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Re: Nutrition during laborFrom: ainsron (ainsron@sbcglobal.net)Tue Apr 17 19:07:35 2007
It's referenced in Williams, 22nd ed, pg 490, the Article is Anesthesia-related deaths during obstetric delivery in the united States, 1979-1990, Hawkins and colleagues, Anesthesiology 86:277, 1997b. The details were not there, just the message. I would prefer to base my recommendations on care of laboring patients to an unbiased authority, such as Williams Obstetrics, rather than anecdotal experiences and personal feelings. Ronald E. Ainsworth, MD, FACOG -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Stmidwife@aol.com Sent: Tuesday, April 17, 2007 3:40 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Nutrition during labor How many people were part of this study? What were the gastric contents? Did the women eat, drink? I thought that other studies were done abroad disproving this, one you posted? Sue In a message dated 4/17/2007 10:42:12 A.M. Pacific Standard Time, ob-gyn-l@obgyn.net writes: A CDC survey of maternal deaths between 1979 and 1999 identified 23% of the 129 anesthesia-related deaths associated with aspiration of gastric contents. The ASA task force on obstetrical anesthesia (1999) recommends clear liquids for uncomplicated laboring women and avoidance of solid foods. I believe most of us follow those recommendations and anyone who doesn't, adds to their liability if an adverse event occurs. Ronald E. Ainsworth, MD, FACOG _____ See what's free at AOL.com <http://www.aol.com?ncid=AOLAOF00020000000503> .
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