What happens with an epidural?
The epidural will not be placed until you are in active labor (usually at least 4-5cm dilated). You will have already been administered several liters of intravenous fluid, such that at least 1-2 liters have been given. You will be asked to position yourself on your left side or in a sitting, fetal-like position. The skin of your back will be wiped with an antiseptic solution to reduce the chance of infection. Following injection of a local anesthetic, a needle will be placed through the numbed area and into the epidural space of your spine. A catheter is then inserted through the needle and left in place after the needle is removed in order that an anesthetic may be administered continuously. The catheter is removed after the baby is born. The effects generally last 1-2 hours after that.