Originally Posted by Storm Bride
Ah - I've never had any kind of spinal catheter, and I'd kill anybody who tried to give me one. I have to put up with the anesthetic during the surgery (which is just one reason I hate having my babies through surgery), but there's no way in hell I'm letting muck with my spine further just so I can stand up without pain. To me, pain isn't that big a deal, compared to having stuff stuck in my spine (I actually considered telling the OB that if he was going to coerce me into a section, he was going to have to do without the evil anesthetic, just so he couldn't pretend he wasn't hurting me.)
I have had Duramorph (I believe - something morphine related). It was given to me last time without the anesthestist telling me he was administering it, which made me furious as I'd already told the doctor I didn't want it. I'm not exactly allergic to it, but it does make me itch...and I'd rather have somebody come into my room every half hour and cut me than have to put up with the itching. As my dh says, I can deal with pain - but not so much with discomfort (the sweat from sitting under a window in the sun was worse than the incision pain, which was bad enough).
I'm confused. How can you have had Duramorph without having had a spinal or epidural? DH does anesthesia, and according to him, the ONLY way Duramorph is admininstered is through either a spinal or epidural.
You can get straight morphine through several other routes (pill form, shot form, IV, PCA pump, etc), but NOT Duramorph specifically. As for the itching, that's one of those things that happens but I honestly didn't even think about it til you reminded me. I took Benadryl for itching both times and that was the end of the itching. I had it IV the first time, but that made me *really* sleepy, so I asked for pills the next time. It just wasn't a big deal to me...another example of how different women are in how we look at various aspects of how we gave birth.
Anyhow, the addition of Duramorph to a spinal is a matter of putting the meds in through the catheter prior to removing it (with a spinal, the catheter is placed, the meds are administered, and then the catheter is removed BEFORE surgery ever begins). It's nothing more than an additional dose of something, it's not like they have to poke you twice or leave the catheter in to dose it.
What kind of anesthetic DID you have if you didn't have any type of spinal catheter? An epidural and spinal go in the EXACT same place, the spinal actually goes INTO the spinal space, whereas the epidural does not, however the spinal provides much better and faster numbness in comparison to an epi. Also, the fact that the spinal does not involve leaving the catheter in place like with an epidural means less chance of infection, although the risk is still obviously not zero.
Did you have a general anesthetic? Surely not....That's a heck of a lot riskier compared to either spinal or epi, ESPECIALLY in a pregnant woman. Typically general anesthetic is reserved ONLY for the most dire emergencies or when the spinal or epi doesn't work as the risks go up exponentially for mom with the use of a general anesthetic. It's one thing if there is no other choice, but I've honestly never heard of a woman having a section under general BY CHOICE since it IS much riskier.
And the only other option I can think of would be a local, and while I have heard it is theoretically POSSIBLE to do a crash section under local anesthetic only, the doc would have to be one barbaric person to even attempt such a thing unless the baby was DYING and no other option was available.
So, color me confused, but what kind of anesthetic DID you have if you have never had a spinal catheter placed?