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Re: Epidural--Too Numb to Push??

From: jwang, M.D. (anonymous@obgyn.net)
Wed, 21 Jun 2000 22:19:31 -0500 (CDT)


Epidurals have been and are still studied to determine if they have a slowing effect on labor, adversely effect pushing, an increase in the c-section rate. The anesthesiologists say it does not have any adverse effects, while some ob's say it does. What it boils down to is how good an epidural it is. A good epidural will block the pain and only slightly affect muscle strength. A "heavy" epidural will act almost like a spinal and the patient won't feel or move anything below her bellybutton. For the most part, epidurals are very helpful in easing the pains of labor, and most ob's don't have an objection to them.

At Wed, 21 Jun 2000, Mari wrote: >
>A friend of mind recently had a baby and opted to have Demerol in her IV
>rather than an epidural in her spine. Her labor lasted for a full day
>as she slept in between contractions. She said that she'd felt all the
>pain but was very sleepy. She also said that she didn't choose the
>Epidural because she feared that the numbness would prevent her from
>pushing.
>
>Is that true or common?
>
>I know that when I go to the dentist, after being given Novacaine, my
>mouth gets so numb that I start to drool.
>
>Is the feeling after an epidural similar to the novacaine mouth?
>
>I'd never thought until my friend had her baby that an epidural might
>work against pushing.
>
>If the expectant mother is too numb to push, can the epidural be removed
>and then replaced by some other pain reducer?
>
>Are there any other options besides the epidural shot in the spine and
>Demerol in the IV? Maybe something that takes away the pain but doesn't
>leave the mother too numb to push?
>
>Thanks.
>
>--
>Mari
>

--
J Wang, M.D
Assitant Clinical Prof.
Tufts University School of Medicine

>**Note: Opinions expressed here are for educational purposes only >and, as such, do not constitute a physician-patient relationship. >This information is not intended to supplant the need for you to >consult with your physician prior to choosing therapeutic options >and/or interventions.>




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