+ Reply to Thread
Results 1 to 7 of 7
  1. #1
    Join Date
    Oct 2011
    Posts
    1,935
    Thanks
    393
    Thanked
    1,325
    Reviews
    0
    Achievements:Topaz Star - 500 posts

    Default For anyone planning to use an epidural

    Ok, so first of all, I'll just recap what we all know ie no epidural is better for getting baby out, reducing time in labour, reducing chance of c-sec, etc.


    However - for those planning on an epidural, I thought I'd just mention this that I just came across.

    A study has trialled using peanut balls in labour where epidurals have been used and found they were really effective for reducing the time in labour:

    I have cut and paste the study abstract (PB = peanut ball) but if you want the full study PM me.

    (you can also see from the results that the PB group required less instrumental deliveries, and also that syntocin is associated with longer pushing etc)

    Methods

    Patients in both groups were turned every 1 to 2 hours from side to side or semi-Fowler. The PB would be applied between the patient's legs after the patient received the epidural. The control would monitor the patient beginning at the time the epidural was placed.


    Results

    The randomization assigned 200 laboring women to either the PB (n=107) or no PB (n=93). The primary outcome was women using the PB had a first stage labor time of 258.8 versus 341.9 minutes for those who did not use the PB for a difference of 90 minutes (0.006). The PB group had a 21.3 minute second stage and the control had a 43.5 minute second stage for a difference of 22.3 minutes. The use of the vacuum was 9.7 in the control and 6.7 with use of the PB. The use of the forceps in the control was 2.2 and in the PB was 1.9. The secondary outcomes included maternal age gestational age of fetus, weight of newborn, augmentation of labor with oxytocin, which did not differ significantly between the two groups. With one exception the PB group had a cervical dilation that was 4.7 versus 4.2 cm for the control group at the start of the study. For every 1 cm more dilated the patient presented upon enrollment into the study the labor was reduced by 35 minutes. Total oxytocin time extended the length of first and second stage labor. No serious adverse events associated with use of the PB were reported. Every 1 hour oxytocin used increased pushing time 1.2 minutes. Length of pushing was variable with the use of oxytocin or parity.


    Conclusion/Implications for Nursing Practice

    The use of the PB during labor for patients with an epidural significantly reduced the length of labor without adverse neonatal outcomes.


    I can't find any images of how this works except for this:

    http://cdn2-b.examiner.com/sites/def.../2b/5_1833.jpg

    Anyway I thought I would post this because there is so little info on giving yourself the best shot with an epidural!

  2. #2
    MrJones&Me's Avatar
    MrJones&Me is offline sometimes as useless as the 'ueue' in queue
    Join Date
    Jan 2009
    Posts
    4,613
    Thanks
    1,993
    Thanked
    1,370
    Reviews
    22
    Achievements:Topaz Star - 500 postsAmber Star - 2,000 posts
    Awesome. Thanks for the info!

    So the ball is similar to a pilates ball? (like a small gym ball I spose you'd say?)

    Might ask my MW about it at my next appt

  3. #3
    Join Date
    Oct 2011
    Posts
    1,935
    Thanks
    393
    Thanked
    1,325
    Reviews
    0
    Achievements:Topaz Star - 500 posts
    It looks like, but I guess smaller and err shaped like a peanut. I had an epidural for my third and had some issues getting her out until I put my legs up in stirrups and raised the back of the bed up so I absolutely can believe this study.

    Your midwife might not have heard of this, but I'm sure she'd see the logic and I can not think of a reason on earth that anyone could have against giving it a go!

  4. #4
    Join Date
    Oct 2009
    Location
    Toowoomba
    Posts
    779
    Thanks
    33
    Thanked
    29
    Reviews
    0
    Achievements:Topaz Star - 500 posts
    I had an epi with my first two kids and im having it again 3rd time around. I never had a problem *knock on wood* i hold out till as long as i can, Im a big sook tho..lol
    thanks for the info.

  5. #5
    MilkingMaid's Avatar
    MilkingMaid is offline Winner 2009 - Mod Award - most supportive member
    Question those who don't question authority
    Join Date
    May 2005
    Location
    Home
    Posts
    9,661
    Thanks
    3,787
    Thanked
    2,144
    Reviews
    0
    Achievements:Topaz Star - 500 postsAmber Star - 2,000 postsAmethyst Star - 5,000 posts
    Awards:
    100 Posts in a week
    Awesome! Haha i admit i thought at first you were talking about something edible made from peanuts that was inserted between the mothers legs!!!

  6. #6
    Join Date
    Jul 2007
    Location
    Here there and everywhere
    Posts
    3,095
    Thanks
    28
    Thanked
    53
    Reviews
    0
    Achievements:Topaz Star - 500 postsAmber Star - 2,000 posts
    Lol, I thought the same as AM. I'm planning on having an epi with my second (due may 2nd). I had one with dd because I was literally passing out with the contractions in the first stage.

  7. #7
    Join Date
    Jul 2010
    Posts
    2,041
    Thanks
    236
    Thanked
    525
    Reviews
    0
    Achievements:Topaz Star - 500 postsAmber Star - 2,000 posts
    Interesting read, thank you!

    I'm toying with the idea of an epi after my last birth has left me more traumatised than I realised until I got pregnant again!I love that there is an option to help as the thought of forceps/ventouse scares me!

  8. The Following User Says Thank You to RunningWithScissors For This Useful Post:

    Chew the Mintie  (19-12-2011)


 

Similar Threads

  1. Epidural or No Epidural?
    By Trix in forum Birth-pain Management
    Replies: 82
    Last Post: 19-02-2013, 20:20
  2. SPD & Epidural
    By xxchloexx in forum Pregnancy & Birth General Chat
    Replies: 1
    Last Post: 25-01-2012, 10:40
  3. Epidural - Covered by OB fee, PHI or me?
    By RunningWithScissors in forum Pregnancy & Birth General Chat
    Replies: 13
    Last Post: 12-01-2012, 21:37

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
free weekly newsletters | sign up now!
who are these people who write great posts? meet our hubbub authors!
Learn how you can contribute to the hubbub!

reviews
learn how you can become a reviewer!

competitions

forum - chatting now
christmas gift guidesee all Red Stocking
Springfree Trampoline
Give the Ultimate Christmas Gift Springfree Trampoline
The World's Safest Trampoline™ is now also the world's first Smart Trampoline™. Sensors on the mat detect your every move and your jumps control fun, educational and active games on tablet. Secure the Ultimate Christmas Gift today!
sales & new stuffsee all
True Fairies
True Fairies is the first interactive website where children can engage and speak with a real fairy through the unique webcam fairy portal. Each session is tailored to the child, and is filled with enchantment and magic.
Visit website to find out more!
featured supporter
LCF Fun Languages Australia
We offer foreign language lessons for children 2-12 yrs in French, Spanish, Mandarin, Italian or German as after-school and preschool clubs or private language tuition. This is play-based, full immersion language learning with proven results!
gotcha
X

Pregnant for the first-time?

Not sure where to start? We can help!

Our Insider Programs for pregnancy first-timers will lead you step-by-step through the 14 Pregnancy Must Dos!