38.5 week updateWell, I had a very easy, AROM induction with my third baby and would choose AROM-only over pitocin any day of the week, your list notwithstanding. For starters, my...
38.5 week updateMy bp is being good for me this week. My bp and pulse are really high...
My first thought was that the mother reclines on the bed with an epidural and that this would probably cause the baby to move to the wrong position (it's been hypothesised that sitting in low, squashy furniture has caused a rise in the number of babies with posterior presentation).
I wonder if the awkward position women have to adopt in order to have the epidural inserted has an effect too.
More interesting to me was how the CS rate went up based on fetal position -- 6.3 percent with face down, 65 percent with face up, and 74 percent with face sideways. I can certainly understand why a woman with a baby facing sideways might end up with failure to progress-exhaustion, but hadn't realised that the posterior presentation would do the same thing.
The other notable point was the epidural rate -- 92%. Here are the 2003 rates for medicated pain relief types in NSW:
Epidural 27.7% General anaesthetic 5.5% IM narcotics 24.8% Nitrous oxide 46.5% Spinal 12.6% (the rate of use of spinals has more than doubled since 1999) Nil 10.5%
-- Chookie -- Sydney, Australia (Replace "foulspambegone" with "optushome" to reply)
"In Melbourne there is plenty of vigour and eagerness, but there is nothing worth being eager or vigorous about." Francis Adams, The Australians, 1893.
