A little more info from the US where this ‘break thru’ has been really well publicized.

 

Jo

 

-----Original Message-----
From: Holly Wiersma
Sent
: Friday, February 18, 2005 6:08 AM
 

This is so interesting... I read the article on the front page of my
newspaper this morning.  The title - "Epidurals need not be delayed, study
says"

The article continues on to the very back page of the paper section.  If you
read the last few paragraphs it says,
The Cesarean rate in the women who started with spinals was 17.8%.  For the
women given narcotics, it was 20.7%, a statistically insignificant
difference.
It was significant, however, that the women with spinals had shorter labors,
by an hour and a half, and felt less pain.
"The bottom line message", Wong said, "is that if you're a first time mom in
early labor and it hurts and you need pain medicine, by getting this kind of
spinal-epidural, you're not at increased risk for a Cesarean, and there are
benefits to doing it this way."
**Dr. Laura Riley, director of labor and delivery at Mass. Gen. Hosp. in
Boston, had words of caution.  "They do a very intricate kind of analgesia,"
Riley said, referring to the combined spinal and epidural technique.  "I
don't know that many places that can do it."
The findings may not apply to other patients who have standard epidurals
without the spinal component or epidurals that use different drugs from the
ones in the study.**

Interesting, important last bits of information... and they were put at the
end of the article on the last page.  Most people will never get past the
title!

Oh how the research is twisted!

Holly W.




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