Insertion of Epidural in Labour This slide show

Insertion of Epidural in Labour (This slide show contains pictures of an epidural being inserted. If you do not wish to see this, do not proceed. )

• Before starting to insert the epidural, an intravenous drip is put in place.

• Epidurals are inserted using a sterile technique, with the anaesthetist wearing a sterile gown and gloves.

• The patient’s back is washed with an antiseptic solution and then a sterile drape is placed over the area.

• Local anaesthetic is injected into the skin over the spine, to numb the area where the epidural is to be inserted.

• When inserting the epidural needle, the anaesthetist usually injects air to help locate the epidural space.

• Local anaesthetic can be given directly through the epidural needle to reduce the discomfort of labour.

• A fine plastic tube (epidural catheter) is threaded through the needle.

• The anaesthetist removes the epidural needle, leaving the epidural catheter in place.

• A special connector is attached to the epidural catheter to allow more local anaesthetic to be given.

• Further doses of local anaesthetic may given through the filter and connector either manually or using an electronic pump.

• The epidural catheter is held in place by tape.

• An epidural may provide good pain relief for the duration of labour.

• Thanks to Heidi and John for permission to use their photos.