Re: epidural and food
From: Andrew Folley (agfolley@hotmail.com)
Wed Sep 13 16:52:15 2006
More specifially my question is "are your anesthesiologist refrainng from
giving someone an epidural who has eaten any solid foods in the past 8
hours???? I can see once they get the epidural no solid food etc.
I still am not confident that not feeding a woman through 18 to 36 hours of
labor other than clear liquids and IV D5 LR makes a lot of sense and is good
for her overall well being. I do not think there is any literature to
support this approach??!!?? andrew
>From: garrys@mindspring.com (Garry E. Siegel, M.D.)
>Reply-To: ob-gyn-l@obgyn.net
>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
>Subject: Re: epidural and food
>Date: Wed, 13 Sep 2006 16:28:56 -0500
>
>Agree with "the stomach stops" comment.
>
>Physiologically, it probably doesn't matter if they eat or not, as there
>probably is food in their stomach, heaven forbid an aspiration.
>
>It seems counterintuitive to administer a regional anesthetic AND feed
>someone; other than in Obstetrics, it wouldn't happen!
>
>We allow clear liquids (as discussed with the anesthesiologists) as a
>compromise to the patients who, as a whole, ask for food/liquids in
>labor. Ideally, if the patients didn't ask, it would be best to keep
>them NPO for a variety of reasons.
>
>Garry
>
>At Wed, 13 Sep 2006, Richard D. Kaplan wrote:
> >
> >Not in Greensboro, NC.
> >
> >--
> >Richard D. Kaplan
> >
>> >>----- Original Message -----
> >From: "Andrew Folley" <agfolley@hotmail.com>
> >To: "Multiple recipients of list OB-GYN-L" <ob-gyn-l@dns.obgyn.net>
> >Sent: Wednesday, September 13, 2006 9:24 AM
> >Subject: Re: epidural and food
> >
> >> All of a sudden our anesthesiologists are becoming very strict about
>not
> >> providing and epidural to our laboring patients if they have eaten any
> >> solid foods in the preceding 8 hours. Their argument is fear of a high
> >> epidural and aspiration etc. Is this a common practice across the
> >> country???
> >> Are most or our OB-gyns and midwives keeping patients on clear liquids
> >> only in labor??
> >>
> >>>From: "Jane Peterson" <ApricotRex@comcast.net>
> >>>Reply-To: ob-gyn-l@obgyn.net
> >>>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
> >>>Subject: RE: Second stage
> >>>Date: Tue, 12 Sep 2006 22:18:18 -0500
> >>>
> >>>I seldom see the 2 hour or even 100 minute second stage that is
> >>>supposedly average. But I'm counting from spontaneous pushing, so
>maybe
> >>>that's the difference.
> >>>
> >>>Jane
> >>>
> >>>-----Original Message-----
> >>>From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of
>Efrain
> >>>Ramirez
> >>>Sent: Tuesday, September 12, 2006 8:10 PM
> >>>To: Multiple recipients of list OB-GYN-L
> >>>Subject: Second stage
> >>>
> >>>My "second stages" in primgravids are becoming "shorter -- FD - is not
> >>>the begining of the second stage - does anyone agree?
> >>>
> >>>Ef
> >>>
> >>>--
> >>>" The greatest obstacle to knowledge is not ignorance,
> >>>it is the illusion of knowledge." Daniel J. Boorstin - Historian
> >>>
> >> _________________________________________________________________
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>
>--
>Garry E. Siegel, M.D.
>Private Practice
>Roswell, GA
