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Date: | Fri, 24 Mar 2006 09:35:01 EST |
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I would want to know the levels of all narcotic pain meds in the baby from
labor. It would be interesting to know mother's levels as well. Obviously,
the blanket kept everyone from noticing the problem sooner... If it is too
late to get those levels checked, doses and timing could be used to make an
estimate. We have all seen lethargic babies when they have gotten too high a
dose of med. Also, nubain recently was studied and implicated on respiratory
problems in infants and if used a baby is to be monitored frequently post-birth
for problems.
Thanks to Marsha Walker for this last Dec 7th: "Today's Medscape had an
interesting piece of news on safety labeling revisions for nalbuphine (Nubain)
used during labor and delivery. The new labeling will state that nalbuphine
injections are associated with a risk for serious fetal and neonatal adverse
events. They list these as fetal bradycardia, respiratory depression at
birth, apnea, cyanosis, and hypotonia. Some events have been reported as life
threatening. They go on to state that severe prolonged bradycardia has occurred
that has resulted in permanent neurologic damage and that infants should be
monitored following birth for respiratory depression, apnea, bradycardia,
and arrhythmias.
_www.medscape.com/viewarticle/518110_print_
(_http://www.medscape.com/viewarticle/518110_print_ (http://www.medscape.com/viewarticle/518110_print) )"
Natalie Shenk, BS, IBCLC
Findlay Ohio
In a message dated 3/23/2006 12:50:49 P.M. Eastern Standard Time,
[log in to unmask] writes:
We are concerned with this diagnosis and the implications of such. Is this
even possible in a baby with supposed normal neurological status? Shouldn't
a normal infant struggle with suffocation? What factor could the epidural or
the blanket have played in this tragic event?
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