When it comes to childbirth, pain relief is one of the most talked-about (and often misunderstood) topics. You’ve probably heard a mix of advice from well-meaning friends, relatives, or even strangers—some of it helpful, and some of it downright alarming.
The truth? Pain relief during labor is a personal decision, and it’s surrounded by a lot of myths. Let’s clear the air with some friendly, evidence-based insights into the myths and realities of childbirth pain relief so you can feel empowered to make the best choices for you and your baby.
Myth 1: Getting an Epidural Means You’ll Feel Nothing
Reality: While an epidural is designed to numb pain in your lower body, it doesn’t mean you’ll feel absolutely nothing. Epidurals typically reduce pain significantly, allowing you to rest and focus during labor. However, you may still feel some pressure, especially during contractions and when it’s time to push. Many women describe it as feeling more manageable and less overwhelming than unmedicated labor.
Myth 2: You Can Only Get an Epidural at a Certain Point in Labor
Reality: While some people believe there’s a narrow window for receiving an epidural, this isn’t entirely true. You can usually request an epidural at almost any point during labor, as long as your baby isn’t about to be born or you’re too close to the pushing stage. However, getting it earlier in labor might mean you’ll need a higher dose or adjustments over time, so timing is a conversation to have with your healthcare provider.
Myth 3: Pain Relief Will Slow Down Labor
Reality: This depends on the type of pain relief and your individual labor. Epidurals may slightly lengthen the pushing phase for some women, but they don’t necessarily slow labor overall. In fact, for some women, pain relief can help them relax, reducing stress hormones that might otherwise stall labor. Other pain relief methods, like breathing techniques or hydrotherapy, have no impact on the length of labor.
Myth 4: Natural Birth Means No Pain Relief Allowed
Reality: A “natural” birth simply means a vaginal delivery without medical interventions, but it doesn’t mean you can’t use any pain relief. Non-medical techniques like breathing exercises, massage, hypnobirthing, and warm baths are all valid forms of pain relief that can support a natural birth. Even if you choose to avoid medication, you can still have a gentle, supported birth with these options.
Myth 5: You’re Stronger If You Don’t Use Pain Relief
Reality: Choosing pain relief doesn’t make you any less strong or capable. Childbirth is a monumental effort no matter how you approach it. Whether you use an epidural, IV medications, or non-medical methods, the goal is the same: a safe and empowering birth experience. Strength isn’t measured by whether you feel every contraction—it’s about doing what’s best for you and your baby.
Myth 6: Pain Relief Isn’t Safe for the Baby
Reality: Modern pain relief methods are carefully monitored to ensure they’re safe for both mom and baby. Epidurals deliver medication directly to the spinal area, so the amount that reaches the baby is minimal. Other medications, like IV narcotics, may have some mild effects on the baby (like making them slightly sleepy at birth), but these are temporary and typically monitored by your healthcare team. Always discuss your options with your provider—they’re there to ensure the safest experience possible.
Myth 7: If You Get Pain Relief, You Won’t Be Able to Push
Reality: Epidurals don’t completely paralyze you or prevent you from pushing. While your legs may feel heavy or numb, many women with epidurals can still push effectively, especially with guidance from their healthcare team. Some providers even adjust the epidural dose during the pushing phase to ensure you can feel enough pressure to push effectively.
Myth 8: Pain Relief Means Losing Control of Your Birth
Reality: Pain relief can actually help you feel more in control. For some women, managing intense contractions can be overwhelming, making it harder to focus on the birth experience. Pain relief, whether it’s an epidural, IV medication, or non-medical techniques, can help you feel calmer and more present during labor. Having options and making informed choices is the ultimate form of control.
Myth 9: If You Start Without Pain Relief, You Can’t Change Your Mind
Reality: It’s completely okay to change your mind during labor. Many women start labor without pain relief, only to decide they want an epidural or other medication later. Conversely, some women plan on medication but find they don’t need it. Labor is unpredictable, and your preferences may shift based on how you feel in the moment.
The Takeaway: Myths Don’t Define Your Birth
Labor and childbirth are deeply personal experiences, and there’s no “right” way to do it. Pain relief options—whether medical, non-medical, or a mix of both—are tools to support your journey and make it as positive as possible. By understanding the realities behind the myths, you can make informed decisions that align with your needs and goals. Trust your body, trust your team, and remember that the most important part of your birth story is welcoming your baby into the world.
You’ve got this — your way is the right way!