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CORRESPONDENCE| Volume 20, ISSUE 3, P267, July 2011

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Labour analgesia and the baby: good news is no news

      We read with interest the review by professor Reynolds in which she expressed concerns about the opposition of some midwives to labour epidurals.
      • Reynolds F.
      Labour analgesia and the baby: good news is no news.
      Socio-economic status and race have been shown to affect the choice of analgesia in labour;
      • Callister L.C.
      Cultural meanings of childbirth.
      in addition the beliefs and knowledge of midwives can be influential.
      • Vandendriesen N.M.
      • Lin W.
      • Paech M.J.
      Labour ward midwifery staff epidural knowledge and practice.
      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%)).
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      References

        • Reynolds F.
        Labour analgesia and the baby: good news is no news.
        Int J Obstet Anesth. 2011; 20: 38-50
        • Callister L.C.
        Cultural meanings of childbirth.
        J Obstet Gynaecol Neonatal Nurs. 1995; 24: 327-331
        • Vandendriesen N.M.
        • Lin W.
        • Paech M.J.
        Labour ward midwifery staff epidural knowledge and practice.
        Anaesth Intensive Care. 1998; 264: 411-419
      1. 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].