Your comfort matters
Pain relief is a personal choice, and your preferences may change during labor. Discuss options before delivery, including any medical conditions or past anesthesia problems.
Managing pain during pregnancy
Gentle movement, posture changes, physical therapy, and appropriate heat or cold may help common muscle discomfort. Persistent or severe pain needs evaluation.
Ask your OB before using pain medicines. Acetaminophen may be appropriate when needed and used as directed. Avoid ibuprofen, naproxen, and other NSAIDs from 20 weeks onward unless specifically prescribed. Prescribed low-dose aspirin is a separate situation; do not stop it without guidance. FDA: Acetaminophen · FDA: NSAIDs in pregnancy
Comparing labor pain options
| Option | Possible benefit | Side effects or limits |
|---|---|---|
| IV opioid medicine | Works quickly and reduces pain intensity | Sleepiness, nausea, dizziness, and slowed breathing; can temporarily affect the baby’s breathing or alertness, especially near birth |
| Epidural | Strong, adjustable pain relief through a small tube in the back | Low blood pressure, itching, fever, leg heaviness, and urinary catheter use; occasionally uneven relief or a spinal headache; serious complications are rare |
At HCA Florida University Hospital, options include labor without pain medicine, IV medicines such as nalbuphine (Nubain), butorphanol (Stadol), or morphine, an epidural, or a spinal. Anesthesia staff review conditions such as low platelets, blood-thinning medicines, and infection before an epidural. ACOG: Labor pain medicines
Comfort techniques
Breathing exercises, movement, position changes, massage, counterpressure, music, and warm water where permitted can help. Support from a partner, nurse, or doula may improve coping. These methods can be combined with medicine. Office on Women’s Health: Labor and birth
Frequently asked questions
Can I change my mind about an epidural?
Yes. Tell your team; timing and medical circumstances may affect availability.
Does an epidural mean I need a cesarean?
No. Epidurals are commonly used for vaginal birth.
Questions about your pregnancy? Contact Davie ObGyn in Davie, Florida, at 954-880-1010. New and established patients are welcome. This information supports your prenatal care and does not replace an individual medical assessment. For urgent symptoms, call your care team promptly; for an emergency, call 911. Do not use a routine online message for urgent symptoms.
Medically reviewed by Rahil Malik, MD, FACOG, board-certified obstetrician-gynecologist. Last reviewed: September 26, 2026. This page is general information and does not replace a visit with your doctor.