Evidence Based Birth® EBB 320 - Evidence on the Impact of Epidurals on the Pushing Phase of Labor
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Jul 24, 2024 Dr. Dekker, a leading expert on childbirth practices, dives into the significant influence of epidurals during the second stage of labor. She discusses how epidurals can prolong labor and the associated risks, including infections and severe tears. Dr. Dekker highlights the physiological effects on birthing reflexes and presents professional guidelines from around the world. She also touches on strategies like 'laboring down' to potentially mitigate risks. This insightful conversation is a must-listen for expecting parents and healthcare providers alike.
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Risks of Longer Second Stage
- Longer second stages of labor are linked to negative health outcomes.
- These include higher risks of infection, tears, hemorrhage, fever, and interventions.
Epidural's Impact on Utero-Pituitary Reflex
- Epidurals can interfere with the utero-pituitary reflex, potentially weakening contractions.
- This reflex increases oxytocin production as the baby's head descends, strengthening contractions.
Epidurals and Prolonged Second Stage
- Many studies show a link between epidurals and a longer second stage of labor.
- A 2020 meta-analysis found that people with epidurals had five times the odds of a prolonged second stage.