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- 2 回复 ww_719
- 四合院的闲人: 俺不生，但可以到贵宾室看病啊，呵呵！ 娃娃怎能不生呢？生个小娃娃多可爱啊！而且是。。。，聪明过人哦！麻烦!哈哈哈哈...
而且老了,生不了了,没功能!哈哈哈哈...
- 1 回复 Mir
- So what do you really want to tell us? I do not see a story, and I do
not see a writer, too. If you give me a medical lesson, I will be glad to
join.
- 1 回复 luguo
- Mir: So what do you really want to tell us? I do not see a story, and I do not see a writer, too. If you give me a medical lesson, I will be glad toAll I want to tell are within the lines and behind words. If you cannot get them, you can either read more times or just forget it.
- 2 回复 Mir
- luguo: All I want to tell are within the lines and behind words. If you cannot get them, you can either read more times or just forget it.You know, I not only read within the lines, behing words, but also between the lines, I am still lost. Actually, not completely, I at least got this part solid, that you are a doctor who reads WSJ during the work.
I will choose forget about it. Good day.
- 1 回复 luguo
- Mir: You know, I not only read within the lines, behing words, but also between the lines, I am still lost. Actually, not completely, I at least got thiWSJ is provided by the hospital in the doctor lounge. It's very popular in a private hopital in USA.
- 1 回复 luguo
- mgoo: Is it true that epidural increases c-section rate?It used to be a big concern for usge of labor epidural. After many prospective randomized studies with large sample sizes, it is thought that epidural does not incease C/S rate.
- 1 回复 Mir
- Caesarean here is not done as often as in China, even with a mounting malpractice pressure on OBs.
- 2 回复 luguo
- Mir: Caesarean here is not done as often as in China, even with a mounting malpractice pressure on OBs.I don't have statistical data comparing these two countries in hands. Here in the United States, it depends on indications.
- 1 回复 Mir
- luguo: I don't have statistical data comparing these two countries in hands. Here in the United States, it depends on indications.If you have practiced long enough, you will know these so called indications, or evedence based medicine, is only better than nothing. I would not even call it science yet. Maybe you know better about the indications for Caesarean, but look at the malpractice lawsuit against OB, I guess there is a lot we can debate, all the way to the court.
- 2 回复 luguo
- Mir: If you have practiced long enough, you will know these so called indications, or evedence based medicine, is only better than nothing. I would notcontraversial and debate are almost everywhere. Can you do nothing because of these and because of scaring lawsuits?
- 2 回复 mgoo
- luguo: It used to be a big concern for usge of labor epidural. After many prospective randomized studies with large sample sizes, it is thought that epiduI don't believe this, epidural may relief pain and relax the uterus, but epidural drugs by nature decrease uterine contraction more or less, and you see the epidural drugs be turned off when patients become pushing, it prolongs labor and delivery time after all, especially when epidural placed too early, this is part of the reasons that some of patients have to get a c-section. Some OB doctors want to delivery the baby faster, hook up the pitocin right away when patients just lie down in OB suite, and call anesthesiologist to place the epidural to cover the pain, even the cervical hasn't dilated.
OB malpractice is very high, especially in New York area, compare to Midwest; it means the people here, lawyers here and the insurances companies are more greedy, no policy to limit the compensation, that is the reason why many doctors here quit the OB service, just keep the GYN section.
- 2 回复 谐和。
- 在这本书里，就详细叙述了，EPIDURAL BLOCK在美国已经被滥用，
不但损害了产妇的健康，而且损害胎儿的健康，大脑损伤，造成美国新生儿死亡率
高于世界上许多国家。请您自己去翻阅，尤其是从5 0页以后。
EPIDURAL在美国的滥用，还一个原因是：钱。它比正常分娩收费高。
希望中国不要学习这种坏风气。
Born in the USA: How a Broken Maternity System Must be Fixed to Put Mothers and Infants First By Marsden Wagner Edition: illustrated Published by University of California Press, 2006 ISBN 0520245962, 9780520245969 295 pages
- 2 回复 谐和。
- 同意楼上mgoo的说法。事实上，epidural在北美的滥用（有的医院使用率占
助产率的8 5 %），把一个本来正常的生理过程搞成病理过程，对产妇和新生儿
造成病理性损害。UN曾经有一个统计，美国的新生儿死亡率和一些非洲国家
差不多，估计，epidural扮演了重要角色。
回楼上“四合院闲人” ：您应当在了解了事实真相以后，再高呼“美国人
的幸福” 。Please!
象作者在此描述的一例，1 5岁的年青产妇，正常分娩正常的疼痛，
根本不需要epidural, 作者考虑过她以后的健康和孩子将来的健康吗？
美国医院象这样赚钱，是很不道德地！
- 2 回复 mgoo
- 谐和。: 在这本书里，就详细叙述了，EPIDURAL BLOCK在美国已经被滥用， 不但损害了产妇的健康，而且损害胎儿的健康，大脑损伤，造成美国新生儿死亡率 高于世界上许Not really true, even Medicaid patients, they still get epidural, we don't get extra pay, and most of times don’t get pay at all.
美国新生儿死亡率高于世界上许多国家
It is true, but it is not just caused by epidural, there are lots of poor, uneducated, young, old, obesity, drug addicted, alcoholic, immigrant, no preterm care pregnant women in US.
If epidural used properly, should be good for pregnant women.
In China, some places offer epidural for pregnant women, but I don’t understand why epidural costs relatively more than here, since they have cheaper medical drugs and supplies, and labor.
- 1 回复 mgoo
- 谐和。: 同意楼上mgoo的说法。事实上，epidural在北美的滥用（有的医院使用率占 助产率的8 5 %），把一个本来正常的生理过程搞成病理过程，对产妇和新生儿 造成病1 5岁的年青产妇
I am sure she didn't have insurance, or out of pocket money, the hospital or taxpayer paid for it, anesthesiologist spent the whole night taking care her pain and epidural. She got free medicine and service.
Epidural does provide certain benefits to painful pregnant women. The brain damage could be due to other issues. So please don’t make any conclusion before you do further investigation.
- 1 回复 谐和。
- 回mgoo
在不需要作epidural的产妇身上作这种麻醉，对产妇的损害可以有：
1。血压快速下降2。呼吸障碍3。产后背痛4。产妇和婴儿之间不能
象正常分娩那样在产后立即接触。
对婴儿的损害包括：1。epidural可能造成产妇血压急剧下降，胎盘供血不足，
直接造成胎儿在子宫内缺氧，时间拖延，可以造成胎儿大脑损害（这在我提供 的那本书（加州大学医学院2 0 0 6年出版）有记载。2。胎儿心跳加速，
可以被产科医生误诊为手术取胎儿的指征，作不必要的手术3。麻醉剂
可以在胎儿和产妇身上产生发热效应，被误诊为感染而不必要地施行抗菌素
治疗4。新生儿出生后行为障碍，包括拒绝吸乳，持续哭闹等。
epidural应当严格施用指征，象现在这样在北美医院里使用，是对社会
大众不负责任的行为。医学界已经有人对此严格关注。可是，习惯势力
还是很厉害的。掩盖epidural滥用的真相。