Category Epidurals

Epidurals and progression of labour

Today I’m going to investigate the claim made by NCB advocates that epidurals slow down labour.  I use the term “today” loosely,  I have a young infant and he hasn’t quite figured out how to be self-sufficient yet. “executive summary” epidurals prolong the first stage of labour compared to opioids for analgesia – but only by 30 […]

Epidurals and Breastfeeding II

Sorry…this post is going to be a TL,DR (too long, didn’t read) for many people so here is the summary: There are only two studies that are prospective, randomized trials of epidural medications and their effects on breastfeeding.  The first, by Beilin and friends (et. al.) found no association between epidural medications and breastfeeding difficulties […]

What really happens during a C-section

I find it absolutely appalling that many childbirth “education” classes don’t cover Caesarian sections (C/S) or gloss over them.  Statistically, 20-30% of women will have an operative birth.  Birth, by the way, is thus defined by the free dictionary, “the emergence and separation of offspring from the body of the mother.”  Birth does not require […]

Labour Epidurals and Breastfeeding – lets review the evidence

One of the reasons I decided to start blogging in the first place was this post at Science and Sensibility.  For those that don’t know, Science and Sensibility is the blog-face of Lamaze, and as such, they promote natural childbirth while claiming to be evidence based.  Now, call me old-fashioned, but I don’t think you can […]

Labour epidural pain relief – will it keep me from bonding with my baby?

If you go to a message board that concerns itself with natural childbirth…or any message board about birth in general, chances are you will find a post where a woman asks about whether or not she should get an epidural or why she should refuse and epidural and go “all natural.”  The on-line community will […]

Epidurals – Part I Introduction and Declaration of Bias

I’m saddened by all the misinformation circulating around the web with respect to epidural analgesia/ anesthesia.  Most of this information seems to be propagated by individuals who are biased against the technique.  My understanding of the technique is quite good – I am, after all, an anesthesiologist.  I want to put some information out there […]