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Re: Opinion on Labor inerventions?From: j wang, M.D. (anonymous@obgyn.net)Mon, 11 Dec 2000 20:29:35 -0600 (CST)
At Mon, 11 Dec 2000, chrissy wrote: > >I know this is difficult to answer, however, I was wondering what your >opinion is on the following: During Labor I want as little medical >intervention as possible. I feel that OB's are TOO concerned for fetal >outcome and tend to overlook maternal outcome. (personal opinion) I am >using an OB and will discuss the following with him > >I want to avoid an episitomy. Does perineal massage, hot packs, oil to >perineum work better to stretch the perineum?
They can. It is wirht trying.
> By IVF I presume IV fluids. In the correct patient, it can be avoided, but most docs still want an IV acess put in even if fluids are not given. It would be rare to be allowed to eat solid food while in labor, liquids are OK just about anywhere. (Solid food can increase the chance of vomitting in labor - not a pleasant experience).
> It usually is in the vagina by that time. Pushing a t full dilation helps bring the baby down - it augments the uterine forces. The baby is passive in this stage.
> The best position is the most comfortable one for the patient.
>Thanks for your professional opinion.
-- James Wang, M.D Assitant Clinical Prof. Tufts University School of Medicine
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