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Re: Paracervical blockFrom: Arthurfree@aol.comSun Nov 23 12:49:36 1997
In a message dated 97-11-23 12:50:26 EST, you write: << I've done a couple... they were frowned upon by most people... and they worked GREAT. The patient had magic relief of labor pain but when the baby's head hit the pelvic floor, the sensations were all there and the urge to push, and also the urge to ask for a pudendal block... LOL Joe P.
>> Since: A) no one on the list has come up with any history of actual morbidity associated with paracervical block and B) most of our smaller rural hospitals do not have access to epidural anesthesia; would it not be approriate to ask that this be again studied as a method of pain relief in labor? I've done a number of spinal analgesia (narcotic) injections myself, but it always makes me nervous as I don't do the calculations and dilutions on a regular basis and am always worried I will inadvertently overdose someone. As such I have a much higher threshold for using it than I would to going back to paracervicals. (Note: I practice where, due to facility size and staffing, epidurals are essentially unavailable) Arthur Freeland Warrensburg Missouri
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