How much pain people can tolerate varies considerably and this is affected by a number of physical and emotional factors.
This leaflet is about `epidurals`.These work by blocking the painful stimuli from the contracting womb (uterus) to the nerve endings. In this way, the woman no longer feels her labour pains, but her ability to move around can be affected. This leaflet does not include information about the use of epidural or spinal techniques for caesarean section births.
Although epidurals are the most effective way of ensuring a pain-free labour, they require specialist services to be set up to care for you.This leaflet gives you the facts you need to help you decide whether or not you feel an epidural might be suitable for
your labour.
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Contributors include:
Mr. Peter Young, MB; ChB; MRCOG;
Consultant Obstetrician and Gynaecologist
Prof. Moira Plant, RN; RMN; PhD;
Professor of Alcohol Studies
Anne Viccars, MA; BSc (Hons); PGDipEd; RM; RN;
Senior Lecturer in Midwifery
Dr. AP Madden, MA; BM; BCh; FRCA;
Consultant Anaesthetist
Dr. Julie Dallison, MSc; DPhil
Dr. Jenny Ingram, PhD; BSc (Hons)
Dr. Mary Stewart, PhD; RN; RM; ADM; BSc (Hons);
MSc; PGDipHE
Prof. Christine MacArthur, PhD;
Professor of Maternal and Child Epidemiology
Dr. Sally Marchant, PhD; RN; RM; ADM; DipEd
Prof. JG Thornton, MD; FRCOG;
Professor of Obstetrics and Gynaecology
Rona McCandlish, RM; RMN; RN; MSc (Epid);
Sarah Beake, MSc; RM; RN; Research Midwife
Prof. Alison Macfarlane, BA; Dip Stat; C Stat; FFPH;
Professor of Perinatal Health
April Bolding, DPT; Childbirth Educator; Doula, USA
Dr. Helen Churchill, PhD; BA (Hons); Senior Lecturer
Dr. Louise Howard, PhD; MSc; MRCP; MRC Psych;
Senior Lecturer in Women's Mental Health
Sharon Hodgkiss, RN; RM; DipHE; BSc (Hons); MPH;
West Midlands Regional NSC Antenatal & Child Health
Screening Coordinator
Vicky Carne, MSc; BA (Hons); ADM; RM; RN;
Head of Midwifery, MIDIRS
Glenda Augustine, MPH; BSc (Hons); RM; DipHV, RGN
Debra Kroll, MSc; PGCEA; ADM; RM; RN;
Midwifery Lecturer in Practice
Michelle Lynn, BEd (Hons); ADM; RM; RN;
Midwifery Advisor, Nursing and Midwifery Council
Chrissie Hammonds, MSc; RM; RN;
Midwife Ultrasonographer
Sara Wickham, MA; BA (Hons); RM; PGCE (A);
Midwife & Author
Dr. Sandy Oliver, PhD; BA; Reader in Public Policy
Sally Cottrell, RM; BSc; MSc; MICG; NNEB; Consultant
Midwife Public Health, Women & Family
Dr. Gillian Flett, FRCOG; FFSRH; MIPM; Consultant in
Sexual and Reproductive Health Clinical Lead, NHS Grampian
Amanda Mansfield, BSc (Hons); MSc; RM;
Consultant Midwife
Dr. Joyshri Sarangi, MBBS (Lond.); MBA; MRCP (UK);
MRCGP; FFPH; Consultant in Communicable Disease Control
