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Re: epidural and food From: Lynn Montgomery, MD (apgar10@qwest.net) Wed Sep 13 10:08:45 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Richard D. Kaplan: "Re: epidural and food" Previous message: Ina May Gaskin: "Re: epidural and food" In reply to: Andrew Folley: "Re: epidural and food" Next in thread: Andrew Folley: "Re: epidural and food" Reply: Andrew Folley: "Re: epidural and food" I have always stuck to the assumption set forth by the Baylor obstetric anesthesia division that when labor starts, the stomach stops. As such, anything ingested during labor is primarily pooling in the stomach. Not only is this a risk for high spinal/epidural, if the patient needs to go to sleep emergently, things tend to reverse. Aspiration certainly isn't a common thing in present day, but I have seen it and the ARDS that ensues makes one case, too many. In this vein, Bob Carpenter will certainly recall his patient who was an anesthesiologist herself and insisted that Bob do her cesarean section on a Saturday morning. Being the good guy he is, he agreed. She showed up for the scheduled section and when asked if she had had anything to eat or drink, replied that she had stopped at McDonalds for breakfast. The section was postponed until that afternoon, ruining Bob's Saturday... Lynn -- Lynn D. Montgomery, M.D. Obstetrics & Gynecology, Maternal-Fetal Medicine The Birth Center/Rocky Mountain Women's Health 1211 S. Reserve St. Missoula, Montana, 59801 406-549-0978 fax 406-549-0987 e-mail: apgar10@qwest.net -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Andrew Folley Sent: Wednesday, September 13, 2006 7:24 AM To: Multiple recipients of list OB-GYN-L Subject: Re: epidural and food All of a sudden our anesthesiologists are becoming very strict about not providing and epidural to our laboring patients if they have eaten any solid foods in the preceding 8 hours. Their argument is fear of a high epidural and aspiration etc. Is this a common practice across the country??? Are most or our OB-gyns and midwives keeping patients on clear liquids only in labor?? >From: "Jane Peterson" <ApricotRex@comcast.net> >Reply-To: ob-gyn-l@obgyn.net >To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> >Subject: RE: Second stage >Date: Tue, 12 Sep 2006 22:18:18 -0500 > >I seldom see the 2 hour or even 100 minute second stage that is >supposedly average. But I'm counting from spontaneous pushing, so maybe >that's the difference. > >Jane > >-----Original Message----- >From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Efrain >Ramirez >Sent: Tuesday, September 12, 2006 8:10 PM >To: Multiple recipients of list OB-GYN-L >Subject: Second stage > >My "second stages" in primgravids are becoming "shorter -- FD - is not >the begining of the second stage - does anyone agree? > >Ef > >-- >" The greatest obstacle to knowledge is not ignorance, >it is the illusion of knowledge." Daniel J. Boorstin - Historian > _________________________________________________________________ Check the weather nationwide with MSN Search: Try it now! -- _________________________________________________________________ http://search.msn.com/results.aspx?q=weather&FORM=WLMTAG Next message: Richard D. Kaplan: "Re: epidural and food" Previous message: Ina May Gaskin: "Re: epidural and food" In reply to: Andrew Folley: "Re: epidural and food" Next in thread: Andrew Folley: "Re: epidural and food" Reply: Andrew Folley: "Re: epidural and food"

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