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]Pretty sure ACOG totally changed 50 years of labor guidelines based on one study done by Zhang. So yeah, women deserve to know that and decide if they want their labor to be managed more conservatively. That’s feminist—giving people all the info and letting them make their own decisions to the extent possible.

“We assert that the dilatation curve promulgated by Zhang et al cannot be reconciled with direct clinical observation. Even if they were correct, however, it still does not follow that the ACOG/SMFM guidelines should recommend replacing the coherent system of identifying and managing labor aberrations described by Friedman. That system is grounded in well-established clinical principles based on decades of use and the objectively documented association of some labor abnormalities with poor fetal and maternal outcomes. Recommendations for new clinical management protocols should require the demonstration of superior outcomes through extensive, preferably prospective, assessment. Using untested guidelines for the management of labor may adversely affect women and children.”[/quote]

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