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]I don't disagree with what anyone is saying but no one is talking about the fact that giving birth is more than "uncomfortable." It's not like asking someone to just tolerate a headache without Advil. For many women, the pain is completely unbearable, hence why they want and get an epidural.

Being denied an epidural in the throes of labor if you are not prepared or planning on an unmedicated delivery I would imagine was probably very traumatizing for your friend. How is she handling her feelings? It is a real shame that her OB did not recognize this issue before so a plan could have been put into place in advance and that responsibility is really on the OB if he/she was aware of the condition of your friend.

The WHO recognizes that "Many women appreciate some form of pain relief in labour and would like a choice of options."

Was she given any other options for pain relief? The new WHO Intrapartum Guidelines state:

"Parenteral opioids, such as fentanyl, diamorphine and pethidine, are recommended options for
healthy pregnant women requesting pain relief during labour, depending on a woman’s preferences."

Did they offer her anything like that?

http://apps.who.int/iris/bitstream/handle/10665/260178/9789241550215-eng.pdf?sequence=1

[/quote]

[b]I'm sorry but all women should be prepared with pain free birthing techniques. [/b]I know A LOT of women who were unable to get epidurals because their labor progressed too fast or they couldn't get to the hospital in time. You should be prepared for a worst case scenario.

It's not like they're performing a csection on you without pain medicine.

In most 1st world countries women labor with nitrous oxide instead of epidurals. Many hospitals around here are now offering that as an option. [/quote]

As much as no one wants to hear it, Medication durin/ at birth is a comfort measure, not a medical necessity.

Depending on the medical reason for refusal of the epidural, opiates may also not have been an option OR the hospital may have no protocol for using them.

It goes against the grain to say so, but no woman should rely on the fact that she can and will get pain relief during labour. There are a lot of medical reasons not to. [/quote]

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