Re: Ob:  prior lumbar discectomy

From: Jamie (ajfields@pine-net.com)
Thu Aug 10 09:37:56 2006


Purely anecdotally, pushing supine or semi-reclined put more pressure on my lower back than upright (semisitting or squatting). What about laboring down?

At Thu, 10 Aug 2006, DoctorJoe@aol.com wrote: >
>In a message dated 8/9/06 10:24:51 PM, garrys@mindspring.com writes:
>
>> 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.
>>
>I don't understand that pushing will hurt her lumbar discs. You can arch the
>back outward and prevent that. Right? Of course, I'm thinking of supine or
>lateral recumbant pushing. I have NO idea what pushing standing up or holding a
>heavy weight or whatever would do. It hurts ME to pick up televisions. But
>that's just me.
>
>Joe P.

--
JFields, RN, BSN




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