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Labor anesthesia in the form of an epidural or spinal involves putting a needle into your lower back. In the case of an epidural leaves a tiny plastic catheter behind. Usually there’s only a pressure sensation associated, but placement as your anesthesiologist will generously numb your skin with local anesthetic before inserting the needle. Once the epidural catheter is placed through the needle, the needle is removed. Similarly, once the local anesthetic is placed where the spinal, the needle is removed. However usually no catheter is left behind. An anesthesiologist or a member of the anesthesia care team will always administer labor anesthesia, whether in the form of an epidural, spinal or general anesthetic,