Induced Labor Without Epidural: What You Should Know

There are tons of reasons why labor may need to be induced. Perhaps a pregnancy may have gone past the due date, or there might be complications for the mother or baby that make it safer to deliver sooner rather than later.

When labor is induced, it means that medical techniques are used to stimulate contractions before they begin naturally.

Doctors usually use medications like Pitocin, which is a synthetic form of the hormone oxytocin, through mechanical methods such as breaking the water (amniotic sac) or using a device to dilate the cervix.

Can you be induced and not have an epidural?

Of course, you can definitely be induced and choose not to have an epidural. It is possible, and basically a personal decision.

An epidural is an anesthesia that relieves your pain during the BIG DAY[1]. Some women, however, opt to avoid it because they desire to have a more natural birthing experience or be more mobile during labor.

Others also choose to do away with it because they hope for a faster recovery post-delivery, or want to avoid the potential risks and side effects associated with epidurals, such as low blood pressure, headache, or issues with the bladder.

It is important to note that opting out of an epidural means finding alternative ways to manage pain. This can include several techniques, such as breathing exercises, movement and positioning. There’s more! Talk of massages, warm showers, acupuncture and the use of birth balls…

It also means being prepared to cope with the intense sensations of induced labor, which can certainly be stronger than those of natural labor due to the nature of the medications used.

Be sure to include your obstetrician in your decision to induce labor without an epidural. Your OB-GYN would take into account your health, choices as well as perhaps the wellbeing of the baby to recommend or decline it.

How to Prepare for Induced Labor Without Epidural

Preparing for induced labor without an epidural is all about getting ready to manage pain and understanding the induction process. Here are some simple steps to help:

Know Your Pain Relief Options

If you’re getting ready for induced labor and you’ve decided not to have an epidural, it’s a good idea to learn about other ways to deal with pain. You have lots of options that can help you feel more comfortable.

Deep breathing sounds a great start. When a contraction comes, you take slow, deep breaths in and out. This calms your mind while keeping your body relaxed. You can learn this in a childbirth class or even find videos online to guide you.

Visualization is another fantastic technique. Close your eyes and picture a place or scene that makes you feel calm and blissful. It could be a beach, probably a quiet forest, or even a cozy room.

While you picture this place, keep breathing deeply and get lost in the calm. This method can be a great escape when you start feeling the pressure or pain.

Changing positions often can also help with pain. Lying on your side, walking around, or leaning on something like a table can make a difference.

Massage, too. Having someone rub your back or feet can distract from the pain and make you feel better.

Meditation is another powerful tool. It involves sitting quietly and minding your breath or a certain word or phrase. In meditation, you set a goal, which is to bring your mind to the present and away from worries or uneasiness.

Warm baths or showers work well for lots of women, too. The warm water can relax your muscles and make you feel less pain.

Using a birthing ball lets you rock or bounce gently, which can ease the pain and help the baby to move down into the birth canal.

Distraction is another good trick. You might listen to your favorite music, watch a show, or focus on a picture that makes you happy.

And then having a support person. Someone who’s there to cheer you on and help you with all these techniques can be a big help.

Go ahead to talk to your doctor about these options and maybe even practice them before the big day. That way, you’ll feel ever ready to handle the pain in your own way.

Create a Birth Plan

A birth plan is a document where you write down what you want to happen during labor, right after your baby is born, and in the hours that follow.

It’s a way to share your wishes with the team of doctors, nurses, and anyone else who will be helping you during this special time.

First, learn about the different steps and choices you might have during labor.

This can include things like who you want in the room with you, what positions you’d like to try for labor and delivery, and how you want to handle pain relief without an epidural.

You can also think about what you’d like to happen right after your baby is born, such as skin-to-skin contact, when to cut the umbilical cord, and how you feel about feeding your baby.

Once you’ve thought about these things, write them down clearly. You don’t need a long document; just a page or so can cover everything.

Use simple language to make it easy for everyone to understand. It’s a good idea to talk about your birth plan with your doctor before the big day.

They can tell you what’s possible in your case and might suggest things you hadn’t thought of. It’s very okay if everything doesn’t go exactly as planned.

Just sometimes, changes need to be made for the health of you and your baby. But having a birth plan means your wishes are known, which can make you feel more in control and less anxious during labor.

Lastly, bring a few copies of your birth plan to the hospital or birthing center so you can hand them out to your care team. This gets everyone on the same page and you can focus on the important work of bringing your baby into the world.

Stay Physically Active

There’s no doubts that exercising would eventually help prepare you for labor, especially if you’re planning to go through it without an epidural.

When you keep moving, it helps your body gets stronger and more flexible, contributing to an easier and even faster labor. Think about taking a walk every day.

Walking is simple, doesn’t cost anything, and is a great way to keep your body moving. It’s also really calming, which can be a big plus during the sometimes stressful last weeks of pregnancy.

If you’re interested, try a pregnancy exercise class. These classes are made just for moms-to-be, focusing on exercises that are safe and beneficial during pregnancy. And it’s a nice way to meet other expectant moms.

Swimming or doing water workouts is another fantastic choice. The water supports your body and can relieve some of the aches and pains that come with this journey. It’s a gentle way to work out your muscles and stay cool, especially if you’re pregnant during the hot months.

Stretching is equally important. It keeps your muscles flexible and eases tension and pain. Yoga for pregnant women is a perfect way to stretch. It gets you focused on your breathing and body alignment while putting you through a series of poses.

Many of these poses are designed to increase strength and flexibility, which are both super helpful for labor. Please don’t forget to listen to your body.

It’s normal to have lots of energy one day and feel tired the next. On days when you’re not up for much, just a short walk or some light stretching can be enough.

Even though these exercises I mentioned are safe, I suggest that you discuss them with your doctor to ensure it’s safe for you and your baby. Once you get the green light, find activities that you enjoy.

Remember exercising won’t only prepare you for labor. They’re also going to boost your mood and energy levels, making your pregnancy more enjoyable.

Pack Comfort Items

As you get closer to meeting your baby and prepare for the possibility of induced labor without an epidural, packing comfort items can be a vital step in your preparation.

The first item I can think of is your favorite pillows. Pack them! Hospital pillows can be pretty flat and not very cozy. And so having your own can make a huge difference.

It’s like having a bit of home with you, plus it’ll help you find a comfortable position more easily. Soft music is another comfort item you might consider.

Create a playlist of tunes that relax you or make you feel positive. Music has a way of setting the mood in the room and can be a great distraction or a calming presence during labor.

Don’t forget about scent. A lavender-scented lotion or a small vial of essential oil can be very soothing. Smell is a powerful sense and can help transport you to a calmer mindset. Just ensure the scents you bring aren’t too strong, and won’t bother the hospital staff.

A cozy blanket or shawl can also be a huge comfort. Hospitals can be chilly, and having something soft to wrap yourself in can get you feeling very comfortable.

Choose something that makes you feel secure and warm. You can also consider packing some photos or small items that remind you of loved ones or happy memories.

These can be fantastic to look at for an extra lift, emotionally. In fact, they also serve as a reminder of the wonderful reasons behind the hard work of labor.

Get Support

Preparing for an induced labor without an epidural can feel a bit scary or overwhelming. That’s why having support is such a crucial part of your plan.

Support means having people around who offer help, love or encourage you when you need it most. This time, during labor and after your baby arrives.

This could include your partner, a close friend, a family member, or even a professional like a doula. A doula is someone who has trained in offering support for moms during childbirth.

And they can be a huge help in keeping your spirits up and giving advice on how to stay relaxed and manage discomfort. Your support team doesn’t just give you emotional backup.

They can help with practical things, too. They can remember what you learned in childbirth classes when things get intense, or they can give your shoulders a massage to ease the tension.

If you want a cool washcloth on your forehead, a sip of water, or just someone to keep giving you positive messages or to remind you to breathe a certain way when you’re coping with a big contraction, they’re there for that.

The Induction Process: What to expect during the process

Induced Labor Without Epidural

Going through induced labor without an epidural is a big journey with lots of steps and feelings along the way.

Let me walk you through what you might expect during this process. This, I believe, would get you feeling more prepared and less surprised as things happen.

Firstly, doctors have several ways to induce labor when it doesn’t start on its own. We’ve got a handful of medicines and methods to help with this.

Once the process starts, your body begins to work towards getting your baby ready to be born. As labor kicks in, you’ll start to feel contractions.

These are like very strong cramps that come and go. They help your body open up and get ready for the baby to come out. Without an epidural, you’ll feel these contractions, but there are lots of techniques to manage the discomfort.

Walking, changing positions, breathing deeply, getting massages, and some remedies I suggested earlier can all be helpful.

You literally can’t do this alone; you need support, Mom! Whether it’s a partner, a family member, a friend, or a doula, having someone there to encourage you and help you stay as comfortable as possible makes a big difference.

Labor can be quick for some moms and longer for others. It’s somewhat like a marathon that’s different for everyone. There might be moments when you feel really tired or like you can’t keep going. That’s totally normal.

What’s amazing is how strong you are, even when it feels really tough, you are doing something incredible. As you get closer to the time your baby is born, you might feel a strong urge to push.

This is your body telling you it’s time. This stage can last a while, but your healthcare team will heavily guide you through it.

Then, the moment you’ve been waiting for arrives! Your baby is born! A flood of emotions comes into play: relief, joy, and perhaps even a bit of shock. It’s a huge moment.

After the birth, you’ll have some time to rest and start to recover. Your body has been through a lot, so it needs time to heal. You’ll also start to learn how to take care of your new little one, which is a big, exciting step.

Not gonna lie; going through labor without an epidural is definitely challenging. But knowing what to expect can make you feel more ready.

Every mom’s experiences are unique, and regardless of how it happens, remember you’re doing something amazing.

This is a wrap

Opting to go through an induced labor without an epidural is a personal decision and a powerful experience. This path combines the unexpected twists and turns of labor with the deep strength you never thought of having.

There’s no one-size-fits-all way to bring a baby into the world, but knowing what might happen and having a strong support team can make a lot of difference.

Remember that every contraction is a step closer to meeting your baby. And every moment of discomfort is paired with a moment of incredible strength.

There will be challenging times when you might doubt your ability to keep going. Yet, in these moments, lean on your support team and remember the techniques you’ve learned to manage discomfort.

Trust in your body’s ability to do this incredible work. After the journey of labor and the intense joy of birth, you’ll have a story that’s uniquely yours. A story of courage, endurance, and the power of love.

Induced labor without an epidural opens the door to experiencing childbirth in a deeply personal way, connecting you to the strength you might not have known you had.

No matter how your baby comes into the world, the most important outcome is your well-being as a mom and that of your baby. As you hold him or her for the first time, know that this path you chose, regardless of how you feel about it, is right for you.

It’s a sense of accomplishment. Not forgetting the fact that it marks the beginning of a beautiful new chapter. It isn’t just a moment of birth; it’s a celebration of resilience, love, and the incredible journey of parenthood. You can do this, Mom!

Georgina Austin, CNM

Georgina Austin, CNM

Hello! I'm Gina, a certified midwife, a writer, an experienced one of course, and a proud mother of twins, Noel and Noelle. With eleven years of maternity support experience and my own journey through motherhood, I offer reliable information on women's health here on this blog.

In addition to writing about pregnancy and breastfeeding, I cover topics like sexual health, birth control, egg donation, sibling relationships, and managing life with multiple children. So, whatever issue you're facing as a woman, I've got you covered!