Re: OB: Full dilatation

From: Braun, R. Daniel (rbraun@iupui.edu)
Wed Dec 3 04:18:02 2003


Remember, that is with a FUNCTIONING epidural. With an epidural, most folks are now letting patients do what is called "Labor Down" That is labor and bring it on down a little before they start pushing.

BTW, I personally think that shutting off an epidural to make someone push better is somewhat cruel. They have had all this wonderful pain relief and then you take it away when they need it most.

Dan

-----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Dr. John Provatopoulos B.Sc. M.D.C.M. F.R.S.C. Sent: Wednesday, December 03, 2003 3:18 AM To: Multiple recipients of list OB-GYN-L Subject: Re: OB: Full dilatation

>BTW, Dan, the time limits from ACOG are 3 hours for a nullipara, and 2
>for a multiparous patient with conduction anesthesia. This is in ACOG
>Practice Bulletin 49, 12/03, which actually came today.
>
>Garry

Garry do you think there is anyone left at ACOG who knows how to do a mid-forceps, 3 hrs for a nullipara or 2 hrs for a multip especially if they are pushing is starting to get into cruel and unusual punishment territory.

--
                                 Take care, John




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