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The survey, commissioned by the American Society of Anesthesiologists (ASA), included more than 900 U.S. mothers, 73 percent of whom had vaginal births.
- 74 percent thought they couldn't have an epidural after a certain time in labor, even though the injections can be given until the baby's head begins to emerge.
- 44 percent feared pain at the epidural injection site would last a long time.
- 26 percent thought having an epidural would slow labor.
- 20 percent believed only one pain management option could be provided.
Slightly more than half said contractions were the most painful part of the experience, akin to extreme menstrual cramps. One in five said pushing or post-delivery hurt most.
In all, 46 percent of the moms said the pain they experienced during their first delivery was less than expected, and 90 percent said their pain management was effective.
"First-time mothers need to know that a wide variety of options exist to manage pain, from epidural to massage, nitrous oxide to breathing techniques, and that it's acceptable to change methods or use a combination during nearly every stage of labor," ASA President Dr. James Grant said in a society news release.
"But it's also important to be flexible, since it may be necessary to change pain management methods based on the labor process itself," he added.
-- Robert Preidt
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