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It makes you higher risk of having a caesarean section and occasionally during a caesarean section, if there are complications, you need a general anaesthetic, where you are completely put to sleep. When under general anaesthetic, you have no gag reflex and could be sick and choke on it and die, but if you have an empty stomach, this won't happen

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Q: Why can't you eat after an epidural?
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After delivery, your back may be sore from the injection for a few days. However, an epidural does not cause long-term back pain. Source: http://www.lifelinetomodernmedicine.com/ArticlePage.aspx?ID=878fabbc-dd11-45d8-8524-fa7831b485a5&LandingID=fc6eb1da-98e4-43c7-bb9f-09c17e2a005d