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Updated: Jul 28, 2026
14:40
Instrumentation of Near-term Fetal Sheep for Multivariate Chronic Non-anesthetized Recordings
Published on: October 25, 2015
Summary
Midwives in Johannesburg have inadequate knowledge regarding epidural anaesthesia maintenance, posing risks to mothers and babies. This study investigated midwife involvement, knowledge, and protocols for epidural pain relief during labor.
Area of Science:
- Obstetrics and Gynecology
- Anesthesiology
- Nursing Education
Context:
- Epidural anaesthesia is a popular pain relief method during labor, with up to 70% of patients in some units receiving it.
- Maintaining epidural anaesthesia involves administering further doses, which carries risks like spinal blocks or convulsions if not done correctly.
- Midwives are increasingly expected to maintain epidural anaesthesia, necessitating adequate knowledge and adherence to protocols.
Purpose:
- To investigate the extent of midwife involvement in maintaining epidural anaesthesia.
- To assess midwives' knowledge, legal obligations, and emergency treatment skills related to epidural anaesthesia maintenance.
- To determine the existence and adequacy of protocols for epidural anaesthesia maintenance by midwives.
Summary:
- Research involving midwives in Johannesburg revealed inadequate knowledge regarding epidural anaesthesia maintenance.
- Potential risks include accidental intrathecal or intravascular injection of local anaesthetic, threatening maternal and infant safety.
- The study highlights a critical gap in training and protocol adherence for midwives managing epidural blocks.
Impact:
- Inadequate midwife knowledge poses significant risks to maternal and infant safety during labor.
- Identifies a need for improved training programs and standardized protocols for epidural anaesthesia maintenance by midwives.
- Findings can inform policy changes and enhance patient safety in labor wards.
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