Issn Print: 1098-7339

Publication Date: 2008/09/01


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Survey on Labour Analgesia - Why Epidural Rate is Going Down: 338

V. Dipura; S. Kumar

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Background: In UK regional anaesthesia is the anaesthetic of choice for both elective and emergengy cesarean sections. At medway hospital the labour ward annual figures april 2007 to March 2008 showed an increase in general anaesthesia above the UK national rate and a decrease in epidural rate.
Aim: To find out which analgesia was being chosen in labour.
Find out why the women were not choosing epidural.
Find out if there was a relationship between the body mass index (BMI) and the epidural rate.
Method: Questionaire asking which labour analgesia the women had, what the pain score was with the chosen analgesia? Whether they were given information on epidural antenatally and by whom? If they did not choose epidural why not and if they did why? BMI was noted and mode of delivery. Total of 100 women participated in the survey.
Results: Most of the women were not given information on epidurals antenatally.
Most feared the side effects.
The higher the BMI the less the epidural performed.
Conclusion: Epidural rate at our hospital is going down because of lack of information being given to the women. The increasing BMI is increasing the failure rate of epidural among the trainee.

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