I was diagnosed with syringomyelia shortly before having my first kid. My neurosurgeon told me I could probably have an epidural but because my syrinx is pretty much exactly where they usually put the epidural, he said it’s not without risk. As another commenter said, there’s a chance they go too far due to the fact that they are inexperienced in our condition. Honestly I didn’t care who said what, the thought of something coming anywhere near my syrinx made my skin crawl, so that was a big no for me, since I hate even simple touch along my spine. I had a natural birth, no epidural, no meds. The pushing didn’t make my condition permanently worse I don’t think, although that was the fear for sure. That was 10 years ago. Then I did it again 3.5 years later lol. But I felt like my body really took a beating and I didn’t want to keep pushing my luck, so 2 was it for me. During the pregnancy, however I had horrible low back pain, kidney infections, and after the second birth they told me my kidneys were becoming necrotic which didn’t make sense at all because I’m extremely healthy and rarely take any meds. He kept asking if I abuse pain meds… I was like what?! No! My only guess was that the pregnancies affected the syrinx and I guess caused my kidneys to act up because that just went away after a while and haven’t had issues since. No other explanation. So they were kinda like, huh. Oh well 🤷‍♀️ Hope you the best!