Quote from Dayray
I wish I could find the article that was published in many newspapers a few months back. It's been researched and proven that rules about 4cm or 5 cm before getting an epidural don't decrease the risks of C/S, failure to progess or fetal distress..
I find that very interesting. I will look for that research when I have time. If our patients are 3-4 cm and contracting every 2-3 minutes, they're going to get an epidural. If our patient's are 2 cm and the doctor orders it, they're going to get an epidural. Each doctor is differant and there are very few hard and fast rules. There are numerous factors that we take into consideration.
My biggest complaint with the epidurals is that there are just too dense and I hate that these patients are so numb they can't even move their legs! Sometimes it's just perfect - the patient isn't really hurting but they can feel contractions and move their legs...but for the most part they end up not feeling a thing and then when it comes time to push, especially if they are a gravida 1, it's a pain in the butt. Laboring down helps to an extent, but if it's a big baby, you're gonna have to PUUUUUSSSSHHHH!
Most patients here would rather gamble with an increased risk for c-section then hurt...and I don't judge that decision. I did have my one and only child without an epidural...notice how I never did it again after that!!!
As far as ironing goes, I have not done that either...I hate ironing of any kind. Some people say it works...some people say it does not...that's one thing I'm trying to learn more about. I don't want to be responsible for causing damage, but if there's more I can do to help, I want to learn about it. Yesterday, my patient's doctor was pushing with the patient (this is very rare - she is a female doctor that is partnered with another female and they actually push with their patients..the more experienced nurses HATE it, but I'm always hoping I can watch and learn instead of trying to figure what works and what doesnt by trying this or that. Anyway the doctor basically had her fingers inside of the vagina, rotating completely around the baby's head with lots of gel and ironing (as Dayray described) every time the patient pushed...I really don't know if it made a differance in speeding up delivery...I do know the patient was extremely swollen afterwards. I suppose it made a differance...it looked like it would...why else would she do it?