- With Mayo Clinic obstetrician and medical editor-in-chief
Roger W. Harms, M.D.
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Roger W. Harms, M.D.
Roger W. Harms, M.D.
"Nothing helps people stay healthy more than the power of real knowledge about health." — Dr. Roger Harms
As medical editor-in-chief, Dr. Roger Harms is excited about the potential for MayoClinic.com to help educate people about their health and provide them the tools and information to live healthier lives.
The Auburn, Neb., native has been with Mayo Clinic since 1981 and is board certified in obstetrics and gynecology. Dr. Harms is a consultant and associate professor of obstetrics and gynecology, and his specialty areas include office gynecology, high-risk obstetrics and obstetrical ultrasound.
From 2002 to 2007, Dr. Harms was director for education for Mayo Clinic, Rochester, Minn. Dr. Harms was the 1988 Mayo Medical School Teacher of the Year and served as associate dean for student affairs and academic affairs before taking this leadership role. He is the co-author of the "Mayo Clinic Model of Education." In 2008, Dr. Harms was presented the Distinguished Educator Award, Mayo Clinic, Rochester.
Dr. Harms is vice chair of the Department of Obstetrics & Gynecology and medical editor of the Pregnancy section on this Web site. In addition, Dr. Harms is editor-in-chief of the "Mayo Clinic Guide to a Healthy Pregnancy" book, a month-by-month guide to everything a woman needs to know about having a baby.
"My medical education experience has grown out of a love of teaching, and that is what this site is about," Dr. Harms says. "If any visitor to this site makes a more informed and thus more comfortable decision about his or her health because of the information we provide, we are successful."
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Question
Lower back tattoo: Can it prevent an epidural for labor pain?
I'm pregnant with my first child. I've heard that pregnant women with lower back tattoos should not get epidurals because of the risk of infection. Is this true?
Answer
from Roger W. Harms, M.D.
No, it isn't true. Most pregnant women who have lower back tattoos can receive epidurals. The exception would be if the tattoo covers a large area and is still "fresh" — meaning the involved skin is still healing. Actually, very few studies have looked at the risks of epidurals in women with lower back tattoos. But there is no conclusive evidence of any adverse effects, such an increased risk of an infection.
Most anesthesiologists will give an epidural block to a pregnant woman with a lower back tattoo. However, they may try to avoid placing the needle through the tattoo to avoid a small scar that may disfigure the tattoo. If possible, the anesthesiologist will insert the needle through skin that isn't tattooed.
If you have a lower back tattoo and have questions or concerns regarding your ability to get an epidural, consult your doctor.
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