Sarah's article's are so well referenced. One of the reference's included is:
25) Fernando R, Bonello E et al. Placental and maternal plasma concentrations of fentanyl and bupivicaine after ambulatory combined spinal epidural (CSE) analgesia during labour. Int J Obstet Anaesth 1995;4:178-179 >From here: http://onyx-ii.com/birthsong/page.cfm?epidural ---- Kelly Zantey <[EMAIL PROTECTED]> wrote: > Thanks Janet - a few of those links are not working. > > > > The main thing she wants is actual medical study/evidence articles - e.g. > the Sarah Buckley article she says is not adequate as the comment about the > drug going into the bloodstream is not referenced back to anything. she has > been trying to find such evidence everywhere but it has turned up fruitful. > So not just the risks being quoted, but actual evidence. > > > > Oh well, if it does it for them then that's what we have to do :-) > > > > _____ > > From: [EMAIL PROTECTED] > [mailto:[EMAIL PROTECTED] On Behalf Of Janet Fraser > Sent: Tuesday, December 12, 2006 4:49 PM > To: ozmidwifery@acegraphics.com.au > Subject: Re: [ozmidwifery] Epidurals - entering the bloodstream > > > > Here are some useful sources for the risks of epidurals. Funny how women are > told to avoid alcohol and soft cheeses in pregnancy but encouraged to imbibe > powerful and dangerous drugs in labour. > > > > Drugs in labour twenty years hence. > > <http://www.midwiferytoday.com/artic...ugsinlabour.asp> > http://www.midwiferytoday.com/artic...ugsinlabour.asp > > epidural information > > <http://gentlebirth.org/Midwife/epirisks.html> > http://gentlebirth.org/Midwife/epirisks.html > > A little excerpt > > > Quote: > > > Generally, it is true to say the epidurals are a safe and effective method > of relieving pain in labour - but safe does not mean risk free - the risks > are there - it is wrong to say there are "none" (re the hospital employed > childbirth educator) See Thorp, J.A. & Breedlove, G (1996) Epidural > Analgesia in Labour: An evaluation of Risks and Benefits 23(2) 63-83. for a > good review of the literature. > . hypotension 12 - 23% > . maternal fever - (then unnecessary antibiotic therapy - then the yeast > infection - then.....) one study cited an increase of 0.07 Celsius rise per > hour exposure to epidural anesthesia. another reported 5% of fetuses reached > cores temp in excess of 4Celsius, another found a statistically significant > increase in maternal temps > 38C associated with EA. > . inadvertent spinal ( and headache to follow - which a blood patch does not > always cure - the incidence depends on skill of operator.... July - new > residents - expect a huge increase in spinals in the teaching hospitals..... > ) > . pruritus, nausea and vomiting. (no numbers here - but more likely with > spinals) > . backache - significant more women c/o backache following EA (RR 1. > . fluid overload- ?pulmonary edema??? > . infection from epidural site > . resp arrest > . anaphylaxis > . nerve damage > Henci Goer on epidurals > <http://parenting.ivillage.com/pregn...a=adid=16053332> > http://parenting.ivillage.com/pregn...a=adid=16053332 > > Epidurals: can they impact breastfeeding? > <http://parenting.ivillage.com/pregn...0,,h1nz,00.html> > http://parenting.ivillage.com/pregn...0,,h1nz,00.html > > Epidurals: real risk for mother and baby - Sarah Buckley > <http://www.acegraphics.com.au/articles/sarah02.html> > http://www.acegraphics.com.au/articles/sarah02.html > > The Epidural Express: > Real Reasons Not to Jump On Board > by Nancy Griffin, M.A., AAHCC > <http://birthrites.edsite.com.au/Epidural.html> > http://birthrites.edsite.com.au/Epidural.html > > Medical Risks of Epidural Anesthesia During Childbirth > <http://www.healing-arts.org/mehl-madrona/mmepidural.htm> > http://www.healing-arts.org/mehl-madrona/mmepidural.htm > > ----- Original Message ----- > > From: Kelly <mailto:[EMAIL PROTECTED]> Zantey > > To: ozmidwifery@acegraphics.com.au > > Sent: Tuesday, December 12, 2006 4:42 PM > > Subject: [ozmidwifery] Epidurals - entering the bloodstream > > > > Hello, > > > > Can anyone point me to a medical source or evidence which proves that > epidural anaesthesia enters the bloodstream? Someone in my forums has said > she has tried to find medical sources but can't find them anywhere. > > > > Best Regards, > > > > Kelly Zantey > > > -- This mailing list is sponsored by ACE Graphics. Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe.
