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Vicky
Lv 7

New mummies: if you had a c-section because of placenta previa ...?

I've read that an epidural or spinal block would not be recommended for a cesarian section because of full placenta previa. I'm a little upset to think that my only option is going to be a general anesthetic, so I'm wondering if anyone out there has had an epidural for this condition and surgery? I want to see my baby being born!!!! Thanks ladies :)

Update:

thanks Saffron. I read about that recommendation in the 'What to Expect when you're Expecting' book, and it didn't seem to make much sense to me either, given the nature of epidural pain relief, so I'm really glad you found that info! Thanks!!!!!

2 Answers

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  • 1 decade ago
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    I have never heard of this before (epidurals and spinals being not recommended for previa) so I looked it up.

    Here's a study that says epidurals are superior to general anesthesia for grade 4 placenta previa, also noting that women who received general anesthesia had more transfusions: http://www.uptodate.com/patients/content/abstract....

    I kept looking and couldn't find any research saying that an epidural would not be recommended - in fact, everything I saw referred back to the study I linked to, which says epidurals are preferred. The only other mention I did see was that if your placenta begins detaching before the surgery is begun, general anesthesia may be preferred because it is so much faster to take effect in this possible emergency situation.

    I would talk with your doctor and see what the anesthesiologists at your hospitals typically prefer to use and under what circumstances. It sounds like you can choose the epidural if the placenta is still fine when you go in for the surgery, but if you start bleeding beforehand, it may become emergent enough for general anesthesia to be the safest option.

    Source(s): childbirth educator, doula, searched for research on this topic.
  • Anonymous
    1 decade ago

    Never heard that they weren't recommended since everyone i know, including myself that's had a c-section had an epidural. you see your baby after they take it out, you just wouldn't want to see yourself cut open.

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