Since having Gwen I've been asked a few times which I thought was better - delivering naturally, or having an epidural. I know this can be a controversial topic, but I thought I'd give my opinion, based on my experience.
First let me say that I have no real strong feelings about either giving birth naturally or having an epidural. I think both are just fine, and I think epidurals and delivering naturally both have their place. Hopefully this means I can give an objective opinion since I've delivered both ways!
I know some people have some pretty strong convictions about delivering naturally because of the possible effects of the medications (among other reasons), but I'm not going to get into all the statistics on that. And I don't really want this post to become a debate on that aspect. I'm just comparing both of my experiences for those who are curious.
For any readers who weren't around two years ago, toward the end of my pregnancy with Wyatt I developed pre-eclampsia, and I ended up being induced. I got an epidural about six centimeters in. You can read the full birth story
here.
With Gwen things moved so quickly that I ended up delivering her in the ambulance on the way to the hospital - and I delivered her naturally. You can read that full birth story
here.
So on to a few specific questions . . .
Was the epidural painful?
I think this depends largely on the anesthesiologist, and thankfully I had a great one! It just felt a little like the end of a pencil tapping on my spine, and then it was over, and there was no more pain (except for a "hot spot", but I liked having the hot spot, so it didn't bother me). Delivering naturally is much more painful then the momentary discomfort of the epidural (just saying it like it is).
Did you notice any effects on Wyatt after the epidural?
Nada. Both Wyatt and Gwen seemed equally alert to me right after birth, and both had no trouble nursing. Obviously this might be different for some babies, but we had no issues. (You can read about possible effects on babies
here, though the research on the ways babies can be affected and the amount of babies that are affected is "somewhat ambiguous", since every situation and baby is different.)
Were you still alert when you delivered Gwen?
This was one of the biggest things I was worried about when I thought about delivering naturally. I heard so many stories of women "zoning out" when delivering naturally and almost not even realizing when the baby had arrived - it's a way some women deal with the pain I guess, but I did not want that to be me! I loved being alert when I delivered Wyatt and remembering every detail of the moment he entered the world, and the thought that I might not remember much of the delivery if I delivered naturally was worrisome to me.
Thankfully this did not end up being the case for me with Gwendolyn! I remember every little thing leading up to Gwen's birth, and I knew the moment she was born, which is exactly what I wanted. Obviously it was a bit more peaceful with Wyatt than with Gwen, but I remembered and was alert for both deliveries.
Now, if I had been in labor longer I might have "zoned out" when delivering naturally. There's no way to know for sure since (thankfully) both my labors were quick.
Was the recovery time different between delivering naturally and with the epidural?
I honestly don't know that I can really answer this, because the situation each time was so different.
The recovery with Wyatt was much harder, but I'm not convinced it had as much to do with the epidural as it did with the medications and fluids they had to give me because of my pre-eclampsia and the fact that I hemorrhaged. It also might have been worse because he was my first. But I was much more swollen and sore after having Wyatt.
After Gwen I felt great the next day - a little sore, but not that bad, and I wasn't swollen at all. I felt amazing after a week! I tore both times, and I think the tear was a bit more noticeable with Gwen, probably because I was exerting myself more and I probably over-did it a bit, and also because I was less sore in general so I could feel it more.
Were the pitocin-induced contractions more painful?
This doesn't have so much to do with the epidural itself, but I thought it was relevant. And I'm going to say yes and no.
The contractions with Gwen were just as painful as the contractions I had on the pitocin with Wyatt. I think the difference is that the contractions started out easier when I labored naturally - they weren't that bad except for the last hour and half (and then they got really bad really fast). Once the contractions started picking up they were the same as or worse than the pitocin contractions.
When I had pitocin, the early contractions were more intense than the early contractions during my natural labor. I don't know for sure how they would have felt toward the very end since I had the epidural by that point. The contractions started out more intense but they worsened more gradually as they turned up the pitocin (as opposed to going from manageable to unbearable in a half hour like they did with Gwen).
To be honest though, the contractions were still manageable on the pitocin - I got the epidural mainly because I couldn't stand the thought of being checked again - it was worse than the contractions! But that's beside the point.
Now some people have intense contractions all the way through when they deliver naturally too (like my blog buddy,
Brittany). And some people have a much more gradual progression in their natural labors than I did. This is just the difference that I noticed for
my body.
How will you do it next time?
Honestly, I like not having a definite plan when it comes to birth. Nothing can really take you by surprise if you are open to anything that might happen.
I am glad I had the epidural with Wyatt. I was unable to move around with Wyatt because of my pre-eclampsia. I had bad back labor, and it was very painful to be checked with Wyatt. I had a great experience with the epidural, no problems pushing. With not being able to move and being strapped down by so many monitors, I was much happier after the epidural and it made my labor experience a more pleasant one than it would have been.
I am glad I had the chance to deliver Gwen naturally. I like being able to see what it was like to labor naturally and give birth naturally, and I honestly feel confident that I could do it again.
Whether I want to do it that way again is another question, and I don't have an answer. I was happy having the epidural - I was happy delivering naturally.
I'm actually already worried about making this decision next time - because with the way my labor progressed so quickly with Gwen, by the time I would have actually wanted the epidural it would have been too late to get it, even if we were at the hospital. I think I'll have to decide beforehand next time, or the decision might be made for me. And there were aspects of both ways that I really liked. So I just don't know.
That's not a very definitive answer on the epidural vs. natural question, but it's where I am right now.
In closing though, I just want to say that after having delivered both ways, I firmly believe that any woman has what it takes to deliver naturally when it comes right down to it. You might not think you would be strong enough to deliver without pain medication, but don't doubt yourself - you could do it. Whether you want to is the question. It's just a matter of preference. So if you want to deliver naturally, proceed with confidence! If you decide to go for the epidural, don't let anyone make you feel like you are a wimp or you aren't strong enough, because you are.
Just choose whatever you think would be the best choice for you, and know that any way it happens, giving birth is an amazing thing, and such an adventure!