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Canadian Journal of Anesthesia, Vol 39, 390-393, Copyright © 1992 by Canadian Anesthesiologists' Society

ARTICLES

Obstetrical epidural anaesthesia in a rural Canadian hospital

RJ Webb and GS Kantor
Melfort Union Hospital, Saskatchewan, Canada.

Few rural hospitals offer obstetric epidural analgesia services and of those that do, there is a paucity of information about these anaesthetics. A retrospective review was conducted of all obstetrical epidurals from 1984-1988 in an 85-bed hospital in Saskatchewan to examine the indications, complications, and infant outcomes. During that period there were 1224 deliveries. From a total of 915 vaginal deliveries, 42 (4.6%) received an epidural. Caesarean sections numbered 309: 183 (59.3%) were with epidural analgesia of which 69 were urgent and 114 elective. The overall complication rate was 23% with the most important being hypotension (12%), dural punctures (1.8%), inadequate block requiring an intravenous supplement (4.0%) or a general anaesthetic (3.1%). Infant outcomes were favourable except for two unrelated intra-uterine deaths preceding labour.


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 Canadian J. AnesthesiaHome page
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[Abstract] [Full Text] [PDF]


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Copyright © 1992 by the Canadian Anesthesiologists' Society.