THE JOURNAL OF JAPAN SOCIETY FOR CLINICAL ANESTHESIA
Online ISSN : 1349-9149
Print ISSN : 0285-4945
ISSN-L : 0285-4945
Journal Symposium (3)
Points of Concern for the Epidural Birth from the Perspective of Private Practice
Masayuki SHIMAOKA
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JOURNAL FREE ACCESS

2008 Volume 28 Issue 5 Pages 765-777

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Abstract

 Over the past 10 years, I have experienced approximately 3,000 epidural births.
 Obstetricians strive for ideal childbirth in all deliveries that they undertake, namely an extremely short delivery time, a smooth delivery from start to finish, minimal discomfort for the laboring mother, a healthy newborn, minimal postpartum bleeding, and a quick recovery after delivery.
 As an obstetrician in private practice for 22 years using internal direct monitoring for delivery, I have arrived at the conclusion that the epidural birth is extremely effective in achieving an ideal delivery. I have been able to achieve a sympathetic agreement with the mother, whereby the pregnancy is safe, peaceful, and pleasant, and the mother says to me “If this is what delivery is all about, then I will come here to deliver again!”
 The epidural birth is effective in keeping healthy, not distorting, the extreme beginning of childrearing.
 Below, I state my points of caution as a private-practice obstetrician whose medical practice lacks significant manpower.

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© 2008 by The Japan Society for Clinical Anesthesia
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