It has become very common to insert an IV in the mother's arm during labor. The IV is a preparatory step in the administration of medication, such as antibiotics, pitocin or narcotics. Fluids are also given through the IV, to help mothers stay hydrated. However, this step is not always medically necessary. Women can eat and drink during labor if they have not had an epidural.

If a woman is not planning to take medication for induction or for pain relief, there are two options: she can either request a heparin lock – a tube connected to a catheter in a vein of the arm, used for easy access – or she can refuse both and request that the IV is not started until the need for one is indicated. When planning a drug-free labor, routine IV use is something that is important to discuss with care providers during prenatal appointments. The doctor or midwife can document your preferences in your chart, so that the hospital staff is aware of your plan.

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