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What anaesthetists (don't) want women to know

One of my colleagues contacted me again today regarding the battle she is having with the anaesthetists in her area and the information they (don't) want women to have regarding epidurals. I have written before about this issue (December 12, 2002) and these guys are still being difficult.

They had banned my book "Preparing for Birth: Mothers" because they didn't like some of my information. I took note of their concerns when preparing the new edition, which is out now and I have sent a copy of it to my colleague so she can show them what it now says. In this updated and expanded edition I have included a new anatomically correct (rather than schematic) diagram of the spinal cord that shows exactly where the various anaesthetic injections are inserted. I have also included information on how to obtain the references I have used to compile the details (all available on our website), and have made some small alterations in the text to clarify some of the points about spinal anaesthetics, which were not very clear before. I will be interested to see what they have to say!

Also new are sections on ideas for labour where the baby is in a posterior position, using water for labour and birth, suggestions for staying upright when technology needs to be used and a new diagram of the "cascade of intervention". Many of the illustrations are new too. It is now 60 pages and has additional space for the writing of personal notes - useful for class use.

This is easily the most popular handout for prenatal education programs in Australia and the only one that offers information in depth that is accurate and evidence based. It is hard to see why anyone would object to its being used as a class resource, but it seems that some doctors are feeling sufficiently threatened by its contents to take the dramatic step of having it banned. It must be really good!

Posted by andrea at July 04, 2003 04:57 PM

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