine. The epidural catheter is left in place when the needle is taken out so local anesthetic can be given via the epidural catheter to provide pain relief throughout the course of labor.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-eeadb28 elementor-widget elementor-widget-spacer\" data-id=\"eeadb28\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7f83e41 elementor-widget elementor-widget-image\" data-id=\"7f83e41\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.23.0 - 15-07-2024 *\/\n.elementor-widget-image{text-align:center}.elementor-widget-image a{display:inline-block}.elementor-widget-image a img[src$=\".svg\"]{width:48px}.elementor-widget-image img{vertical-align:middle;display:inline-block}<\/style>\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"600\" height=\"400\" src=\"https:\/\/www.columbiaasia.com\/malaysia\/wp-content\/uploads\/2024\/06\/Epidural-cath.jpg\" class=\"attachment-large size-large wp-image-36664\" alt=\"\" srcset=\"https:\/\/www.columbiaasia.com\/malaysia\/wp-content\/uploads\/2024\/06\/Epidural-cath.jpg 600w, https:\/\/www.columbiaasia.com\/malaysia\/wp-content\/uploads\/2024\/06\/Epidural-cath-300x200.jpg 300w\" sizes=\"(max-width: 600px) 100vw, 600px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b323b64 elementor-widget elementor-widget-text-editor\" data-id=\"b323b64\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><em>Figure 1: Image of epidural catheter and epidural needle<\/em><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0a48db8 elementor-widget elementor-widget-spacer\" data-id=\"0a48db8\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9cf8b24 elementor-widget elementor-widget-image\" data-id=\"9cf8b24\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"323\" height=\"389\" src=\"https:\/\/www.columbiaasia.com\/malaysia\/wp-content\/uploads\/2024\/06\/Epidural-site.jpg\" class=\"attachment-large size-large wp-image-36665\" alt=\"\" srcset=\"https:\/\/www.columbiaasia.com\/malaysia\/wp-content\/uploads\/2024\/06\/Epidural-site.jpg 323w, https:\/\/www.columbiaasia.com\/malaysia\/wp-content\/uploads\/2024\/06\/Epidural-site-249x300.jpg 249w\" sizes=\"(max-width: 323px) 100vw, 323px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9eb1f61 elementor-widget elementor-widget-text-editor\" data-id=\"9eb1f61\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p><em>Figure 2: Site of epidural needle insertion<\/em><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-040d3a0 elementor-widget elementor-widget-spacer\" data-id=\"040d3a0\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1c3b1d0 elementor-widget elementor-widget-heading\" data-id=\"1c3b1d0\" data-element_type=\"widget\" id=\"subtopic04\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Benefit of epidural analgesia:<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-788becc elementor-widget elementor-widget-text-editor\" data-id=\"788becc\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ol><li>Epidurals provide better pain relief than any other treatment.<br \/>\u00a0<\/li><li>Generally do not affect the newborn such as respiratory depression.<br \/>\u00a0<\/li><li>Spinal analgesia can be given first in the technique called combined spinal-epidural analgesia for a quicker effect of pain relief.<br \/>\u00a0<\/li><li>Can be used to provide anesthesia if caesarean section is required.<\/li><\/ol>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e25dc70 elementor-widget elementor-widget-spacer\" data-id=\"e25dc70\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e8bb7ae elementor-widget elementor-widget-heading\" data-id=\"e8bb7ae\" data-element_type=\"widget\" id=\"subtopic05\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Possible risks associated with epidural analgesia:<\/h3>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-84dca71 elementor-widget elementor-widget-text-editor\" data-id=\"84dca71\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<ol><li>Second stage of labor is longer.<br \/>\u00a0<\/li><li>Higher incidence of low blood pressure and itchiness.<br \/>\u00a0<\/li><li>May have leg weakness if higher concentration of local anesthetic is used.<br \/>\u00a0<\/li><li>May have difficulty in passing urine temporary.<br \/>\u00a0<\/li><li>Can develop headache which is usually self-limiting after treatment. This is caused by accidentally puncture of dural sac (bag with fluid that surround the spinal cord).<\/li><\/ol>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Almost all women experiences pain during the process of labor and delivery. In some societies, pain during labor is considered as natural phenomenon and should be tolerated by women<\/p>\n","protected":false},"author":2,"featured_media":22784,"template":"","topic":[161,101],"language":[137],"class_list":["post-36655","health-article","type-health-article","status-publish","has-post-thumbnail","hentry","topic-anesthesiology","topic-women","language-en"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Obstetric Epidural for Labor Pain Control - Columbia Asia Hospital I Private Hospital in Malaysia<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.columbiaasia.com\/malaysia\/health-articles\/obstetric-epidural-for-labor-pain-control\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Obstetric Epidural for Labor Pain Control - Columbia Asia Hospital I Private Hospital in Malaysia\" \/>\n<meta property=\"og:description\" content=\"Almost all women experiences pain during the process of labor and delivery. 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