Category Epidurals

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. […]

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 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 […]

What I’ve been reading…the Women’s Health and Education Center

I stumbled across this site run by the Women’s Health and Education Center which is associated with the UN.  And I really really dig it. Some choice quotes: “The use of techniques and medications to provide pain relief in obstetrics requires an expert understanding of their effects to ensure the safety of both mother and fetus. Positive attitudes […]

The “mandatory” labour epidural…

I come across quite a bit of information on the internet about how bad epidurals are, how risky they are, how they will eat your babies with butter and salt and torture puppies…Okay, maybe not the last two but I think you get my drift. There is this idea of a “mandatory epidural” circulating on message […]

Adore-phin highs

I’ve been thinking a lot about this twaddle I hear and read all the time about the “endorphin-high” you get when you push a baby out of your va-jay-jay without any pain medication. The theory is that, in response to pain, your body produces endorphins and natural opioid-like substances which act on your brain and spinal cord […]