Editor's Choice Articles
- Epidural analgesia has excellent clinical efficacy and safety and is the gold standard for labour pain relief.1 However, effective analgesia is dependent on the interplay of obstetric factors, anaesthetic variables, and labour progression. Hence, an estimated 0.9%–25%2–6 of parturients experience breakthrough pain,2 with an adverse impact on satisfaction and healthcare workload. Accurate a priori identification of parturients at risk for breakthrough pain would facilitate individualised risk-counselling and optimisation of labour analgesia.
- The rate of caesarean delivery (CD) has tripled in the last three decades.1 Most CDs are performed under regional anaesthesia because of its various advantages: better parental experience associated with the delivery; avoidance of exposure to general anaesthetic agents that have a risk of causing anaphylaxis and uterine atony; avoidance of intra-operative awareness; and reduced mortality.2 Importantly, regional anaesthesia avoids or minimizes the risks of airway management and its associated complications such as failed intubation, oesophageal intubation and aspiration.