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Re: epidurals ... and NY C-section rates

From: Barbara (anonymous@obgyn.net)
Fri, 27 Feb 1998 23:18:47 -0600 (CST)


At Fri, 27 Feb 1998, Amy wrote: >Barbara,
>
>Isn't this forum for educating women?

Yes it is.

I don't think Emma meant this as >an attack on Dr. Marchbein, but in response to a series of posts (of
>which I sent a few) regarding the effects of epidurals. I asked Dr.
>Marchbein what the cesarean rate was at his hospital, because a 92%
>epidural rate seemed awfully high to me.

And you have a right to your opinion Amy.. But; and again the Big But here is to name names... There are hosspitals all over the wooorld with similar stats and to signal out one hospital and one physician, Is Unfair... IMHO...

I am looking for statistics to >support this,

May I ask you what your statistics are going to be used for? Are you curently pregnant? Are you doing a report for a class? Your signature states: Amy D "Birth Works student", as a nurse I am Not familar with that title.

but in the meantime, I wondered if they had a higher >cesarean rate as well. Often, the two are correlated (again, I'm
>looking for references, so don't ask yet! : ) ).

Where are Your statistics? >
>As a consumer, I would assume that if a doctor works at a hospital that
>has an epidural rate of 92%, then his epidural rate is probably
>comparable, and that cesarean rates are also probably comparable.

Are you aware of what the letters in the word assume stand for? On the First day of my nurses traing it was explained as this: ASSUME make an ass out of U & ME!!! Never assume Anything! I have remembered that well...

>The information is out there. It's just a matter of >gathering it, and an
>informed consumer will be able to find it, and make an informed decision
>about epidural use.

Then Why ask it here if you already have access to the answer?

I think that my original question to Dr. Marchbein >was valid, and I also think Emma's post of the news article was valid.

And you have the right to believe that And I have the right to say do not single out One physician, by Name, to be responsible for all physicians...

>They are just pieces of the puzzle, to be put together by each woman to
>the best of her ability.

As is all choices in health care.

>
>Dr. Marchbein is an excellent resource to your forum, but I don't think
>it is wrong to ask questions or supply information that may contradict
>what someone says (especially in the case of medical studies).

Perhaaps it woould be best then, Not to ask questions By Name..

>Isn't
>that what educated patients should do? Shouldn't they look for different
>opinions, and make the best choice for them?

Yes, that is correct but; we should remember not to single out one person by name and direct our questions of disagreement to them only..> >Respectfully,
>Amy D
>Birth Works student

Here's an earlier answetr from an RN, named Stormy"

Hmmm...never heard of this before. I have been a RN for 10 yrs and worked in labor and delivery units at 2 *large* hospitals in SLC, UT. I'd dare say that at least 90% of laboring patients got epidurals in labor...we had 3 anesthesiologists on duty each shift whenever possible. We also had excellent NICU's at those hospitals for the babes with troubles. I've never seen breathing problems associated with epidurals.

I have had 4 children and had epidurals with the last 3 and never had any problems myself. I am 10wks pg and an epidural is an option I'd consider again.

Just curious...did either of your sisters have IV meds prior to having the epidurals placed?? Narcotic meds are notorious for causing breathing problems in newborns and I've even seen some of the non-narcotic pain meds do this as well.

Just my take on it!

--
  Stormy, RN, BSN

Thank yu, Barbara

--
Barbara Nesbitt
Editor, Women's Health at OBGYN.net



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