Background and Aims This review aims to examine the effectiveness in pain management of epidurals in women with diabetes. Adjustment of dosage of epidurals and other medications will be analyzed to enhance the outcomes in pain relief. Epidural steroid injections are vital to pain management in many labor cases. Diabetes challenges the body’s ability to maintain steady blood sugar levels yet the pain management for parturition is not adapted specifically for this subset.

Methods A combination of systematic literature research in the PubMed database and NCBI database was performed. We compared data regarding metabolic diseases including diabetes and pain management. Consequently, a detailed analysis of the specific impact each pain relief method discussed has on diabetes. A wide range of patient ages were included.

Results The data gathered from the above-mentioned literature describes the efficacy of epidural steroid injections as treatment for pain management in women yet, there are negative side effects related to diabetes and diabetes management. The data gathered from the above-mentioned literature describes the efficacy of epidural steroid injections as treatment for pain management in women yet, there are negative side effects related to diabetes and diabetes management.

Conclusions The studies reflect the efficacy of epidural anesthesia in these patients. The implications of this study could be used to better understand the relationship between epidurals and their effects. More research will be needed to understand the most effective pain management strategy for diabetic OB patients.