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Re: prior lumbar discectomyFrom: ainsron (ainsron@sbcglobal.net)Thu Aug 10 08:50:58 2006
I would also ask her to get a recommendation/opinion from her neurosurgeon. My gut level feeling is the same as yours. However, I do know that when my own sciatica is acting up, straining to have a BM, coughing, etc. certainly lets me know that a nerve is irritated. There is no reason I know of she couldn't have an epidural in labor, that would probably give her good pain relief and isn't contraindicated. Ronald E. Ainsworth, MD, FACOG -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Garry E. Siegel, M.D. Sent: Wednesday, August 09, 2006 8:25 PM To: Multiple recipients of list OB-GYN-L Subject: Ob: prior lumbar discectomy 34 YO P1001 at 9 weeks. Uncomplicated first pregnancy, vaginal delivery. Had to have L3-L4 microdiscectomy at 8 weeks PP. At her first visit today, she asked about a primary C/S to avoid pushing and that causing more back problems. I'll do a medline when I have time (watching the Hungarian GP on TiVo), but does anyone have any thoughts? My instinct is to allow and recommend a vaginal delivery. Garry
-- Garry E. Siegel, M.D. Private Practice Roswell, GA
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