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Subject:
From:
Marshall Chanzit <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Sun, 8 Jul 2001 21:29:55 -0700
Content-Type:
text/plain
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I am convinced by my clinical practice that babies cannot breastfeed after
experiencing the births you describe.  They are extremely sleepy, cannot
suck or swallow, or have very dysfunctional sucking day one.  I would like
to see a study that compares type, duration, etc. of epidural and sucking
efforts in the first 24 hrs.  We eventually can help most of them to breast,
but it is very frustrating for all concerned and really makes breastfeeding
appear to be much more difficult than it needs to be.  They are in abnormal
postpartum circumstances, expecting to do normal functions.
How can MD's be approached to change their attitudes and practices and
educate their patients re the risks of labor medications more thoroughly?
This is my dilemma.
Patricia Ellis, RN, MA, IBCLC

----- Original Message -----
From: "digest Roni Chastain" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Sunday, July 08, 2001 7:47 AM
Subject: Re: low dose epidural


Hi Jean,
Thanks for your interpretation of the article. I see your point, I didn't
interprete it the same way. I don't think they were implying epidural vs
c/section. They were comparing low-dose to regular dose epidurals and the
effects on operative vaginal procedures, (forceps/vaccum), finding less need
for *operative vaginal procedures* in the low dose group.

<<<<<<What I thought they were implying was that they had somehow shown that
those vaginal deliveries were more stressful on the babies than a C. Section
delivery would have been>>>>

I still believe that it's the interventions with birth that very often CAUSE
the complications, including c/sections. If they don't give epidurals so
early in the labor, and that would include low dose or regular dose
epidurals, the c/section rate would not be as high. Epidurals slow and/or
stop the labor, the women don't progress, they use pitocin, and after not
being able to push effectively, they try forceps or vaccum, if that doesn't
work they do a section.
If we, as a society, empowered women to believe in their ability to give
birth, if doctors didn't push epidural, but offered support and
encouragement, I believe we would have better mom/infant outcomes. Look
around the world, where epidurals are not used as much, they have much
better
mom/infant outcomes then we have in the US.
Can you hear my frustration?
Roni M. Chastain, RN, LCCE, FACCE
Long Island, New York

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