They are very well referenced, which is why I was surprised when she challenged me on it as I knew Sarah uses lots of references (her articles are on my site) - but if you read the bit about the drugs going into the bloodstream there is no reference for that.
Here's the discussion, might be easier to understand. I'm not arguing the point, but want something solid to come back to her with. http://www.bellybelly.com.au/forums/showthread.php?t=26236 -----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of Cate Tischler Sent: Tuesday, December 12, 2006 8:35 PM To: ozmidwifery@acegraphics.com.au Cc: Kelly Zantey Subject: RE: [ozmidwifery] Epidurals - entering the bloodstream 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. -- This mailing list is sponsored by ACE Graphics. Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe.
