How is an epidural block given during labor and delivery?

At first, your anesthesiologist will numb the area on your lower back with a local anesthetic, and then through a special needle, the anesthetic is placed into the epidural space.

An epidural anesthesia is administered through a precise injection of the anesthetic drug into the spinal cord. This block is given in the lower back region while you are either lying on your side or sitting upright.

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Source: https://www.cedars-sinai.edu/Education/Medical-Library/

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