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Re: nutrition during labor From: Anna Meenan, MD (annam@uic.edu) Mon Apr 16 22:52:15 2007 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Elrod, Darryl G Maj 48 MDOS/SGOBO: "Re: GBS interesting question" Previous message: Charlie Chambers: "Re: nutrition during labor" In reply to: rmodugno@aol.com: "nutrition during labor" Next in thread: art fougner, md: "Re: nutrition during labor" Reply: art fougner, md: "Re: nutrition during labor" I recall reading an article on the subject once a long time ago and the article stated, that out of some 17,000+ births at the North Central Bronx Maternity Unit, the only case of serious (or fatal, I can't remember offhand) aspiration they had ever had was in a mom who hadn't eaten in 36 hours before she aspirated. Their policy was pretty liberal in allowing both fluids and solids during labor. -- Anna Meenan, MD At Mon, 16 Apr 2007, rmodugno@aol.com wrote: > >Debate going on in our collaborative practice regarding nutrition >during labor - seems to be ongoing difference in philosophies. >However, it's the anesthesiologist that really has the last word. > >Anyhoo, walked into L&D this AM to find a patient having mild >contractions (second baby - first quick labor). 4+ cms. 90% effaced. >Smiling broadly just finishing off her breakfast of bacon and grits. >Going naturally. > >Delivers in 2hours. Has retained placenta. Now starting to bleed. Call >anesthesia to inform that I need anesthesia to do a manual removal. > >We'll do anything you like, Doc - I say, patient had bacon and grits >about 2 hours ago - kind of a dead silence at the end of the phone. > >Patient had a quick spinal - manual removal performed without >difficulty. > >Should I have tried something different? > >The breakfast had been ordered prior to me taking over L&D. > >Would like to hear especially from the Midwives on the list what their >philosophy is regarding nutrition during labor. > >Like my anesthesia colleagues, I am old-fashioned - believe only in >clear liquids, ice chips, broth, etc. > >Robert Modugno MD MBA FACOG >Sylva, NC >________________________________________________________________________ >AOL now offers free email to everyone. Find out more about what's free >________________________________________________________________________ >________________________________________________________________________ >from AOL at AOL.com. Next message: Elrod, Darryl G Maj 48 MDOS/SGOBO: "Re: GBS interesting question" Previous message: Charlie Chambers: "Re: nutrition during labor" In reply to: rmodugno@aol.com: "nutrition during labor" Next in thread: art fougner, md: "Re: nutrition during labor" Reply: art fougner, md: "Re: nutrition during labor"

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