The pain of labour is severe and many women seek ways to reduce it. Non-regional techniques include supportive measures, inhalation of nitrous oxide and parenteral opioid administration. Epidural analgesia provides good quality pain relief in labour. Well conducted studies confirm...

Parturient with bleeding disorders require multidisciplinary approach for their management. Regional anaesthesia should be used cautiously.

The second article of this labour epidural series features 4 cases requiring identification of the most appropriate neuraxial technique. It covers why epidurals fail and how these failures may be rectified.