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Walking Epidural
Walking Epidural – What is It?
(Also known as a low-dose epidural or ambulatory epidural.) With a conventional epidural, the entire lower portion of the body may become numb. The birthing person remains awake and aware, but may not be able to get out of bed. A walking epidural—also called a combined spinal-epidural (CSE)—uses a lower dose of anesthetic together with an opioid medication, often fentanyl or sufentanil. It works quickly and may allow more movement in bed. However, the word “walking” can be misleading: someone who receives one may be able to change positions or get up with assistance, but walking in the hallway may not be permitted because of fall risk and hospital policy.
Walking Epidural – Pros and Cons
Because of the medication combination, a walking epidural can provide relief from labor discomfort within about 2–5 minutes, while a conventional epidural may take about 20 minutes to work. With either type, the catheter remains in place so additional medication can be given if needed; the first dose usually lasts about three hours. A walking epidural may make it easier to move in bed, sit in a chair, or use supported positions during the second stage of labor. Potential side effects are similar to those of a conventional epidural and can include itching (pruritus), shivering, a drop in blood pressure, soreness at the injection site, and headache. Medication can also reach the baby temporarily, and both the mother and baby may be briefly groggy. Conventional epidurals are widely available and are generally covered by insurance, although coverage should be confirmed in advance. Walking epidurals are not offered by every hospital, so ask your care team before your due date whether this option is available.Adapted from this walking epidural overview, using Hypnobabies vocabulary.
