How an epidural is given
Epidurals are given by a specialist doctor called an anaesthetist.
You're usually awake during an epidural, but for some types of surgery you may have it while under general anaesthetic.
- A drip will be placed in your arm so you can be given fluids while you're having the epidural.
- You'll be asked to sit down and lean forwards, or lie on your side with your knees drawn up.
- You'll be given an injection of local anaesthetic to numb the skin where the epidural is to be inserted.
- A needle is used to insert a fine plastic tube called an epidural catheter between the bones of your back.
- The needle is then removed, leaving just the catheter in your back.
- You may feel mild discomfort when the epidural needle is positioned and the catheter is inserted.
The epidural can be inserted at different levels of your back depending on the area of the body that requires pain relief.
Pain relief drugs are then given through the catheter. These take about 20-30 minutes to take full effect.
Your chest, tummy and legs may feel numb while the epidural is being used, and your legs may not feel as strong as normal.
While the catheter remains in your back, it can be used to top up your pain relief drugs manually or using an automatic pump.
This can be for several hours (during childbirth) or for a few days (after major surgery).
Mobile epidurals, which use a lower dose of pain relief drugs, are sometimes used in childbirth, allowing you to walk around during labour.
Introduction 