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Re: epidural anesthesia for C-section

From: Harvey S. Marchbein, M.D. (anonymous@obgyn.net)
Tue, 19 Oct 1999 19:10:43 -0500 (CDT)


At Tue, 19 Oct 1999, Nikki wrote: >
>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 so sorry to the experience you had. I am not aware of any statistics on the question you have asked.

>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.

--
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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**Thank you for your understanding ;-)




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