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I had a fusion L4-S1 and gave birth naturally last year to a bay no 3. I was offered an epidural but refused as I didn't want them messing around near my metal work as I still have a lot of back problems. If the anaesthetist can see the MRI of your back first they can assess if hey can give you an epidural. If you want a natural birth their is a drug called remifentanil you can be offered for pain relief. If I had had a c section I would have had a general. I've written a blog post about pain relief in labour and giving birth after fusion.
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