From a different perspective, we have used a PCA (Fentanyl) in labour when the mother has requested more painrelief than IM Morphine and an epidural is contraindicated, eg this week- fetal death in utero at 26 weeks, mother septic with bordeline  then deteriorating coags. Labour induced with Cervagem over 36 hrs then further 24 hrs of Syntocinon. Mother could not cope with pain and circumstances any longer. This situation is infrequent. I have never seen them used with a viable baby.
Monica
----- Original Message -----
From: sally
Sent: Thursday, November 04, 2004 9:32 PM
Subject: Re: [ozmidwifery] Epidurals

My Goodness!!! A PCA in labour, that's absolutely appalling.
 
Sally
----- Original Message -----
Sent: Thursday, November 04, 2004 9:29 PM
Subject: [ozmidwifery] Epidurals

While on the subject of epidurals.... I read an article recently about a study involving ewes which had epidurals during their labour.  They wouldn't mother their young.  A new term I learnt this year while doing a short contract in a private hospital was the "cold epidural" - the epidural you have put in prior to the start of your induction!  Not sure how common this is in other places.  Of course if there is any problem getting the epidural in you can always have a PCA of morphine.  You can imagine the results of that - one very "stoned" mother totally uninterested in her narcotised baby.  Sad but true.
 
Cheers
Michelle
 
 



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