Epidural (epidural analgesia)
With an epidural, anesthetic medication is administered through a thin tube in the lower back. This reduces the transmission of pain signals from the uterus and pelvis.
Advantages
- Very effective pain relief
- Often provides a lot of calm and relaxation
- Can help regain strength
Disadvantages
- Less freedom of movement
- Higher chance of medical interventions
- Risk of lowering blood pressure or fever
- Pushing phase can sometimes take longer
Remifentanil
Remifentanil is a strong painkiller administered via an infusion. You receive a pump that allows you to self-administer a dose when a contraction begins.
Advantages
- Works quickly
- You retain more freedom of movement
- Self-control over administration
Disadvantages
- Works briefly and less powerfully than an epidural
- Can cause drowsiness or dizziness
- Sometimes affects breathing, hence good monitoring is needed
- Usually does not eliminate pain completely
Together we will see what suits you
During the pregnancy, we take the time to discuss these options and their pros and cons with you. This way, you know what is possible and can make a choice that fits you.
Sometimes a delivery goes differently than initially thought. Even then, we will look together at what is needed and feels right at that moment.
You can always change your mind during the delivery.
