Re: epidural and food
From: Garry E. Siegel, M.D. (garrys@mindspring.com)
Wed Sep 13 20:53:00 2006
No, the anesthesiologists will put an epidural in anyone at the
patient's request unless there is a contraindication, of course.
Once in, they don't get solids.
Garry
At Wed, 13 Sep 2006, Andrew Folley wrote:
>
>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
>
--
Garry E. Siegel, M.D.
Private Practice
Roswell, GA
