Discussion Starter · #1 ·
Does anyone have any suggestions for my clients who must have cesareans and still want to be very alert to breast feed afterwards? In this hospital in Florida the doctors like to use spinals and not epidurals for scheduled c/s. They feel it works better for some reason I do not understand. But after the birth they want to give the mothers a large dose of narcotics for pain control. One mother who has a bad reaction to narcotics had to insist that she get Tramadol. The doctor said it could cause some bleeding at the incision site but agreed. Other mothers who he insists on giving the narcotics fall asleep shortly after the surgery and they are not alert for nursing. When we asked for a 24 hour spinal they first said there was no such thing and then they said it was not safe because the mother would need much more supervision for the 24 hours after surgery. I would think a drugged mother would need a lot of supervision too. It seems they use these 24 hour epidurals regularly in some places. I looked it up on line and it seems pretty common place. My question is why would a doctor use a spinal instead of an epidural and why do some use 24 hour epidurals and spinals and others won't?