NomoreDramaQ1015
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Post by NomoreDramaQ1015 on Aug 5, 2014 15:26:00 GMT -5
I'm not in bum fuck and the hospital I delivered at is going for the ultimate certification in granola labor I have this mental image of a woman giving birth while being showered with granola bars. I'm not for or against at home or more natural birthing experiences but I definitely see the reason behind themI'm not against them, it's up to every woman to do her own research,decide what her risk tolerance level is and then make her decisions. Not all hospitals are as quick to change as TNMC is, so if certain things are important to me I need to make sure I question my OB/midwife and then shop around if the answers aren't ones I like. I recognize they aren't 100% perfect but then neither is going the homebirth route with a midwife. Telling people that they have to do it this way or that way to have a "magical" experience just perpetuates the notion that if things don't go 100% to plan you are personally at fault for not picking the "right" option. That goes in either direction because God knows I got strong opinions from both sides of the equation on how I should give birth properly. My favorite was my MIL who hasn't given birth since 1973. I'm pretty sure things have changed A LOT since DH was born.
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Sam_2.0
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Post by Sam_2.0 on Aug 5, 2014 15:27:20 GMT -5
I think this would apply to most parenting choices. Just because I didn't make a particular choice doesn't mean I don't understand why others do. I don't really feel the need to question their parenting choices to them even if I may think it was dumb (just in general, not about the birthing referenced above). As much as I can't stand my SIL I don't say anything about her parenting to her, I really just vent about it here or to DH. I think feeding your kid every time they make a peep is a stupid choice - she's got a 20+lb 4 month old baby that now has to be on a diet and special formula because her pediatrician let her know that overfeeding him was a very bad thing.
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Sam_2.0
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Post by Sam_2.0 on Aug 5, 2014 16:36:21 GMT -5
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achelois
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Post by achelois on Aug 5, 2014 17:31:18 GMT -5
You might puke and aspirate if given a general anesthesia they put in a breathing tube....just like if you're in a car accident on your way back to work from lunch and need emergency surgery. Yes, we do put in a tube, but aspiration can still occur between the time you are given drugs to put you to sleep and the time we are able to get the tube in. That time can vary for a number of reasons. Aspiration is relatively rare, but is definitely possible. Even a small amount of food/fluid can cause aspiration pneumonia. Why increase the risk? If the risk were not real, we would just let everybody eat whatever they wanted to, right up til the time for surgery. But we don't. We make every effort to get at least six hours between eating and surgery. We do, where I worked, permit some ice chips and small sips of water during labor. Even if a spinal or epidural are planned, there is the possibility that one cannot be done and therefore, general anesthesia must alway be considered as a backup. I have suctioned split pea soup from a patient's lungs, among some other things. It ain't pretty.
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Deleted
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Post by Deleted on Aug 5, 2014 17:41:26 GMT -5
they put in a breathing tube....just like if you're in a car accident on your way back to work from lunch and need emergency surgery. Yes, we do put in a tube, but aspiration can still occur between the time you are given drugs to put you to sleep and the time we are able to get the tube in. That time can vary for a number of reasons. Aspiration is relatively rare, but is definitely possible. Even a small amount of food/fluid can cause aspiration pneumonia. Why increase the risk? If the risk were not real, we would just let everybody eat whatever they wanted to, right up til the time for surgery. But we don't. We make every effort to get at least six hours between eating and surgery. We do, where I worked, permit some ice chips and small sips of water. Even if a spinal or epidural are planned, there is the possibility that one cannot be done and therefore, general anesthesia must alway be considered as a backup. I have suctioned split pea soup from a patient's lungs, among some things. It ain't pretty. except the potential for needing an emergency c-section with general anesthesia is a miniscule percentage. so everyone should be forced to not eat due to the less than 1% that need an emergency c-section? if that's the case, why do we let anyone do anything if there's that less than 1% risk. ice chips and water? would you be able to spend a day hiking with nothing but ice chips and water? so what about all the posters here who are saying their hospitals allow eating and drinking? do you think maybe where you work is just a little behind the time?
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achelois
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Post by achelois on Aug 5, 2014 17:46:59 GMT -5
Yes, we do put in a tube, but aspiration can still occur between the time you are given drugs to put you to sleep and the time we are able to get the tube in. That time can vary for a number of reasons. Aspiration is relatively rare, but is definitely possible. Even a small amount of food/fluid can cause aspiration pneumonia. Why increase the risk? If the risk were not real, we would just let everybody eat whatever they wanted to, right up til the time for surgery. But we don't. We make every effort to get at least six hours between eating and surgery. We do, where I worked, permit some ice chips and small sips of water. Even if a spinal or epidural are planned, there is the possibility that one cannot be done and therefore, general anesthesia must alway be considered as a backup. I have suctioned split pea soup from a patient's lungs, among some things. It ain't pretty. except the potential for needing an emergency c-section with general anesthesia is a miniscule percentage. so everyone should be forced to not eat due to the less than 1% that need an emergency c-section? if that's the case, why do we let anyone do anything if there's that less than 1% risk. ice chips and water? would you be able to spend a day hiking with nothing but ice chips and water? It is a small percentage, but I guess if you are willing to risk dying and leaving the baby without a mother so you can have that hamburger, go ahead. But, unfortunately, your surviving family members will sue the hospital and blame anesthesia, for one thing. Perhaps you have a method to guarantee that it will not happen to you. I have had two children and managed not to starve to death during the labor, but I guess not everyone can manage that.
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achelois
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Post by achelois on Aug 5, 2014 17:49:56 GMT -5
It is a small percentage, but I guess if you are willing to risk dying and leaving the baby without a mother so you can have that hamburger, go ahead. But, unfortunately, your surviving family members will sue the hospital and blame anesthesia, for one thing. I have had two children and managed not to starve to death during the labor, but I guess not everyone can manage that. did you have your kids unmedicated? Yes. Both natural childbirths, no meds. Why?
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Deleted
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Post by Deleted on Aug 5, 2014 17:53:28 GMT -5
except the potential for needing an emergency c-section with general anesthesia is a miniscule percentage. so everyone should be forced to not eat due to the less than 1% that need an emergency c-section? if that's the case, why do we let anyone do anything if there's that less than 1% risk. ice chips and water? would you be able to spend a day hiking with nothing but ice chips and water? It is a small percentage, but I guess if you are willing to risk dying and leaving the baby without a mother so you can have that hamburger, go ahead. But, unfortunately, your surviving family members will sue the hospital and blame anesthesia, for one thing. Perhaps you have a method to guarantee that it will not happen to you. I have had two children and managed not to starve to death during the labor, but I guess not everyone can manage that. so now everyone on here who listens to their doctor/midwife who has said they can eat/drink in labor is now putting their baby at risk? entire hospitals putting all of their moms-to-be at risk? maybe so many hospitals are changing their policy because it's been shown to not be a risk.
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MJ2.0
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Post by MJ2.0 on Aug 5, 2014 18:04:41 GMT -5
The day I gave birth I ate something at around 3:30pm. I delivered a little after 12am. I was in no way hungry or thinking about food. I really don't see the problem with going without food for 9 hours to minimize the risk of complications.
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Deleted
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Post by Deleted on Aug 5, 2014 18:05:59 GMT -5
The day I gave birth I ate something at around 3:30pm. I delivered a little after 12am. I was in no way hungry or thinking about food. I really don't see the problem with going without food for 9 hours to minimize the risk of complications. so if your doctor tells you that you can eat and you're hungry, you're just going to ignore them? and what's totally amusing is that everyone gets an epidural like it's nothing, yet it has an entire list of potential complications. yes, some of those are rare - just like an emergency c-section under general anesthesia - but no one bats an eye over those, including medical professionals.
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MJ2.0
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Post by MJ2.0 on Aug 5, 2014 18:15:10 GMT -5
It's not like they're pushing epidurals like crack on the street corner. I was just told it was available if I wanted it. I believe they told me of the risks. And I wanted it, so I got it. My only regret was not getting it sooner. I tried to it the "right" way, but it turns out that medically induced contractions are extremely painful.
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Shooby
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Post by Shooby on Aug 5, 2014 18:20:52 GMT -5
The day I gave birth I ate something at around 3:30pm. I delivered a little after 12am. I was in no way hungry or thinking about food. I really don't see the problem with going without food for 9 hours to minimize the risk of complications. so if your doctor tells you that you can eat and you're hungry, you're just going to ignore them? and what's totally amusing is that everyone gets an epidural like it's nothing, yet it has an entire list of potential complications. yes, some of those are rare - just like an emergency c-section under general anesthesia - but no one bats an eye over those, including medical professionals. What in the world are u talking about?
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Deleted
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Post by Deleted on Aug 5, 2014 18:28:09 GMT -5
so if your doctor tells you that you can eat and you're hungry, you're just going to ignore them? and what's totally amusing is that everyone gets an epidural like it's nothing, yet it has an entire list of potential complications. yes, some of those are rare - just like an emergency c-section under general anesthesia - but no one bats an eye over those, including medical professionals. What in the world are u talking about? the chance of needing an emergency c-section with general anesthesia is a miniscule percentage but nobody should eat or drink during labor just in case. the chance of serious complications from an epidural is whatever percentage but everyone accepts that risk and medical personnel even push that risk. you don't see anything contradictory in that? then we have numerous posters saying that they are allowed to eat or drink during labor since we can only assume that it's been determined that there's a very low risk of needing an emergency c-section with general anesthesia yet we have a poster who says where she works they don't allow it, so one can only assume that either her hospital is out of date or all those other hospitals/medical professionals are just risk takers. then we have the implied opinion that if you can't do 9 hours of labor on nothing but ice chips, you're a wimp.
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MJ2.0
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Post by MJ2.0 on Aug 5, 2014 18:29:25 GMT -5
As I see it, the hospital is like any other business - if you don't like their rules, don't do business with them.
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Post by The Walk of the Penguin Mich on Aug 5, 2014 18:31:53 GMT -5
a magical birth experience is getting to have your baby your way....not having to follow a bunch of hospital rules and regulations that are only in place to make things easier for the doctors/nurses, who should be there to make things easier/more enjoyable for you.Not quite. Many of the rules and regulations are in place, in the rare case of an emergency that both the mother and child wind up alive. My sister probably had the easiest, unmedicated births for her first 2 kids. In fact, they were so easy that she was considering having the third at home. Her husband dug in his heels. Turned out with the third, she had a condition called placenta accreta and damn near bled to death. I don't think I have EVER seen that much blood (I was there for the birth). It was a REALLY good thing that she had all those 'rules and regulations', or I'd likely have lost my sister as they were flowing fluids into her as fast as she was losing them. what about allowing her to eat and drink in labor would have changed the outcome? She would have risked aspiration pneumonia, because they had to do surgery on her so she got general anesthesia. Great, lose over 2L of blood, give birth, get cut stem to stern to stop bleeding and wind up with pneumonia as well. Just another unnecessary risk. I think that people assume that the risks are small....unless it happens to you. And inevitably, you'd want to sue the doctor so they're covering their ass to protect themselves. I think a lot of people don't seem to realize that many of the rules are in place because even if there is a slim risk of an emergency, if it you happen to be the one it really doesn't seem that small of a risk. Another thing is starting an IV. Should it really be necessary in most of the cases? Probably not. But in my sister's case (again, she had had 2 very normal, EASY births) she did have an IV started which was fortunate. They were flowing fluids into her as fast as she was losing them and had they tried to install an IV after she started losing blood, it would have been way more difficult - or impossible. She wound up getting 4 units of blood, and she still looked like hell when she got out of surgery.
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MJ2.0
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Post by MJ2.0 on Aug 5, 2014 18:32:00 GMT -5
....And we've officially arrived at the intersection of Projection Street and Argumentative Avenue.
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Shooby
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Post by Shooby on Aug 5, 2014 18:34:59 GMT -5
Medical professionals give advice for your safety. As for this " miniscule" risk u keep talking about , c sections are not rare. And the risks of aspiration and dying is a far more terrible complication than the risk of getting a headache or some of the epidural complications.
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swamp
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THEY’RE EATING THE DOGS!!!!!!!
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Post by swamp on Aug 5, 2014 18:37:37 GMT -5
It's not like they're pushing epidurals like crack on the street corner. I was just told it was available if I wanted it. I believe they told me of the risks. And I wanted it, so I got it. My only regret was not getting it sooner. I tried to it the "right" way, but it turns out that medically induced contractions are extremely painful. And there's the problem. The magical birth experience people tell us there is a "right" way to do it.
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achelois
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Post by achelois on Aug 5, 2014 18:38:25 GMT -5
It is a small percentage, but I guess if you are willing to risk dying and leaving the baby without a mother so you can have that hamburger, go ahead. But, unfortunately, your surviving family members will sue the hospital and blame anesthesia, for one thing. Perhaps you have a method to guarantee that it will not happen to you. I have had two children and managed not to starve to death during the labor, but I guess not everyone can manage that. so now everyone on here who listens to their doctor/midwife who has said they can eat/drink in labor is now putting their baby at risk? entire hospitals putting all of their moms-to-be at risk? maybe so many hospitals are changing their policy because it's been shown to not be a risk. You do what you want. I am retired and no longer have to worry about it. I still consider it a risk, but I have no control over the OBGYNs. If they had to do the anesthesia and accept the responsibility for the airway, which they don't, they might change their minds. At the hospital where I worked and just retired from in June, the policy was still no eating. The biggest risk of spinal/epidurals is a really bad headache, which can be treated. People DIE from aspiration.
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Shooby
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Post by Shooby on Aug 5, 2014 18:40:12 GMT -5
It's not like they're pushing epidurals like crack on the street corner. I was just told it was available if I wanted it. I believe they told me of the risks. And I wanted it, so I got it. My only regret was not getting it sooner. I tried to it the "right" way, but it turns out that medically induced contractions are extremely painful. And there's the problem. The magical birth experience people tell us there is a "right" way to do it. Healthy mom and healthy baby. However thathappens is the right way.
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raeoflyte
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Post by raeoflyte on Aug 5, 2014 18:46:45 GMT -5
It's not like they're pushing epidurals like crack on the street corner. I was just told it was available if I wanted it. I believe they told me of the risks. And I wanted it, so I got it. My only regret was not getting it sooner. I tried to it the "right" way, but it turns out that medically induced contractions are extremely painful. My hospital didn't push the epidural exactly, but they asked me if I wanted it a thousand times and it was obvious how rare it was that a person didn't get an epidural. In a hospital that doesn't even have a nursery which forces moms to room in, and actually does push breastfeeding I was shocked at how unsupportive they were of a person choosing an unmedicated birth. Sent from my ADR6410LVW using proboards
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achelois
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Post by achelois on Aug 5, 2014 18:47:06 GMT -5
Inductions are painful. There is nothing wrong with getting an epidural.
The biggest risk/most common problem, as I said, is a really bad headache.
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achelois
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Post by achelois on Aug 5, 2014 18:51:40 GMT -5
The day I gave birth I ate something at around 3:30pm. I delivered a little after 12am. I was in no way hungry or thinking about food. I really don't see the problem with going without food for 9 hours to minimize the risk of complications. so if your doctor tells you that you can eat and you're hungry, you're just going to ignore them? and what's totally amusing is that everyone gets an epidural like it's nothing, yet it has an entire list of potential complications. yes, some of those are rare - just like an emergency c-section under general anesthesia - but no one bats an eye over those, including medical professionals. We do bat an eye over them. I did anesthesia for many years and aspiration is always a concern. Just because anesthesia professionals try to avoid scaring people if there is nothing they can do about a person having a full stomach in an acute situation, doesnt mean we aren't concerned. That split pea soup patient died, you know.
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raeoflyte
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Post by raeoflyte on Aug 5, 2014 18:53:03 GMT -5
Inductions are painful. There is nothing wrong with getting an epidural. The biggest risk/most common problem, as I said, is a really bad headache. Most common probably, but not the biggest risk. Unless you have some data that I e missed. Sent from my ADR6410LVW using proboards
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MJ2.0
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Post by MJ2.0 on Aug 5, 2014 18:54:37 GMT -5
I thought partial paralysis was a possible risk...
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achelois
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Post by achelois on Aug 5, 2014 18:57:29 GMT -5
Inductions are painful. There is nothing wrong with getting an epidural. The biggest risk/most common problem, as I said, is a really bad headache. Most common probably, but not the biggest risk. Unless you have some data that I e missed. Sent from my ADR6410LVW using proboards As a percentage.
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raeoflyte
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Post by raeoflyte on Aug 5, 2014 19:01:52 GMT -5
Most common probably, but not the biggest risk. Unless you have some data that I e missed. Sent from my ADR6410LVW using proboards As a percentage. What % of people die from aspiration during a c section? My hospital didn't care if I had eaten at all with my first and only cared if they caught me eating with my 2nd. Everyone said to eat in the car on the way there. So no one viewed it as a likely danger. Sent from my ADR6410LVW using proboards
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achelois
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Post by achelois on Aug 5, 2014 19:09:52 GMT -5
What % of people die from aspiration during a c section? My hospital didn't care if I had eaten at all with my first and only cared if they caught me eating with my 2nd. Everyone said to eat in the car on the way there. So no one viewed it as a likely danger. Sent from my ADR6410LVW using proboards I don't know offhand. As I said, my hospital considered it a risk and I consider it a risk. If you have one patient die due to something that could have been prevented, it is too many. As I said, if it were not a risk factor, we would let everyone eat before surgery. The funny thing about emergencies is that you dont always know when they are going to happen and you cannot always know in advance who will aspirate and who wont. Luckily, I am retired and do not have to worry about it. Eat as much as you want. Not my problem. I am sure it will be a great comfort to the family members of the few people who do aspirate, to know the patient was in a very small minority.
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raeoflyte
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Post by raeoflyte on Aug 5, 2014 19:16:05 GMT -5
What % of people die from aspiration during a c section? My hospital didn't care if I had eaten at all with my first and only cared if they caught me eating with my 2nd. Everyone said to eat in the car on the way there. So no one viewed it as a likely danger. Sent from my ADR6410LVW using proboards I don't know offhand. As I said, my hospital considered it a risk and I consider it a risk. If you have one patient die due to something that could have been prevented, it is too many. As I said, if it were not a risk factor, we would let everyone eat before surgery. The funny thing about emergencies is that you dont always know when they are going to happen. Luckily, I am retired and do not have to worry about it. Eat as much as you want. Not my problem. You're missing the point about drawing the line about certain risks and not others, but whatever. Hopefully you don't have to drive anywhere in retirement considering how risky cars are.
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achelois
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Post by achelois on Aug 5, 2014 19:19:03 GMT -5
No I am not missing the point, but not all risks are equal.
But you know more than I do, I guess. I only did anesthesia for twenty years or so.
But, it is your risk to take and since I am retired, I do not have to shoulder the risk of anyone's choices anymore.
When a patient makes risky choices it doesnt affect only the patient, but also the family and the anesthesia provider.
I do not drive at night any longer because I am older because I do believe in minimizing risk. I am looking out for people's welfare as much as I can.
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