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Subject:
From:
Jessica Mattingly <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Sun, 21 Nov 1999 12:36:45 -0600
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>Please repeat after me: "All labor drugs get to the baby." Period.

But this isn't enough to convince mothers to avoid them. ::::::sigh:::::: it
is so much like convincing parents about the dangers of ABM.  I do repeat
long and hard that it is better for everyone to avoid medication.  We spend
the majority of our classes talking about non-pharmacological pain relief
methods.  However I only have six weeks, including infant care (pity the
couples who take the *1* day class) and most feel their lives are to busy to
practice outside of class.  They *want* their epidural, their doctors *want*
the epidurals and many nurses *want* the epidurals.  They go to class
because it's the thing to do.

So that brings me back to my dilemma.  Should we encourage mother's to use
IV narcotics when they first request pain relief to hopefully get them
through the first 5 centimeters w/o the epidural.  Jan Riordan's new study
shows this sets up a huge increase in breastfeeding problems.  Or, do we not
mention this option and have a lot of mothers getting epidurals at 2 cm?
which then follows an increased risk of a host of other intervention which
have their own set of problems.  They *will* have their epidural.

So, which is the lesser of the two evils?

Jessica Mattingly M.Ed. CCE
Greater Kansas City

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