Originally Posted by alegna
And see, if there's time to do an epidural then I would not consent to either as it wouldn't be an emergency.
Thank you for your opinion.
Just a note of fact
, an assisted delivery is considered an emergent situation - if it doesn't work during a limited trial, mom is brought to the O/R for a C/S. In an emergent situation, most hospitals can administer an epidural in less than 10 minutes.
I point this out because most people have heard of a friend of a friend of a friend who, during a "routine labor" (whatever that might be), begged for an epidural and it took 20, 30, or even 60 minutes for the anestesiologist to arrive and administer it.
Additionally, according to ACOG, while epidural anesthesia is preferred, either forceps or VE can
be used with a local anestetic to the perinieum. And I have also learned that the types of "caps" in VE most commonly used today are a flexible plastic so they can be folded and inserted into the vaginal canal so they cause far less discomfort and trauma to the mother.
Of course prior to the decision to assist the delivery, mom should (and should be encouraged to) move into different positions. And, during the few minutes she is waiting for the anesthesiologist to arrive and set up for the epidural, she should continue her attempts to get the baby to move.