Hi everyone. My first question is about lidocain for epidurals. Our new
anesthesiologist uses lidocain instead of fentanyl.  Any comments?

Second question. One of our anesthesiologists spoke with us because he does
his epidurals different than the others.  He says that he likes to give mom
enough meds up front that a c/s could be performed and then the meds wear
off to the desired level.  Apparently the other anesthesiologists give moms
a bolus that is not so numbing and they reach the desired level within the
same time frame. In your experience, which has the least affect on
breastfeeding (besides no epidural at all!!)?

Third question: We had a mom last week that was terrified of her impending
labor pain so she told the Dr. that she did not want to feel a thing so he
apparently gave her her wish and she was still wobbly and had to be helped
to the bathroom hours after delivery.  The actual delivery was
uncomplicated and second staged was less than 1 hour, but the baby would
not feed at all in the first 24 hours.  He showed no feeding cues even
after 24 hours and it was around 36 hours before he fed well from a bottle
and even that was a struggle.  The nurses described the mother as "slow" so
one thought that maybe the baby was just "slow" also and just didn't get
it.  I think a more likely cause would be that this baby is too drugged to
do anything! Would a large dose of meds via epidural affect a baby to this
extent?

Thanks again.

Christine Lichte, IBCLC, LLL leader

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