Use of routine laboring epidurals at Naval hospitals: a physician survey

Physicians and patients have complained about a lack of laboring epidurals at Naval hospitals. In order to assess this situation, a survey was mailed to all physicians specializing in obstetrics and gynecology (OB) and family practice who were stationed at Naval hospitals in the United States and abroad. Respondents were queried regarding the availability of routine laboring epidurals (RLEs) at their hospitals, as well as their attitudes toward the use of RLEs. RLEs were reported to be available for most patients who might benefit at OB teaching hospitals but not at other Naval hospitals. Most physicians stated that patients complained about a lack of RLEs and that the patient could obtain one at a civilian hospital in the area. Most physicians, especially OBs, had favorable attitudes regarding the use of RLEs and would employ them if available. The discussion includes how the Department of Defense has taken steps toward making epidurals available to all military women and dependents.