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Ignorant question alert!<br><br>
When my sister had a baby in the late 1980s, she requested a paracervical block instead of an epidural. I never hear about this option being offered any more, and <a href="http://www.thebirthsurvey.com/statistics/stats.php" target="_blank">The Birth Survey</a> site is showing that they aren't happening at NYC hospitals.<br><br>
I'm as big of a natural childbirth proponent as they come, but I'm also really curious what happened to this option???
 

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A wild guess here: according to my <span style="text-decoration:underline;">Obstetrics for the nurse</span> text by Anderson and Shapiro, page 140 under local anesthesia, with a discussion about pudendal blocks and...<br><br><div style="margin:20px;margin-top:5px;">
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<table border="0" cellpadding="6" cellspacing="0" width="99%"><tr><td class="alt2" style="border:1px inset;">...local anesthesia immobilizes only a local area and is the safest for the baby and mother. Locals may be produced by injecting the drug directly into the perineal area. The advantages are that it cannot harm your baby and the mother does not experience nausea or vomiting.</td>
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29<br><br><div style="margin:20px;margin-top:5px;">
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<table border="0" cellpadding="6" cellspacing="0" width="99%"><tr><td class="alt2" style="border:1px inset;"><b>paracervical block anesthesia</b> is a form of local anesthesia. It can be administered to the patient in labor when only partial dilatation of the cervix has occurred. An anesthetic solution is injected into the region around the cervix to reduce the pain caused by the dialatations. However some obs think that this kind of regional anesthesia could have a depressing effect on the infant and may slow the rate of cervical dilatation.</td>
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68<br><br>
There is a picture of what is involved in delivering this kind of regional anesthesia, and much of it is done by touch not sight, so I suspect most doctors have been trained to do epidural because they can SEE what they are doing. A midwife once told me that it is possible to inject the drug into the baby if the baby's head is closer than anticipated.<br><br>
It also discusses demerol, meperidine, scopolamine, inhalants, caudals, epidurals, spinals and saddle blocks.<br><br>
The book is published in 1981.<br><br>
As in Williams Obstetrics, it states at the beginning of the chapter on drugs for labor that<br><br><div style="margin:20px;margin-top:5px;">
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<table border="0" cellpadding="6" cellspacing="0" width="99%"><tr><td class="alt2" style="border:1px inset;">There is no drug that overcomes the pain of labor and is perfectly safe for mother and baby.</td>
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18<br><br>
More:<br><br><a href="http://www.americanpregnancy.org/labornbirth/pudendalblock.htm" target="_blank">http://www.americanpregnancy.org/lab...endalblock.htm</a><br><a href="http://www.manbit.com/OA/c46.htm" target="_blank">http://www.manbit.com/OA/c46.htm</a><br><a href="http://findarticles.com/p/articles/mi_m0689/is_n5_v28/ai_7923093?lstpn=article_results&lstpc=search&lstpr=external&lstprs=other&lstwid=1&lstwn=search_results&lstwp=body_middle" target="_blank">http://findarticles.com/p/articles/m...wp=body_middle</a><br><a href="http://www.who.int/reproductive-health/impac/Procedures/Paracervical_block_P1_P2.html" target="_blank">http://www.who.int/reproductive-heal...ock_P1_P2.html</a>
 
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