A survey of epidural analgesia practice in Western Australian obstetric units

A survey of epidural practices in all obstetric units in this state was conducted to obtain information regarding epidural analgesia services, epidural conduct and management, management of complications and staff education. The survey revealed a diversity of practice and in some instances standards of care. While reflecting the regionalisation of services in this geographically vast state, the problems identified appear universal and are likely to be relevant on a broader and national scale. Practices are discussed and recommendations made with respect to improvement of management and continuing education.