Review on epidurals?

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Hello all. I'm going back to L&D after 2 years out of hospital nursing. My previous L&D experience was in a rural facility that was fairly low-intervention. We did lots of labor support (yum) and few epidurals. Now I'm headed to a larger facility where most patients get epidurals. Can anyone recommend a good review (book, website, journal article) so that I can get up to speed?

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Specializes in Education, FP, LNC, Forensics, ED, OB.
Hello all. I'm going back to L&D after 2 years out of hospital nursing. My previous L&D experience was in a rural facility that was fairly low-intervention. We did lots of labor support (yum) and few epidurals. Now I'm headed to a larger facility where most patients get epidurals. Can anyone recommend a good review (book, website, journal article) so that I can get up to speed?

Hello, mamallama

You can access the AWHON site......great info on up-to-date issues in OB including guidelines on epidurals.

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Thanks, Siri. AWHONN's always helpful!

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Specializes in Case Mgmt; Mat/Child, Critical Care.
Hello all. I'm going back to L&D after 2 years out of hospital nursing. My previous L&D experience was in a rural facility that was fairly low-intervention. We did lots of labor support (yum) and few epidurals. Now I'm headed to a larger facility where most patients get epidurals. Can anyone recommend a good review (book, website, journal article) so that I can get up to speed?

Here is a good article/website:

http://www.aafp.org/afp/981115ap/vincent.html

http://www.healthpages.org/AHP/LIBRARY/WOMEN/PREGNANT/LABRDELV/epidural.htm

The 2nd website has some good info also, but I don't necessarily agree w/all the "disadvantages" listed.

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The 2nd website has some good info also, but I don't necessarily agree w/all the "disadvantages" listed.

This comment caught my attention, so I went and looked at the website. I don't know who wrote it, but they got quite a bit wrong.

Kevin McHugh, CRNA

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The second website in NOT a good one. Little factual data and very skewed against epidurals. Not a good resource for a health care professional.

"If you cannot feel the contractions, you probably will not be able to push. The baby will then be forced down the birth canal by someone pushing down on your abdomen at the top of your uterus and/or forceps will be placed around the baby's presenting part, usually the head, and pulled. Both methods produce some risks to the baby. Many experts feel that the timing of the re-injections determines whether the woman can feel her contractions."

Here is an example of the poor information.

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Specializes in Education, FP, LNC, Forensics, ED, OB.
This comment caught my attention, so I went and looked at the website. I don't know who wrote it, but they got quite a bit wrong.

Kevin McHugh, CRNA

The information on the webpage regarding the above site is 8 years old. I, too, viewed it and found it tainted when dealing with epidural patients.....

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Specializes in Education, FP, LNC, Forensics, ED, OB.
Here is a good article/website:

http://www.aafp.org/afp/981115ap/vincent.html

http://www.healthpages.org/AHP/LIBRARY/WOMEN/PREGNANT/LABRDELV/epidural.htm

The 2nd website has some good info also, but I don't necessarily agree w/all the "disadvantages" listed.

The second site is informative for women who frequent the site, but, hardly up-to-date with today's obstetrical medicine.

You might want to delete this info, moondancer for it really does not help healthcare providers.......IMHO...... :balloons:

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