Dr. Farishta goes on to tell Health Digest that there are some circumstances under which administering an epidural may be more difficult. “Epidurals can usually be administered as long as the patient is able to stay still long enough for it to be placed, which usually takes 5-15 minutes,” she explains. “This is often not possible when the patient is already 10 cm and the baby’s head is crowning.”
“If a mother is unable to obtain an epidural, there are ways to mentally prepare for the delivery of their baby,” says Dr. Farishta. “It’s important to create a supportive, calming environment and communicate preferences and goals for their labor experience,” she states. Dr. Farishta also outlines alternate methods of pain relief that a patient can implement during the birthing process. “One can also utilize natural pain management techniques such as breathing exercises, massage, meditation, aromatherapy, and visualization,” she says. “Alternative pushing positions can also help with pain management as can other medical options including nitrous oxide and IV pain medications.” The key, she reiterates, is clear communication. “Discussing these options ahead of time can help the mother feel more prepared and empowered during her labor experience.”