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Re: Fear of Pain from Post-Birth Surgical Procedures

From: Ann-Marie (anonymous@obgyn.net)
Tue, 8 Aug 2000 15:44:44 -0500 (CDT)


Laura et. al.

I've had a hard time coming to terms with what happened to me after my child was born. I've since moved from cental NJ to just outside Boston. I have been assured by two obs and a L&D nurse up here that this wouldn't have happened up here. If they couldn't slow the hemorrhage [I was told they use stuff like cytotec for this] they could do a spinal in about 5 minutes, etc. etc. I guess I don't know who or what to believe. But I do think you raised some very good questions and I didn't really understand the doctor's answers about post surgical complications you would still be empty stomach....

I guess my feeling is yes if they felt they needed to do an emergency c-section to save lives they would do it even if you weren't fully anesthesized. I would think this is very very rare and not something that is willingly publicized. I'm sorry if this is frightening to others to read and if I could have posted privately to docs for more reassurance I would have. I guess it is good advice not to eat after delivering, I do not plan to.

--
Ann-Marie
At Sun,  6 Aug 2000, Laura wrote:
>
>When I asked my ob why they didn't use more anesthesia she said I had
>>>eaten so general was out and I was already in danger from the
>>>hemorrhage, also no time for epidural since I didn't already have one
>>>in.
>...
>Aspiration during general anesthesia is one
>>of the very most common causes of maternal death, so their decision to
>>avoid GA is consistent with the standard of care.  Depending on the
>>degree of your blood loss, they may have been out of options.
>
>Now this beats me.
>
>If this woman had needed an emergency hysterectomy would they have done
>it without anesthesia as well? Or any person who needs sudden emergency
>surgery, but is unfortunate enough to have eaten before, will have it
>done without anesthesia? I can't believe it.
>
>In the hospital where I have given birth three times, they don't allow
>women to eat anything during labor, but she is allowed to drink water.
>Isn't drinking water also contraindicted to general anesthesia? Still if
>a woman has short labor and just eaten something prior to labor onset
>and now needs surgery, wouldn't they take the risk and do general
>anesthesia, if epidural is not an opportunity?
>
>Next birth I think I won't eat anything until a few hours after
>delivery, just to be safe.



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