Re: Pain management
From: fran wilson (530rose@msn.com)
Wed Mar 29 14:17:39 2006
I want to move to Keene! Here in Kennewick, even women who specifically tell the staff that they don't want to be offered pain medication get an (at least) hourly question about whether they have changed their mind, and warnings that if they don't do it now it will be too late for an epidural. Docile epiduralized women demand so much less of the nursing staff...
Fran Wilson, CNM
Kennewick, WA
From: islesannie@yahoo.com (Joanne Bulley, MD)
Reply-To: ob-gyn-l@obgyn.net
To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
Subject: Re: Pain management
Date: Wed, 29 Mar 2006 13:09:14 -0600
Here in Keene, it has gone the other way. They do the water births and
the staff are so into no meds for labor that when there is a patient who
really wants that intrathecal narcotic - the nurses are almost
pathologic in how they avoid assessing the patient's labor progress and
tell her either she is too early in labor for it or "oops" you are too
late to get it. Really really PO'd a couple of women who are
professionals themselves and wives of MDs on staff. Along with some
community folks as well.
Back in the old days I and my two partners did our own epidurals and it
was great to just do it when
it was the right time and not have to put
up with complaining anesthesiaologists!
Joanne
At Wed, 29 Mar 2006, Henry Gregor wrote:
>
>Intersting thoughts, all...in light of Grace's comments...years ago it seemed a struggle to avoid patients' repetitively hearing remonstrations and disincentives to accepting epidural analgesia, even with patients having obviously horrific labor pain not responsive to psychoprophylactic or parenteral options. Now, its tough for a patient not wanting an epidural to get through a delivery without being subtly or overtly encouraged to epidural use, and three plus hour second stages with stressed out patients and family are more and more common...oh well, must another aspect of geezer hood sounding off here.
>
> H
>
--
Joanne Bulley, MD
Keene, NH, USA
"Love is indescribable and
unconditional.
I could tell you a thousand things that it is not, but not one that it is."
— Duke Ellington, American jazz artist (1899-1974).
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