We read with interest the review by professor Reynolds in which she expressed concerns
about the opposition of some midwives to labour epidurals.
1
Socio-economic status and race have been shown to affect the choice of analgesia
in labour;
2
in addition the beliefs and knowledge of midwives can be influential.
3
Having observed differing epidural rates in two hospitals in our region of Yorkshire
and the Humber (unit A 20% vs. unit B 42%), we conducted a survey of midwives in each
unit. A total of 188 midwives were sent a questionnaire with replies received from
111 (59%; unit A 45/93 (48%), unit B 66/95 (70%)).To read this article in full you will need to make a payment
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References
- Labour analgesia and the baby: good news is no news.Int J Obstet Anesth. 2011; 20: 38-50
- Cultural meanings of childbirth.J Obstet Gynaecol Neonatal Nurs. 1995; 24: 327-331
- Labour ward midwifery staff epidural knowledge and practice.Anaesth Intensive Care. 1998; 264: 411-419
National Institute for Health and Clinical Excellence Clinical Guideline 55. Intrapartum care: care of healthy women and their babies during childbirth. http://www.nice.org.uk/nicemedia/live/11837/36280/36280.pdf [Accessed march 2011].
Article info
Publication history
Published online: June 03, 2011
Accepted:
March 29,
2011
Identification
Copyright
© 2011 Elsevier Ltd. Published by Elsevier Inc. All rights reserved.