Diya Krishna, a popular vlogger and daughter of actor couple Krishnakumar and Sindhu Krishna, has captured the internet’s attention with her latest video titled Neeom’s Birth Story. The 51-minute vlog showcases intimate moments from her labour and delivery, including the support of her husband and the emotional arrival of family members to meet the newborn. Shared widely on social media, the video has been praised for its raw honesty and vulnerability.

However, alongside the celebration, the video has triggered debate. While many appreciated her openness, some questioned the portrayal of labour pain management. Diya had opted for an epidural injection during delivery—something that many felt was not clearly emphasised, leading to a debate on whether such content may give viewers a false idea of what childbirth, especially at home, entails.

What is an epidural and how does it work?

An epidural is a form of local anaesthesia commonly used to relieve labour pain. Administered by a trained anaesthetist in a hospital setting, the procedure involves inserting a small catheter into the lower back through which medication is delivered continuously. This numbs the lower half of the body, significantly reducing labour pain.

While the pain is greatly reduced, an epidural does not completely remove all sensations. Women may still feel pressure or mild discomfort during contractions. It typically takes 10–20 minutes to start working and allows mothers to remain awake and alert during delivery.

Why is there debate over its use?

Critics of Diya Krishna’s video argue that showcasing an epidural-assisted delivery without much explanation could create unrealistic expectations. Some believe it may give the impression that labour can be virtually painless or even safe to attempt in non-hospital settings. Health professionals have stepped in with their own videos to clarify that while epidurals are safe and effective, they are not without limitations or risks.

What are the benefits and risks of epidurals?

Benefits:

  • Provides significant relief from labour pain.
  • Helps conserve energy during long labours.
  • Allows the mother to remain conscious and active during birth.
  • Doses can be adjusted based on individual comfort.

Risks:

  • A drop in blood pressure, which may affect the baby’s heart rate.
  • Temporary difficulty in pushing due to numbness.
  • Possibility of requiring assisted delivery methods like forceps or suction.
  • Rare side effects include headaches, shivering, or dizziness.

In most cases, however, the risks are minimal and manageable with medical supervision.

Can you opt for an epidural at home?

No. An epidural must be administered by an anaesthetist in a hospital. It is not available for home births due to the need for sterile conditions, specialist monitoring equipment, and immediate medical support in case of complications.

Hospitals with the necessary facilities may offer “mobile” epidurals, allowing limited movement, but this is not widely available in all parts of India. It's best to check in advance with your healthcare provider.

Is a completely painless delivery possible?

The term “painless delivery” can be misleading. While epidurals reduce labour pain considerably, some level of pressure or discomfort is still likely. Every labour is different, and pain tolerance varies from person to person. The goal of using an epidural is not to erase all sensation, but to make labour more manageable.

What should women consider before choosing an epidural?

Choosing whether or not to have an epidural depends on personal preference, pain threshold, medical history, and hospital facilities. Not every woman will be eligible—factors like spinal injuries, blood clotting issues, or infections may rule it out.

It’s also important to consider timing. Epidurals are usually recommended once labour is well under way—often after the cervix has dilated to 4-5 centimetres.

A balanced take

Diya Krishna’s video has opened up much-needed dialogue on modern pain relief methods in childbirth. While her story is inspiring, experts suggest expecting mothers should seek personalised advice from doctors before making decisions based on social media content.