- 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 director of content, Dr. Roger Harms is excited about the potential for Mayo Clinic's health information site 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 practicing physician 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 at 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. 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 website. 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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Postpartum care (4)
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- see all in Postpartum care
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Question
Lower back tattoo: OK to have an epidural?
Could a lower back tattoo keep me from having an epidural during labor?
Answer
from Roger W. Harms, M.D.
A lower back tattoo won't necessarily prevent you from having an epidural during labor. The exception would be if the lower back tattoo covers a large area and the affected skin is still healing. Research on tattoos and epidurals is limited, however, and theoretical concerns — such as the development of skin cancer in the affected area years later — remain controversial.
If you have a lower back tattoo and decide to have an epidural during labor, the anesthesiologist will likely try to insert the needle through skin that isn't tattooed. If that isn't possible, he or she may nick the skin before inserting the needle to make sure no tattoo pigments are trapped inside the needle. You might also ask your health care provider about other options for pain relief during labor, such as relaxation exercises, breathing techniques, or oral or injected medications.
Next questionBack labor: Childbirth myth or reality?
- Kuczkowski KM. Lumbar tattoos and lumbar epidural analgesia: Unresolved controversies. Canadian Journal of Anesthesiology. 2008;55:127.
- Mercier FJ, et al. Tattooing and various piercing: Anesthetic considerations. Current Opinion in Anesthesiology. 2009;22:436.
- Kluger N, et al. Lumbar tattoos and lumbar puncture: The emperor's new clothes? Canadian Journal of Anesthesiology. 2007;54:855.
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