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Re: Changing an epidural to spinal for C-section

From: William McIntosh, MD (anonymous@obgyn.net)
Wed, 23 Jan 2002 15:19:02 -0600 (CST)


At Tue, 22 Jan 2002, anonymous wrote: >
>I am wondering if its possible to try a vaginal birth with an epidural
>but if I somehow needed a c-section later, can the epidural be turned
>into a spinal for the section? Epidural's are horribly always patchy but
>we get along the best we can. I do not want a c-section with an
>epidural. I know I can not have a spinal and still push if I want a
>vaginal.
>
>Any insights

Epidurals would only be replaced with a spinal if the epidural failed, and rarely even then. I have done countless c/s under epidural, and almost all of them had the same quality of pain control as a spinal. Those that did not ended up going to sleep.

--
William D. McIntosh, MD, FACOG

This is for educational purposes only, and is not a substitute for consultation and examination by a licensed medical professional.




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