Category Anesthesiology

A scree on Andre Picard’s recent op ed…

I don’t think I’ve written a post in a while…more than a year?  I’ve been busy.  But something recently inspired me to come out of my “retirement,” and that something was Andre Picard’s piece in the Globe and Mail, “It’s time to stop treating pregnancy like a disease.” It is so egregious, so ignorant and […]

The connection between poor labour analgesia and PTSD

This is my second Mother’s day.  I don’t remember what we did last year.  I remember I had just gone back to work and was relieved to get out of the house and away from the baby to do adult things.  So maybe I wasn’t in much of the correct mood to celebrate Mother’s Day. […]

Memorial Hermann Hospital Live Tweets C-Section

This is damn cool. For those of you who are wondering what a c-section is like these 18 youtube videos take you through the entire process.  This c-section occured at Memorial Hermann Hospital in Houston Texas…they are live-tweeting different operations.  My workplace (and one could argue medicine in general) has such an antiquated approach to […]

The eye of the hurricane

You know when you are watching Grey’s Anatomy or ER (in syndication, of course) or any other of the various medical dramas and there is a scene where a patient is in deep trouble, usually dying, and they present the scene to you in slow motion with some emotionally charged music layered over it? It’s […]

2 cm, 8/10

Okay, so back in the 1980s and 1990s there were a bunch of crappy poorly controlled observational studies that showed that epidurals in labour were associated with a slowing of labour and an increase in caesarean deliveries.  The ACOG then came out with a statement that it would be better to wait to initiate epidural […]

A more friendly kind of c-section…

First off, let me say that the caesarean section (CS), as a piece of technology, impresses me.  Greatly.  It has saved countless moms and babies from death and significant disability.  Without the CS, my husband wouldn’t have been born alive and his mom would most certainly have died (placenta previa).  It doesn’t take long to […]

A birth story…I have you to thank for my epidural

I wanted to share with everyone this letter I received from a reader because I think she brings up some important points about the culture our society has created around birth and what should be some very personal decisions made between a woman and her care provider.   I share this with you with her […]

Is pain relief part of “normal birth?” Obstetricians, midwifes and birth activists in the UK don’t think so.

On the 14th of August the Royal Collage of Obstetricians and Gynaecologists of the UK, in collaboration with The Royal College of Midwives and the National Childbirth Trust (or NCT) released a document entitled, “Making sense of commissioning maternity services in England – some issues for clinical commissioning groups to consider.”  The founder of the […]

A perfectly reasonable request.

The last time I was on call I went walking through the maternity unit/ LDR.  I do this every time I’m on call, not because I’m “trolling for work” or trying to find an impressionable woman in labour that I can foist an epidural on, nope it’s part of “resource management.”  See, in the middle of […]

When a good anesthetic goes bad – anesthetic failure during c-section

Someone (thank you Mona Lisa) sent me a link to an article about a nightmare c-section where a woman felt the entire surgery and asked these questions: Why does this happen?  Can it be fixed mid surgery, or does the anesthesiologist have their hands tied?  Several mothers have commented on Navel Gazing Midwife saying this […]