m2b Glad to hear everything's going well and William's doing good.
Green Congrats
and welcome to Arthur
.
Kelli Welcome.
Re: Remifentanil: It's an opoid class drug, and like Tia says it's controlled by you, via drip. When you feel a contraction coming on you whack the button. It takes about 10-15secs for it to kick in (just in time for your contraction to peak) and it basically pain kills for the time of the contraction. It's eaily processed by the body, so only last about 3mins in the body. I think some (but much, much less) does cross the placenta, but in a much less a dose than pethidine and because it's so quickly 'used' and out of the system, you don't tend to get drowsey (thus lower APGAR score) babies. I think they prefer you to have the drip put in by an anesthatist and you can't be in the pool incase your BP increases/you vomit/feint, but protocol may vary. There's no reason why you can't be relatively mobile with it, but if like me, your BP us a concern, they may want frequent monitoring. BUT it is much preferred over pethidine as you're only getting what you 'need' and it's out of your and baby's body so quickly. Not everywhere offers it. Only Stepping Hill in my area does. So if you think it's something you might want to have as a backup it's def. worth checking with the local hospitals.
As it's an opoid, it has the usual side effects. You can feel very out of it and it can make you sick. But it's probably worth a go over an eipdural.
laylasmummy congrats on Auntiedom!
My BP, well, who knows. 2 different midwives took 8 goes to try and get it...and they're fairly sure it's 110/85, so not great but also kinda good (the 110 bit that is). So I'm still being checked Wed. Bloods all came back fine, so in all likelyhood it's NOT PE. Just have to watch my BP during birth (which feels like a very long way away). They seemed to think it was me and "low blood pressure" rather than the equipment...which seems odd, as that really isn't low...not for me anyway (usually something like 90/60 pre-pg). No other MW has had an issue taking it...
Anyway, I'm off to install the lamp that B&Q have finally got in stock in the nursery. Someone finally decided to go and get one from a different store, as they seemed incapable of zeroing out their stock, and thus the system thinking they had plenty in...bless. When the left a message the guy added "oh and if you could make sure you bring the paperwork with you, as if you don't we might frisk you on the way out"...
. Very personal service from B&Q.