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The revised MIDIRS Informed choice initiative which includes a leaflet for women and for health professionals as well as further on-line support, is due to be launched at the RCM conference. The existing leaflet on epidural has been revised but, having had quite a lot to do with this particular leaflet I feel there is currently no model for evidence that pulls together the miriad of studies that have taken place since the last Cochrane review. In addition the whole area of combined spinal epidurals plus numerous studies that test out ever changing dosages of anaesthetic and opiates means that there is a great need for dialogue and discussion about 'best'/good' practice in this area, so goodluck !    
----- Original Message -----
From: [log in to unmask]>[log in to unmask]
To: [log in to unmask]>[log in to unmask]
Sent: Saturday, April 12, 2003 6:52 PM
Subject: Re: Epidural info

Belinda
> Also, if anyone already has pt info on epidurals I'd be really grateful to
> have a copy.

Our obstetric anaesthetists have a booklet on analgesia in labour, which includes epidurals, (I don't think it gives a particularly balanced view, but I will send you a copy.)

> Could I also ask whether you use continuous EFM with women who have had
> epidurals, as there is some thought here that this isn't necessary.

All women with an epidural  have continuous EFM and are permanently hooked
up to a dinamap as well

> Practice Development Midwife
> St Michael's Hospital
> Southwell St
> Bristol
> BS2 8EG