Dear All,
   
  A thought after attending Med School class (this week) entitled "normal labor.".  Discussion mentioned that second stage increased due to epidural - approx 50% longer.  Breaking down the data in this new study about micro-hemorrages during vaginal delivery by epidural status (if there were any without epidurals?) would be an interesting data point since the baby's head hits the cervix so much more--not to mention breaking out oxytocin status.  
   
  What should be research showing concern for active management of vaginal birth, it is interpreted against vaginal birth entirely.  
   
  references:
  Increase duration second stage by 25 min avg - http://www.nih.gov/news/pr/aug2001/nichd-09.htm  Note in this study that the comparison group were NOT unmedicated.
   
  http://www.findarticles.com/p/articles/mi_m0689/is_n3_v40/ai_16722350/pg_2
   
  Karen Seroussi, IBCLC, MS-2
   
  Ps. also had the experience this week of sitting through the ONLY scheduled class on breastfeeding in the didactic portion of medical school--exactly 50 minutes.  Fortunately, good info and the students were engaged--now they know to find an LC which is a good thing.

 
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