Re: epidural and dilation was epidural and food

From: Elrod, Darryl G Maj 48 MDOS/SGOBO (Darryl.elrod@LAKENHEATH.AF.MIL)
Thu Sep 14 02:58:33 2006


But will they put in an epidural (or intrathecal) at any point during labor? I had a CRNA recently tell me that he didn't feel comfortable putting in intrathecals in the two women that I had that had both gone from 2 to complete in just under 4 hours. Both pt's first request for pain meds was at complete. He simply refused to even see them to see if they would be a good candidate for an intrathecal.

Is anyone having difficulty on either side, meaning early epidurals (2-3cm) or late (8-complete)?

Glen

//SIGNED//

D. Glen Elrod, Maj., USAF, MC

Obstetrician/Gynecologist

Chief of Obstetrics

48 MDOS/SGOBO

RAF Lakenheath, England

Telephone DSN: 314-226-8130

Comm: +44 (0) 1638 52 8130

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From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of

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________________________________
dmecnm@aol.com
Sent: Thursday, September 14, 2006 7:14 AM
To: Multiple recipients of list OB-GYN-L
Subject: Re: epidural and food

No, our anesthesiologists will put an epidural in anyone who requests one, regardless of when the patient last ate.

Denise, CNM

So Cal

-----Original Message----- From: agfolley@hotmail.com To: ob-gyn-l@dns.obgyn.net Sent: Wed, 13 Sep 2006 2:54 PM Subject: Re: epidural and food

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

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