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Labor and delivery: Pain medications

Spinal block

Description

A spinal block is typically used to block pain during a C-section. However, a single shot spinal block can be used as a regional analgesic if delivery is expected in a short time or if forceps or vacuum extraction is needed and there is enough time for the procedure. During a spinal block, the medication is injected into the fluid below the spinal cord in the lower back and takes effect right away. A spinal block is sometimes combined with an epidural block during labor (combined spinal-epidural block).

Pros

A spinal block provides complete pain relief in the lower body for about an hour or two. The medication is given only once and in a small dose. You'll remain awake and alert.

Cons

A spinal block might decrease your blood pressure, which can slow the baby's heart rate. You could develop a fever or itchiness or experience postpartum soreness in your back. Rarely, you might develop a bad headache.