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Re: Labor epidrual and Chorio From: Efrain Ramirez MD (eramirez@icepr.com) Sun Oct 31 09:30:23 1999 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: james connerth: "Re: Labor epidrual and Chorio" Previous message: Efrain Ramirez MD: "Re: Denial for" I can't reason why there should be a contraindication. At Sun, 31 Oct 1999, Mark G. Newman wrote: > >Dear Listpersons: > >Please render some opinions about a situation that arose recently at one of >the hospitals I practice in... >A young woman was transferred to my institution with preterm PROM at 33+5 >weeks. On arrival, she was contracting, had a temperature of 100.7, and had >mild uterine tenderness. The diagnosis of chorioamnionitis was made, and >broad spectrum antibiotics and pitocin was begun. At cervical exam of >3/100/-1, the patient requested epidural anesthesia for labor pain. The >anesthesiologist refused, stating that the patient had chorio, and thus >epidural was contraindicated. A second, backup anesthesiologist also >refused for the same reason. > >Am I missing something? >The literature says nothing about chorio as a contraindication to epidural, >only local infection at the site of puncture. > >Any others with experience or opinions? > >-- >Mark G. Newman, MD >Perinatal Associates of Texas > -- Efrain Ramirez MD FACOG "The things you learn after you know everything are the important ones" Next message: james connerth: "Re: Labor epidrual and Chorio" Previous message: Efrain Ramirez MD: "Re: Denial for"

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