Michelle Windsor wrote:
I don't want to drag out this discussion on epidurals etc but just had to reply to this. I think it is a big deal if a woman decides to have an epidural prior to induction of labour. Look at how long it can take to induce a primip... 3 or 4 lots of Prostin, ARM and then Synto. So realistically we could be looking at having an epidural in for maybe 24 hours before the woman is in established labour? (DVT here we come!)
Hi Michelle. I just thought I'd let you know how 'cold' epidurals work in my hospital (for private patients only!)... The epidural is put in just before the prostin with a test dose. The prostin is put in, and the woman then decides when she needs the full epidural dose. If the prostin doesn't put her into labour, then she doesn't have a proper epidural dose until the next day when she is started on the synt drip and has the ARM. Just letting you know no stuck in bed for 24 hours usually, so not much DVT risk :) Of course if she can't stand the prostin cramps, then she might ask for the epidural top up, and not really be in labour. In that case, then yes, she'd be stuck to the bed being monitored...
Just clarifying :)
Love Jo
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