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Expectant and Postpartum Moms
Reply to "risked out of Wisdom, now what"
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[quote=Anonymous]I'm one of the PPs who posted about being glad to be with MCA, but want to weigh in on the epidural issue. I think there's a world of difference between someone who wants an epidural as early in labor as possible, and someone who wants to either delay it or take a wait and see approach. Most of the potential complications from epidurals come when they're placed early on, so I don't think it's outside of a midwife's expertise to work with a woman to delay the epidural until active labor is well-established. I just don't think it's that clear-cut. At the MCA information session I went to, a woman asked about whether they'll work with patients who know they want an epidural, and the midwife (Dusti, I think, who's no longer there), said that they prefer their patients not enter the hospital lower back first to get the epidural, but will work with someone who wants anesthesia. She also mentioned the importance of childbirth classes, which are strongly encouraged, and alternate forms of pain management. Again, I don't think those who want the epi asap would seek out a midwife, and I do think there's middle ground. I mean, wouldn't outcomes be improved if women were supported in their decision to delay epidurals, rather than forego them altogether? That wouldn't prevent all epidural-related complications, but it would probably reduce a lot of them. Seems like that's a worthy goal.[/quote]
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