Reply to how common is it for the anesthesiologist to refuse to give an epidural?

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Reply to "how common is it for the anesthesiologist to refuse to give an epidural?"

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]doing something that women have done for millennia, and continue to do, without intervention [/quote]

To be blunt, what women have been doing for millennia= dying of complications of natural childbirth that are readily preventable with modern medical interventions. By itself, the Zavanelli followed by a splash and slash crash C-section probably saves thousands of lives a year.[/quote]

And the Gaskin maneuver has probably saved just as many women from your charmingly named “splash and slash.”

Look, there are definitely mothers and babies who would not be here (or be doing as well as they are) without medical intervention.  But there are also many who were subjected to excessive interventions, one-size-fits-all approaches, and other attitudes and habits that were not exactly evidence-based, and sometimes downright harmful. [/quote]

Well, modern medical care has greatly reduced the infant and woman mortality rate, so I think I'll take our "medical interventions" overall as a great improvement to humanity.  Of course there are issues with overtreatment and iatrogenic harm -- in all of medicine.  But I seriously doubt anyone wants to give birth in a mud hut.  [/quote]

The hilarious part in your rant is that ANY intervention,including pain control for the mother, can result in iatrogenic harm.  They can decrease respiratory rates, ability to move and push, and while host of effects.

So [b]interventions may have decreased mortality rates[/b], but we need to look at which ones, and why they are being administered.

No one wants to talk about the hazads to the mother, until the mother is truly in dire straights, it sounds easy (eg. “Epidural”, until something goes wrong end there are complications).

[/quote]
C-sections decreased mortality rates on a population level until they got to a rate of 15-20% of all births. That's when the neonatal mortality rate leveled off. When CS rates got into the mid-20%s is when maternal mortality rates started to slowly rise again.

Inductions have been shown to have no effect on the neonatal mortality rate, nor prevention of stillbirths, despite routinely being used for that purpose.[/quote]

But we’re not talking c sections. We are taking anaesthesiolgists and pain control. Keep up with the topic at hand.

Pain control is a totally different type of intervention than a c section. Pain control is not saving a life, it’s helping quality of life. You don’t want to acknowledge it but there is a difference. And that’s why the hazards are different. [/quote]

what's your point? you can't do a c section without anesthesia...[/quote]

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