Someone recently mentioned the advent of 'cold epidurals', where the epidural is put in place before an induction is started. I'd not heard of this before and was shocked! But is it unreasonable? Vincent & Chestnut (1998) gave the administration of IV oxytocin intrapartum as the most useful predictor of which women will request epidural anaesthesia during labour. What's the incidence?? I don't know but guess it's pretty high. When would be the best time to put an epidural in - when a woman is distressed and moving experiencing strong labour pain, or before it all starts and she is lying still and quiet?
It's the outcome here, ie use of cold epidurals, that horrifies me when it should be the number of unnecessary inductions or perhaps the way inductions are conducted that force a woman into acute pain so quickly that should be reviewed.


It's a while since I've worked in birthing suite. Those of you who are familiar with inductions why do they HAVE to be so rugged?

Denise

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Denise Fisher, MMP, IBCLC
Health e-Learning
http://www.health-e-learning.com
[EMAIL PROTECTED]

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