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Must I Have an Epidural When I Give Birth to My Twins?
I'm expecting twins in July. I already have a 22-month-old daughter whom I gave birth to using Lamaze and without the use of drugs. If I'm able to deliver my babies vaginally, I'm hoping not to use any pain-relief medication. However, my doctor has told me that I will most likely have to have an epidural and that if I choose not to I run the risk of being totally knocked out in the case of an emergency C-section. I don't want that to happen. She said if I already have an epidural I will be fine.
Do you have any other suggestions, or is this the most reasonable way to go? My doctor implied that she knows of nobody who has given birth to multiples without the use of pain-relief drugs.Question:
I'm glad you wrote, and congratulations on the two new babies you're expecting. I'm sure you're discovering that carrying a twin pregnancy brings with it a unique set of challenges.
Your letter brings up concerns. The first is the information you're receiving regarding twin birth without pain medication, and the second is that your preferences for birth don't seem to carry a lot of weight with your doctor.
Contrary to what your doctor is telling you, many women who have multiples deliver without pain medication. Some physicians and midwives actually prefer that mothers delivering multiples not have an epidural so that they can better respond to what they're feeling and push more effectively. If you look through the birth stories in the Birth section of Lamaze.com, you'll find a story sent in by a new mother titled "I Gave Birth to Twins Naturally."
While it's true that you have an increased chance of having your babies by cesarean, it's by no means a given. Your health, the position of the babies and their state of well-being at the end of pregnancy are important factors in determining the best method of delivery. I would suggest asking your doctor what criteria she uses in making this decision, as well as what percentage of her patients with twins deliver vaginally. If the answer is close to zero, you may want to consider interviewing some other obstetricians (or midwives, if any in your area deliver twins) who are willing to give you a fair chance.
I don't understand the rationale of "have an epidural in case a problem develops and we have to do a cesarean." It would be very unusual to have a problem develop so quickly that there's no time to put in an epidural, especially if you already have an IV (or a heparin lock) in place.
Your doctor's comment that she has never heard of anyone who delivered twins without pain-relieving drugs is very telling and certainly could be a self-fulfilling prophecy. Your confidence and ability to give birth are greatly influenced -- in either a positive or negative way -- by the people who care for and support you during pregnancy, labor and birth. She is telling you, in no uncertain terms, what her philosophy of birth is.
The bottom line is that you need to have accurate, unbiased and up-to-date information on all aspects of your care -- including what options you have -- so that you can make informed choices. Your caregiver needs to listen to and respect your point of view (and you, hers) for you to have a good working relationship.
There are resources you might find helpful. Two books I like are Everything You Need to Know to Have a Healthy Twin Pregnancy by Gila Leiter, M.D., and When You're Expecting Twins, Triplets, or Quads: A Complete Resource by Barbara Luke and Tamara Eberlein. A helpful organization (both now and after the babies are born) is the National Mothers of Multiples [800]243-2276.
Try to find a good childbirth educator in your area. Mothers of multiples need to prepare for a positive, normal birth experience while at the same time realistically preparing for possible complications. This requires that you be well informed on all the "usual" topics and receive additional information on subjects such as the special nutritional needs of mothers of multiples, identifying preterm labor, cesarean birth and recovery, and breastfeeding twins. Good luck -- and let us know how it goes.
For more information on twin a read, "I Gave Birth to Twins Naturally."Answer:


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Time to tune in now! "7:15am" is now running on ABC channel! Want to live chat with more fans? Join us below:
**To solve the opposite time zones problem, you can watch online with us live viewers. You can find that here. Just find the 7:15am link. I will announce when there is a commercial during chat so you can pause your video if you wish and tell you when it is back on so you can unpause and watch simultaneously with us. :)
This is so much fun!!

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UNO golfer Karl Krieser was named to the 2013 Summit League Academic All-League team on Wednesday, the first Maverick to earn the honor.
Krieser led the UNO men's golf team in scoring this season with a stroke average of 76.7 in 26 rounds this year. He has a 3.76 grade point average in bioinformatics.


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مصر سكس سكسي نكي ماج Apart from the understanding of terms like leverage, pips, spread and stop loss, Forex trading education or courses also help in you learning the art behind research and analyses, making strategies and using risk management tools. مصر سكس The process mirrors a lot of the work being done by successful affiliates already. If you�re a beginner and don�t know where to start, try thee daily forex trading strategies first. سكسي نكي ماج It isn`t an easy undertaking, but it is also not something that Google could have also not done with all of their technology, if they hadn`t dropped their affiliate program. And much, much more!
سكسي نكي ماج Hey, given it represents 30 percent of Google`s revenue, a major competitor for publishers` traffic could be interesting. The release of the economic figures drives the price of a currency pair towards an important Fibonacci level, Pivot level ,support level or resistance level. سكسي نكي ماج Headline economic data moves the forex markets and currency traders can take advantage of that.
سكس عربي اخ يغتصب اخته They would also not also work with the vendors to find the best fit for their various offers, or work with them to develop better ones. Proving how she is always in front of the curve on all things affiliate, Sugarrae wrote a great overview and best practices article on affiliate marketing that holds true today and suggested an idea I have had about improving the industry. This comprehensive trading ebook is designed to train forex traders to read price action and trade the forex market like real professionals. مصر سكس How to avoid the 7 biggest, most costly mistakes you can make as a Forex trader.


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You are currently browsing the category archive for the 'Technology and Computers' category.
I'll treasure my special snowflake status as a special needs teacher until the teaching profession succumbs to the efficient robo-teachers of the future. :> I'm guessing that behavioural robot teachers will air-deploy Valium and whatever else is required to maintain the learning environment.
We, as a species have had the capacity to end ourselves quite completely since the late 1940's. We often have our greatest minds working highly creative ways of ending human life. What bothers me the most about this quick video is the amount of ingenuity necessary to bring these designs from the blackboard to reality and then to mass production. Imagine if we could harness this impulse for technology and innovation that saves peoples lives instead of ending them
Some relevant background given the recent publicity of how much our governments pry into our personal lives.
Whatever your take on recent revelations about government spying on our phone calls and Internet activity, there's no denying that Big Brother is bigger and less brotherly than we thought. What's the resulting cost to our privacy — and more so, our democracy? Lawrence Lessig joins Bill to discuss the implications of our government's actions.
Yet another reminder about the permanence of your digital comings and goings. Some of the reasons mentioned here are why I choose to blog under a pseudonym :)
An explosion and/or fire at Shaw Court in Calgary has knocked out a significant quantity of telecommunications equipment, affecting not only bank machines and radio stations, but stuff like 911 service and the program that tells ambulances which hospital they should take a patient to.
Calgary Fire Department spokesperson Jayson Doyscher tells OpenFile: "the sprinklers have been keeping the fires in that room at bay. Just due to the amount of electrical equipment in there, we're trying to make sure that we can secure it so firefighters aren't at risk before they go into that room."
I'm going to repeat the salient bit:
…SPRINKLERS…in that room…ELECTRICAL EQUIPMENT…
Normally when you talk about mission-critical infrastructure, you're talking about stuff like the servers that handle banking and the stock market. And for that kind of thing, the technology exists to have redundant servers in multiple locations that can fail-over almost seamlessly if something like this happens. We don't have all the details, but chances are some of this stuff is weirdass old mainframes and actual physical mechanical switches that can't be failed over quite so easily. Still, why in the name of the Invisible Pink Unicorn and the Flying Spaghetti Monster would you put sprinklers in with them? I mean, I know the obvious answer, which is that halon is expensive. But whose brilliant idea was it to cut this particular corner? Maybe it's just me, but I think 911 service is a bit more important than the stock market.
Apple Sheep – fall in! The next exceedingly incremental step of the latest Apple generative tech monolith is available. Blah blah blah better video, better camera. But hoo-boy, if you like the Ipad(3?) then just wait till the ipad(s?) comes out. I would have focused more on the generative aspects of Apple technology, but in lieu of making my own ranty video, this one will have to do.


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As a plastic surgeon, appearance is very important to me.
And I grew tired of substandard scar treatments that were either based on onion juice, or had no science behind them. I knew I could do better, and developed Scarguard.
Scarguard works so well that independent medical studies have proven it to be a gold standard in scar treatment for old and newly forming scars.
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I purchased Scarguard from Target after my cosmetic surgeon recommended it to me. In the couple of weeks of using Scarguard, I have begun to notice that previously rough scars are smoothing out and the dark red color of the scars is beginning to fade.
Scarguard has received high marks. It has been well accepted by both my patients and staff, and most importantly, it works! Fresh scars settle down more quickly and older scars seem to get that nudge to reach a less noticeable state. The preparation is easy to use.
At your suggestion I began recommending Scarguard to my patients. The patient response has been overwhelmingly positive. I believe that Scarguard works to some degree in everyone, and can help to prevent or minimize scar hypertrophy, and speed scar "maturation" and resolution.
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Loma Prieta & Touché Amoré Japan Tour 2013
Jan 29, Shinjuku Ongakukan Attack Studio
Get Stoked
My friend Jon used to run a record company called Get Stocked Records in Portland. And thanks to him I and my pal, Madison got to see and meet more bands from Bay Area during 2005-ish to 2010. I still miss going to shows like every weekend at local venues in Bay Area with my friends. And just like a lot of people out there I can't live without music. We even managed to organize some good shows at the Egg, the little place we turned into a lounge/rock n' roll venue for a while. That changed my life and that was when I noticed the music scene in Bay Area was tight and have that sense of community between bands and also between kids, which is a very nice thing to have in this digital age we live in. Looking at kids' smile at the end of the day after a solid show, I thought to myself it was something I'd want to do for the rest of my life.
Things got shifted and moved around and I'm still working towards that dream, but I hadn't been to shows for more than two years since I moved back here in Japan. Simply because there weren't shows I was interested in going, and I was living in my hometown located in the area that's way too inconvenient to attend shows in big cities like Tokyo or Nagoya. Then, I made some change last year and moved to a city that's a bit closer to Tokyo. When I received the news that Loma Prieta and Touché Amoré were coming to Japan in January, I was jumping up and down like a little kid with excitement.
So I left work early today and went over to see them in Shinjuku, Tokyo. Let me tell you it was the most exciting and energetic thing I have seen in a very long time. Words cannot describe it enough, but it was definitely worth ditching a meeting. I hope they have a great time filled with fun memories for the rest of the tour.
Thank you for traveling all the way here and let us enjoy real music. And also for those who helped them set up shows and the tour, thank you for providing us an amazing experience.


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I Think Facebook Got A Mike Trout-Like Deal On Oculus
I've been asked a number of times to expand on my quick thoughts the other day about the Facebook/Oculus deal. And because we clearly haven't gotten enough opinions on the matter, why not?
To me, it's pretty simple. Facebook is taking out an option on the future. And, in my view, it's a pretty cheap option to boot. In some ways, it's not unlike the deal the Los Angeles Angels (of Anaheim or whatever) just signed with Mike Trout.1
Yes, $2 billion is a lot of money. But it's also roughly 1/8th of what Facebook just spent on WhatsApp. And it's roughly 2x what the company spent on Instagram — and that has turned out pretty well so far. One of the better deals this decade, perhaps.2
Interesting analysis on #Facebook's acquisition of Oculus.
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If it walks like a duck, talks like a duck, its a… wait for it… a swan?
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Interesting analysis on #Facebook's acquisition of Oculus.
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Search pictures and profiles of Senior Singles near you right now. Discover how online dating sites make finding singles in the United States, Canada, and all over the world simple, safe and fun! Once you browse profiles and pictures start flirting, messaging and connecting with other members of the SeniorPeopleMeet.com community. Search today and find other sexy, intelligent singles for casual dating or a serious relationship in your area.Search Single Senior Men | Search Single Senior Women
A little about me...
My passion is ice hockey and I am a season ticket holder to the Rapid
City Rush. I like football and basketball if it's the Pittsburgh Steelers, SF 49ers or the Lakers. I spend time with my daughter, grandchildren and great grandchildren when time permits. I am looking for a friendship at first and go from there. I just lost my partner to brain cancer a little over 2 yrs. ago and husband to cancer 18 yrs. ago. I have listed my hair as blonde but it is actually brown with blonde highlights. Didn't have a choice for that. lol Would love to find someone from Canada to talk to so write if your interested. Have so many Canadian friends would be nice to talk to people from Canada as I love Canada. Have spent a lot of time in and around Niagara Falls, Canada and love the country there. Wouldn't mind meeting someone from Australia or Eastern Europe as again I find them very interesting and can learn about new areas. Not to say I don't love the USA, my home and country. Just love to talk to different people from all over as I really like to learn history from different places and communicate with different people. So if you interested in my profile and pictures I would love to talk to you. Drop me a line. :)
About the one I'm looking for...
I like someone that is pleasant, loves to laugh, likes hockey, football and basketball. I like some outdoor activities. Want someone that loves to travel as that is my biggest passion. At the top of my list is I want to see Alaska and is a must while I can still get around and enjoy it.
I'd just like to add...
I hope to find someone that shares my interests. I do watch TV in the evening and usually while on my computer. I love being on the computer playing games or just on Facebook and email keeping in touch with my many friends. I think a great relationship requires honesty and communication as well as the same interests. The thing I hate most about being single is having no one to share my life with and that is what I hope for most. :)
Meet Senior Singles
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Immune System
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This job posting is no longer available on Indeed.
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Junior Business System Analyst jobs
Personnel by ProStaff jobs
We are currently recruiting for a Junior Business Systems Analyst to assist the department in the development and support of company applications. This is a full time position with the opportunity of being hired on by the company.
Responsibilities for the Junior Business Systems Analyst include, but are not limited to:
- Provide client support and training to all network users.- Assist in the development, implementation, and enforcement of network policies and procedures.- Analyze client reporting requirements and develop custom reports.- Analyze information systems processes, and propose customized solutions to improve performance and efficiency.- Assist in the development, administration and support of Database operations.- Assist in the development, administration and support of the ERP system- Assist in the development, administration and support of the internal and external Web Site
The successful candidate will have the following experience:
- College diploma or University degree in Information Systems- At least 2-5 years of experience in system development and database administration- Experience in the automotive industry or manufacturing considered an asset- Experience in current development languages and operating systems- Must have a valid driver's license. Use of own vehicle considered an asset.- Great interpersonal skills with the ability to work with limited supervision
Pay: $35,000 - $45,000 (depending on experience)
To apply: Please email a resume to Allison or apply online through our website, www.prostaffworks.ca


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Last updated on 10/26/14 UTC
La Pryor Overview
Coldwell Banker Helps You Learn More About La Pryor, Texas Real Estate
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Security Basics
mailing list archives
Concur in the extreme. I recommend explicitely differentiating between
Programatic Risk, Business Risk, Information Risk, and Technology Risk.
They are very different things and I have seen problems arise when
someone is looking for what they have seen in one (not what you have
done, though it has the same title "risk") and not find it. I spent a
while with the client pinning them down as to their expectations and
recommend that you do the same.
Muhammad Faisal Rauf Danka wrote:
Techno-babble, might impress their IT staff, but for the management Business risk is more important than just the
Technology risk.
James W. Meritt CISSP, CISA
Booz | Allen | Hamilton
phone: (410) 684-6566
By Date
By Thread


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Breaking news from NFL's Jeff Darlington, the Miami Dolphins will release DE Phillip Merling today or at the latest prior to the draft.
The news broke a short time ago VIA "Twitter" and comes with a slew of questions. If this is true and there is little doubt to it's validity, the Dolphins have likely been trying to trade the DE over the last few weeks with not takers. The move would also leave the Dolphins further depleted along the defensive end position where they lost Kendall Langford in free agency.
The Dolphins have had horrible luck with their second round picks since Bill Parcells joined the team and brought Jeff Ireland. They have missed on Langford, Chad Henne, Pat White, and Koa Misi is looking to be replaced possibly in this years draft. CB Sean Smith has also failed to become elite as well. Looking back further into the Dolphins history of 2nd round busts, John Beck, Donovan McNabb and AJ Feely VIA trades, Eddie Moore, and Samson Satele.
The good news for the Dolphins is that this years draft is very deep at the position. The bad news is that the team has so many other holes to fill it's going to be next to impossible to get them taken care of.
I'm actually surprised that the team didn't at least hold onto him until the draft was over and use him maybe in a trade up scenario in one of the later rounds.
Truth be told, as I look at this move, I have to wonder about the implications on the draft and how this move will make the Dolphins plans appear. By creating a hole days before the draft, focus will turn from Ryan Tannehill to possibly Fletcher Cox. Cox is a reported target of the Philadelphia Eagles who own two second round selections. If the Dolphins were going to release Merling then doing so now could create the impression that the team is targeting someone not named Tannehill and thus allow the team more options for a trade partner. Just saying.
UPDATE: According to several sources the move is official.


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Ainge addresses free agency
|06.29.09 at 1:20 pm ET
The Boston Celtics have to address several uncertainties this summer as they build their team for the 2010 season. GM Danny Ainge has the answer to at least one question.
They will pursue restricted free agent Glen Davis.
"We plan to qualify Baby and get things going," Ainge said during a teleconference on Monday.
Another question mark on the Celtics is the return of Eddie House. Even though Ainge is unsure of House's gameplan in the free agent market, he feels confident he will be back in Boston next fall.
While they pursue retaining their own players, Ainge is also searching the rest of the free agent pool.
"There's a level of free agents who will be July 1 we'll try to take a run at. There's a whole long list of free agents that we like," he said without naming specific players.
Ainge also addressed assistant coach Tom Thibodeau, who interviewed for head coaching vacancies with the Philadelphia 76ers and Sacramento Kings this offseason, in regard to the opening with the Minnesota Timberwolves.
"I have not heard from Minnesota," he said. "I had called them earlier, and they had told me that they are starting their coaching search after the draft."


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If you haven't heard, Dallas Cowboys owner Jerry Jones has found himself in the middle of a bit of drama and controversy for his drunken words to a person who was recording the entire conversation on their cell phone.
Deadspin broke the story today.
The problem is, Jerry Jones really didn't say or do anything wrong. His remarks about Bill Parcells seem to have been made in jest and I doubt Jones was being serious about what he said. He was entertaining some idiots who planned to set him up.
Not worth a shit, but I wanted — they were on my ass so bad. J's gotta have a yes man. So to get this fuckin' stadium, I need to bring his ass in.
Well, Parcells did help draft one of the most dominating linebackers in the NFL, but his tenure in Dallas was lackluster. He didn't come close to winning a Super Bowl and he was the coach during the infamous game against the Seahawks when Romo mishandled the field-goal attempt. Sure, that wasn't Parcells' fault, but he was the head coach.
As for Tim Tebow, he couldn't hold Tony Romo's jockstrap. If you are looking for a draft bust, it will be Tim Tebow. The god-preaching, makeup wearing, bible-preaching wussy isn't going to be a star in the NFL. Mark my words.
Tony Romo is a miracle. Here is an undrafted kid from Wisconsin who is now starting for America's Team. Have the Cowboys won a Super Bowl under his leadership? No. Maybe this is his year. The good thing is he's not losing games.
The NFL may want to have a few choice words with Jerry because it is no secret he enjoys some stiff drinks, but they better be careful with any punishment because he does have 1st Amendment rights.
Sometimes the truth hurts.
Tags: Bill Parcells Dallas Cowboys Deadspin And Cowboys Jerry Jones Tim Tebow Tony Romo


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Review: Small airway dysfunction contributes independently to clinical expression of asthma and BHR
Review: Severe Asthma in Children – 2014 free full text review in JACI: In Practice
Review: Vitamin D 50,000 IU per week together with ICS or ICS/LABA improved FEV1 in asthma after 6 months
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Synopsis: Asthma, Bronchial Hyperresponsiveness and Sports
Conference Proceedings: Highlights of the Asthma Summit 2009: Beyond the Guidelines
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