We've been using walking epidurals (Intrathecals) for probably close to 3
years.  We have never had epidurals so I'm unable to compare with this type
of medication.  Generally the meds are given a little later in labor here
(4-6cm), but this varies a lot.  The moms generally recieve one dose of
medication, they aren't confined to bed and they don't recieve the large
bolus of fluids that moms with epidurals recieve.  I can't say that I've seen
any problems with breastfeeding other then some sleepy babies in the first 24
hrs.  The problems I see with intrathecals is the nausea, vomiting, urinary
retention the moms have to endure.  We talk pretty plainly about the side
affects in prenatal class.  I think Intrathecals are an alternative that moms
should have available and from the sounds of the affects of epidurals on
breastfeeding less of a problem for breastfeeding.   This is only my humble
observation.

Linda Rosetti RN, IBCLC
Clarkston, Wa.
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