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Re: Guess I'm not going to get an answer to my post!

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Sun, 28 Jan 2001 11:30:09 -0600 (CST)


Patience is a virtue (as are patients). For free, we do the best we can.

Remember, you have the right to call your private doctor at anytime.

I answered the question gefore but it's not showing up on the board yet so I'll repeat my answer. You may see a duplicate later.

In essence, it said, you can have either spinal or epidural, they have equal rate of complaints, a rare spinal headache can be treated by spinal patch and IIRC, I mentioned that you can also have continuous epidural for a few days (at least we do in my hospital).

Good luckk tomorrow.

Hope this helps.

HSM

At Sun, 28 Jan 2001, Kelle wrote: >
>I posted this 3 days ago, and agian yesterday and not sure why the Dr's
>answer everyone else's post but not mine? My c-section is tommorrow and
>by then the answer won't do me any good......if you get this could you
>please answer.
>
>Hello, I am hoping you can answer a couple questions for me regarding a
>Spinal for a c-section. I am 31 and this Monday (Jan 29th) going in for
>a scheduled c-section. This will be my 5th c-section. With the other
>surgeries I had epidural's. I have been on Aldomet for Pre-eclampsia (
>Bp was 149/90) for about 6 weeks, my BP is stable and now is 106/80. My
>Dr. recommends the Spinal, stating that it takes effect quicker and
>they can give me 24 hour pain relief as well. I will not get to speak
>to the Anesthesiologist (sp?) until right before the surgery. So I am
>trying to find out as much as I can prior to talking with him/her.
>1. I am terrified of the medication going to far up into my chest area,
>thus making me feel like I cannot breath. This happened with one of my
>epidurals. Is it more likely for this to happen with a Spinal? Can they
>regulate just how much medication they administer to insure it won't be
>such a high block?
>
>2. How much more likely is nausea and/or vomiting with a Spinal (would
>hate to lay there in the OR getting sick during surgery)
>
>3. Is it true that you DO NOT have to lay flat for 8 hours anymore?
>
>4. How soon does the Spinal start to wear off (ie: when will I start to
>regain feeling in my legs)?
>
>5. How likely is the spinal headaches? Can they give you medication to
>counteract that should it occur?
>
>I sure hope you can give me some advice, I am very nervous about a
>Spinal as I have never had one before, and always heard they are more
>dangerous because they actually go into your spinal cord fluid (ie; risk
>for paralysis). Any advice/comments would be much appreciated. If any
>other Moms also out there have had a Spinal in the past I would love to
>hear your opinions on your experiences.
>
>Thank you in advance, Kelle

--
Harvey S. Marchbein, M.D. FACOG, FACS
Great Neck, New York

**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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