Re: epidural and food
From: Lynn Montgomery, MD (apgar10@qwest.net)
Wed Sep 13 16:51:30 2006
I tell them nothing to eat or drink after midnight the night prior.
--
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 3:45 PM
To: Multiple recipients of list OB-GYN-L
Subject: Re: epidural and food
Are you asking all of your inductions to remain NPO or on clear liquids
prior to admission? Otherwise no epidural?
>From: "Lynn Montgomery, MD" <apgar10@qwest.net>
>Reply-To: ob-gyn-l@obgyn.net
>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
>Subject: RE: epidural and food
>Date: Wed, 13 Sep 2006 10:10:40 -0500
>
>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
> >
>
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