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Walking EpiduralFrom: Bert Gold (bgold@itsa.ucsf.EDU)Sat Mar 9 09:50:20 1996
With this message I am hoping to bridge the gap between the practitioners on this list. Nearly 8 months ago my wife had our first child. We were devoted to having as little intervention as possible, but for reasons that I will get into if you wish (reproductive endocrinology, DES, possible incompetent cervix), we had a (relatively) high risk delivery at Christiana Hospital in Delaware. Because of our devotion to a vaginal (if poss.) delivery and the possiblity of complications for this outcome and because of my professional interest, I explored the possibility of a so-called 'walking epidural' for my wife. Gravity, it seems to me, is preferable to extraction, if that is a possibility. I read the wonderful articles by Rachel Collis in Lancet and the controversy that those inspired with an anesthesiologist at Brigham and Women's (Jeff something, I think, I forgot his name..., but I'll try and look it up in my diary). I went so far as to speak with the anesthesiologist at Harvard, but found that because of insurance liability reasons women given this treatment at Brigham and Women's, who passed a propioception test, were still not permitted to leave their beds. I also asked about ACUPUNCTURE as an anaesthetic but was told that although it had been tried, it was not effective. It happens that I now work next to a Vietnamese trained ACUPUNCTURIST who tells me that that was not CORRECT information. Medical professional insight on the virtues of gravity, epidurals, acupuncture, walking, and squat bars (which Christiana Hospital discovered DID have a use on our watch) are invited in response to this post. P.S. - We ended up with a conventional epidural, episiotomy, and a Strep B infected mom and babe in tachycardia, but, ultimately, a vaginal birth.
-- Bert Gold, Ph.D. University of California, San Francisco School of Medicine Program in Medical Genetics
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