Increasing the labour epidural rate in a state hospital in South Africa: challenges and opportunities

DOI: 10.1080/22201181.2017.1401773
Author(s): Stephanus F van ZylDepartment of Anesthesiology and Critical Care, South Africa, Jonathan L BurkeDepartment of Anesthesiology and Critical Care, South Africa


Background: A 2012 audit on labour epidural analgesia rates in Tygerberg Hospital (TBH) revealed that only 2.2% of labouring parturients received epidural analgesia. This unacceptably low number necessitated a dedicated epidural service that was subsequently initiated in June 2014 by the Department of Anaesthesiology and Critical Care to improve the quality of care in labouring patients.

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