My OB says that she likes to have an epidural line placed. Not sure if this is because I'm having twins or if she suggests this for all of her patients.
My OB says that she likes to have an epidural line placed. Not sure if this is because I'm having twins or if she suggests this for all of her patients.
honeydew / 7504 posts
No. That sounds potentially expensive, depending on someone's insurance! Sometimes the anesthesiologist isn't considered part of the hospital stay, so someone could get an additional bill just for getting the line placed. I'd clarify with your OB, then call your insurance.
wonderful cherry / 21504 posts
My hospital did not but I also had no known complications and just had one baby. With twins don't they usually deliver in the OR in case of an emergency c section, especially after the first one is born? Maybe it's related.
honeydew / 7283 posts
I'm not sure what you mean - like having the catheter put in to the epidural space but not putting any medication through it unless you need it?
hostess / wonderful apple seed / 16729 posts
@MrsF: Yup, placed but no meds.
@littlebug: Oh, good point. Didn't think about the cost aspect of it.
@Foodnerd81: Yup, my twins will be delivered in the OR because there's more room and the nicu is easily accessible from the OR. Maybe it is a twin thing.
honeydew / 7283 posts
@bluestriped bee: I don't work in L&D but it makes sense to me for twins or other complicated deliveries. I'm assuming you'll be in the OR because the chance of needing a cesarean is high. If they needed to do it quickly and the epidural was already in place they could just use it. If you didn't have it in place they would probably have to use general anesthesia.
blogger / pomegranate / 3044 posts
I had general anesthesia for my emergency C and it was aaaaawful. If I had been presented that option I would have taken it.
honeydew / 7230 posts
@bluestriped bee: @Foodnerd81: Not a twin thing, as this wasn't an option for me. However, my dr (who had four unmedicated, water births herself) pretty much did not give me the option to go med-free. There are too many risks associated with twin births that you wouldn't want to not have an epidural. If I hadn't had an epidural (although mine had failed and they ended up giving me narcotics, but they did it through my Epi line) they would have had to knock me out when baby 2 needed to be born as an emergency C. Also, we were planning on a breech extraction if Blake moved from transverse to breech (which is actually preferred because it's easier for dr to reach in and pull baby's feet than its head). You would not want to do that without the meds!
grapefruit / 4079 posts
I had a single birth and had a line in already because I knew I wanted pain meds. When things went wrong, they needed to move so fast for my c/s I can't imagine there would have been time. I would do it.
persimmon / 1161 posts
My primary care physician ( family practitioner but doesn't do OB stuff, we discussed this anyway) recommends this, especially for VBAC situations so that you don't have to go under general in case of extreme emergency situations.
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