Epidural analgesia

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By far the most effective method of managing labour pain. The procedure involves injecting a small amount of local anaesthetic combined with a pain-relieving substance (opioid) into the epidural space – the area outside the spinal membranes within the spinal canal – using a fine needle. This temporarily interrupts the transmission of pain signals from the uterus to the pain centres in the brain. After the substance is administered, a thin catheter is inserted into the space and brought out through the skin. If pain returns (after 2–4 hours), the procedure can be repeated using the existing catheter. This is a highly effective and safe method, which is why it is so popular. In addition to analgesia (pain relief), it also has a significant spasmolytic effect (relaxing the birth canal). However, the key to success is correct timing during labour, with regular uterine contractions and a cervical dilation of at least 3 cm. A blood clotting test (blood sample) is required prior to administration. The procedure is performed by an anaesthetist and is fully covered by health insurance.