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#21
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Managed VS natural births
Anne Rogers wrote:
My second (an unmedicated VBAC) had a 3++ hour pushings stage. Hate to think how long it would have been if I had an epidural! malposition? I had a 2+ hr pushing stage with my 2nd and lots of people said ooh, she was bigger than your first, true, she was almost 3 pounds bigger, but the issue was she was posterior and stayed that way, she could have been a 4lber and still taken a while to get out. I did have an epidural, but it didn't seem to hinder me, I was squatting at times! Hard to say with that one. Epidurals are associated with an increased incidence of malpresentation because the anesthetic interferes with the normal operation of the pelvic floor as it helps to get the baby into a better position. But in your case, there were other reasons to have the epidural which likely outweighed the possibility of it increasing the odds of malpresentation. It would be nice if every decision were clear cut, but they're not ;-) You just play the odds as best you can with the information you've got. Best wishes, Ericka |
#22
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Managed VS natural births
Hard to say with that one. Epidurals are associated with an increased incidence of malpresentation because the anesthetic interferes with the normal operation of the pelvic floor as it helps to get the baby into a better position. But in your case, there were other reasons to have the epidural which likely outweighed the possibility of it increasing the odds of malpresentation. It would be nice if every decision were clear cut, but they're not ;-) You just play the odds as best you can with the information you've got. well she was already posterior and had been without shifting for at least 4 weeks, I was very very limited in what I could do positioning and movementwise to get her to turn, but I had been trying for ages. I suppose she could have turned once labour kicked in without an epidural, but given just how stubborn she was I doubt it. I even had intact waters until very late, when I requested ARM, however when they were broken there was almost nothing there (which might also explain how a big baby was hiding in a small bump), so I don't think leaving the water there for her to turn can have been much help. Anne |
#23
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Managed VS natural births
Anne Rogers wrote:
Hard to say with that one. Epidurals are associated with an increased incidence of malpresentation because the anesthetic interferes with the normal operation of the pelvic floor as it helps to get the baby into a better position. But in your case, there were other reasons to have the epidural which likely outweighed the possibility of it increasing the odds of malpresentation. It would be nice if every decision were clear cut, but they're not ;-) You just play the odds as best you can with the information you've got. well she was already posterior and had been without shifting for at least 4 weeks, I was very very limited in what I could do positioning and movementwise to get her to turn, but I had been trying for ages. I suppose she could have turned once labour kicked in without an epidural, but given just how stubborn she was I doubt it. You can never tell for sure, and it's pointless to second guess since you really needed that epidural for other reasons. Studies have shown that babies often *do* turn anterior in labor without an epidural, and the theory is that it is the process of labor and the interaction of the baby with the pelvic floor that helps that to happen. But, of course, some babies don't turn regardless and yours might have been one of them. Best wishes, Ericka |
#24
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Managed VS natural births
I had two hospital births (both VBACs) without interventions. The first
VBAC I arrived at hospital just in time to push, so no one had time to mess with me. The second time, I was there earlier, but things rock and rolled, so again no time or need for any fooling with the process. Incidentally, I had midwives both times, so that probably was the difference. Here in Ontario, they have hospital priviledges. Mary |
#25
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Managed VS natural births
Anonymama writes:
: I wonder if epidurals ever help _avoid_ further interventions? Again, this anecdotal, but I can remember at least two reports on this very newsgroup where women has been laboring for some time, but because of fear and tension had failed to dialate. (I think one of them was Naomi Purdue). After receiving an epidural, they relaxed enough to dialate and give birth. Now, I personally think this is very rare, (compared, say, to the number of women for whom the epidural intefers with contractions, but I think there is the occasional women that it actually helps. But 2 or 3 cases in 10 years of newsgroup reading and posting is not a lot. :-) Larry |
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