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Re: Your chance to make a differenceFrom: CheriVH@aol.comMon Apr 15 13:45:39 1996
The qualities I find most helpful in an anesthesia provider are: 1. Technical skill. There is nothing worse than an epidural that doesn't work. Or multiple punctures before success is achieved. Obviously, not all women are going to be equally easy to epiduralize, but some providers seem to have a lot more difficulty (consistently!) than others. If possible, side-lying placement of the epidural is more comfortable for most women than sitting up. Some providers ask women to get into positions which are anatomically challenging in late pregnancy and seem very annoyed with the women when they can't hold these positions. 2. Good communication skills. Appropriate informed consent for the procedure should be given. Laboring women and their partners should be treated with respect and compassion. 3. Respectful working relationship with other care providers. This includes physicians, nurse-midwives, nurses, and ancillary workers such as OB techs, etc. I have had some unpleasant experiences with anesthesiologists who challenged my labor management in front of laboring women with whom I had developed a trusting and supportive relationship. This does not contribute to patient care. There is no greater boon to safe and satisfying OB care than ready availablility of competent and compassionate anesthesia. I have had marvelous working and personal relationships with a number of anesthesiologists and CRNA's over the years. I consider them candidates for sainthood. But it is important for anesthesia providers to realize, as well, that not all women want or need anesthesia in order to give birth. Settings where anesthesia providers promote their services aggressively are not as satisfying to me as an advocate of minimal intervention and woman-centered birth. Thanks for caring enough to ask this question. The very fact that you chose to elicit this information indicates to me that you will provide an outstanding OB anesthesia service at your hospital. Cheri Van Hoover, CNM Kaiser Hospital Redwood City, CA
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