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epidural anesthesia for C-section

From: Nikki (anonymous@obgyn.net)
Tue, 19 Oct 1999 16:34:11 -0500 (CDT)

My question is about epidural anesthesia. During my labor, my epidural had a large "gap" in coverage which did not improve with changes in position. After 14 hours, the baby began to experience distress and a C-section was decided upon.

I do not doubt that it was an emergency situation and the doctor did not want to take the time to administer a new epidural at a different site. In spite of the fact that I had significant gaps in coverage, the anesthesiologist used the existing site to administer the stronger dosage/different meds for the C-section epidural.

I felt excruciating pain during my surgery. The anesthesiologist and my husband had to pin me to the table because I could not help myself; I was writhing. - Which, I'm sure, didn't help the surgeons any. - Thank God the most painful part only lasted five minutes.

I can't help thinking that maybe if it was that much of an emergency, knowing I had gaps in coverage, general anesthesia should have been used. Maybe they thought the stronger dose/different meds would take care of the problem. Maybe they had another reason for avoiding general anesthesia; it is usually unnecessary in a C-section nowadays. But I wonder if the docs took me seriously when I kept telling them I could feel too much. I guess the docs can't really know how much pain you're in, but all I could do was try to tell them.

My question is this: statistically, how often does this kind of thing happen? I mean, I know that many women have incomplete relief from pain during their labor, but how often does this apply to a C-section? Anyone ever experience/hear of this before?

I am scheduled for another C-section in December and am a little apprehensive, but I am sure things will go differently since this time it will not be an emergency.

Thanks for any help anyone can offer.



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