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Re: Was--FW: Pregnancy Advice:FRI--now Anesthesia consentFrom: Garry E. Siegel (garrys@mindspring.ocm)Tue Jul 18 20:46:16 2000
>BTW, I find that the biggest annoyance for women is the informed consent discussion >that our anaesthesia guys do before they will place the epidural. Someday some >woman is gonna throttle one of those guys for the delay -- it also begs the >question of how "informed" the consent can be when it's given at a time when women >might willingly have a hand cut off if told that it would end the pain..... Well, a good point, but the anesthesiologist has to do his best under duress prior to sticking a large needle in a laboring woman's back. In an ideal world, they would have some type of pre-labor meeting/consent discussion (does anyone's place do this? If so, what are the practical aspects?). Last week, I had a walk in, term VBAC in big time labor, didn't speak great English. I spent a few minutes doing the best that I could to get consent for a VBAC (prior unknown section but prior sucessful VBAC), delivery, etc. She asked if a section was "better"--great question at 5 cm. pre-epidural in a patient with a language barrier, with no pre-existing relationship :). She delivered vaginally, and I had signed consents :). Garry
-- Garry E. Siegel, M.D., F.A.C.O.G. Private Practice Roswell, GA
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