Can you get an epidural when are pregnant and have Spina Bifida?

Generally, an epidural is not recommended for women with spina bifida during pregnancy. This is because the epidural space, the area where the epidural is injected, may be abnormal or distorted in women with spina bifida. This can make it difficult or even dangerous to insert the epidural needle and could increase the risk of complications. Additionally, the effects of the epidural on the fetus are not well understood in women with spina bifida.

Other pain relief options may be considered for women with spina bifida during pregnancy and childbirth. These options may include:

- Oral pain relievers: Acetaminophen or codeine may be used to relieve mild to moderate pain.

- Intravenous (IV) pain relievers: Stronger pain relievers, such as morphine or fentanyl, may be given through an IV to relieve more severe pain.

- Pudendal nerve block: This type of nerve block numbs the area around the vagina and rectum, which can help relieve pain during childbirth.

- Cesarean section: In some cases, a cesarean section may be recommended for women with spina bifida to avoid the risks associated with epidural anesthesia.

The best pain relief option for a woman with spina bifida during pregnancy and childbirth will be determined by her individual circumstances, including her specific condition and her preferences. It is important for women with spina bifida to discuss their pain relief options with their doctor or midwife in advance to ensure they receive the safest and most effective care.