Epidural vs spinal block????

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Registered: 03-27-2003
Epidural vs spinal block????
8
Wed, 05-28-2003 - 12:50pm
Hi, I have never posted here, but am looking for opinions from you all. This will be my 3rd c-section. I am having it on July 3rd. My 1st one I had epi and had no problems, my 2nd I got epi as well, but for some reason didn't take and I felt most all of it. They were saying they were going to put me under so I told them I was numb but I wasn't. Anyway, I'm just wondering if this is possible for it not to work again? Should I ask for spinal this time? What are the pros and cons of each? Has anyone else had good/bad experiences with either? I'm just trying to figure out what to do. I just don't want to feel tis surgery as I did last time. Thanks SO much!!

Catha c-section #3 July 3rd

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Registered: 03-26-2003
Wed, 05-28-2003 - 4:34pm
Catha...I work in Labor and Delivery and I just spoe with an anesthesiologist about this. A spinal is realy the preferred method of anesthesia for a c/s. It is a one time shot, so you don't have a catheter in your back. It provides a more complete block and is less likely to be ineffective or have "hot spots" as an epidural can. It doesn't hurt any more to put in (just a sting from the local going in), though you do have a 1-5 percent chance of developing a spinal headache (which can ususallu be remedied fairly easily). I don't blame you for not wanting to feel the surgery...how awful! They will do a skin test to see how much (if anything) you can feel. Be honest with them..it's their job to make you comfortable.

Jessica

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Registered: 03-27-2003
Wed, 05-28-2003 - 6:02pm
Jessica, thank you so much for your information. I did talk to the dr last week during pre admission and he said it just depends on who you get to do it. Some prefer one and some prefer others. Is there anyway I can ask for a specific one or do I do which one they feel more comfortable doing? Thanks again, Catha

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Registered: 03-26-2003
Thu, 05-29-2003 - 4:33pm
Yes. You should be able to state your preferences and get the type of anesthesia YOU want. Since the epidural didn't work well (or at all) for you, I can't see why an anesthesiologist WOULDN'T go with a spinal this time. Remember, this is your body and your experience and you want to be comfortable. Just state matter of factly to the anesthesiologist that you had a horrid experience with an epidural and would prefer a spinal. Stand you ground. If they won't do one ask for someone else. Better yet, bring it up to your OB before the surgery and tell him/her that you want a spinal and request he/she line up an anesthetist who they know does spinals.

Best of luck to you.

Jessica

Avatar for paynes79
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Registered: 04-03-2003
Mon, 06-02-2003 - 1:04pm
Here when a scheduled c/s is done a woman is automatically given a spinal, the only time they do a c/s with an epi is if the mother already had it during her labor then needed a c/s. I had an epi with my first, I had a crash c/s not even an hour into my active labor. I didn't like the feeling of the epi wearing off. I felt a lot of discomfort when it was wearing off. As for my second c/s, it wasn't planned... but I was already at the hospital(non stress test) so they decided because I was 2 weeks over due to just do the c/s. I walked into the OR and hopped up on the table and they gave me the spinal. The discomfort of it being given was the same... but a world of difference for me when it was wearing off. Bottomline... I loved the spinal compared to the epi...and with this c/s on 8/1 I am having a spinal again.

Hope everything works out.

Sarah

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Registered: 05-25-2003
Tue, 06-03-2003 - 11:35pm
During my first C-section, my epi didn't work, I went under general anesthesia. I had an emergency c-section with my second and had general anesthesia. I had an epi with my third child, I liked it, it was great. I had a spinal for my 4th c-section. I could FEEL them. I felt no pain, but I FELT their hands. I had an epi for my 5th and 6th c-section. I don't know why it doesn't work sometimes but it dosen't seem to be a recurring thing.

Ann
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Registered: 03-27-2003
Fri, 06-06-2003 - 4:00pm
For those of you that had the spinal, did you feel a lot of pain the next day or so? I had an epi. (was already in labor when they did the c/s) and they put a lot of pain meds in it which lasted the first 24 hours or so, was wondering if the spinal was the same. I never needed to take any pain meds after that, which was nice. Ree
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Registered: 04-05-2003
Mon, 06-09-2003 - 9:46am
I had both my csxns w/spinals at 7:30 a.m. (also both on a Tuesday, isn't that weird?) Anyway - to give you an idea - w/each spinal, I wasn't allowed pain meds, i.e. percoset until 11:00 p.m. that night and I was starting to really need it by then. I am also a *huge* pain wuss so maybe other people didn't think it was too bad. I highly recommend getting some pain meds *before* they remove the catheter - that to me was the worst part of the whole surgery recovery. Again, huge pain wuss here. I also didn't realize that you can ask for meds to help you sleep - which are different than the pain meds. You have to ask your dr. to order them for you though. I did that w/my 2nd and it really helped.

I know I must sound like Charlie Sheen, but I have always really needed alot of pain medication in the hospital. Afterwards at home I take 1-2 percosets per day for about 4-5 days then I'm fine.

Good luck to you!!

Stephanie edd 7/22 w/#3 (3rd csxn)

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Registered: 03-27-2003
Sun, 06-15-2003 - 10:37pm
Baby #1 was a c-section after failure to progress. I was given a spinal since I hadn't had an epidural at that point. Didn't feel anything during surgery and all went well although I was so out of it after having been awake for way too long hooked up to pitocin trying to get labor going after water broke. I did get a spinal headache due to vomitting following the delivery and trying to sit up for that. It was painful, but not unbearable. I did have a hard time in general recovering from that c-section. Baby #2 was a planned c-section. I was given an epidural. I didn't really care for the sensations I could feel during the c-section. I could feel every thing they did- it didn't hurt, but I could feel it and it was very gross. It made me kind of panicky. However, I did recover much faster from that surgery. I now have baby #3 due in November and am planning to have a chat with the OB about anesthesia. I have had different doctors for each baby due to relocation so each experience has been slightly different anyways. Good luck!