{
  "abstract": "Background and Aims Labour epidural analgesia is widely regarded as the most effective method of pain relief during childbirth. However, improper technique and knowledge gaps can contribute to complications, morbidity, and psychological distress. This study aimed to assess awareness of safety practices, recognition of procedural errors, and adherence to best practices among anaesthetists and midwives. The goal was to identify areas requiring improvement and implement multidisciplinary training through Local Action for Learning (LAfL).Methods A structured questionnaire survey was conducted among anaesthetists and midwives. Two distinct sets of anonymized questions were developed, each for anaesthetists and midwives, to evaluate their understanding of epidural safety measures, appropriate testing methods, and recognition of aberrations. The survey was administered in person to prevent external referencing. Participants were categorized by role and experience level. A total of 32 anaesthetists and 29 midwives were assessed in our labour ward.Results Overall adherence to best practices varied among different professional groups. While most anaesthetists recognized multiple methods for testing catheter placement, a significant proportion demonstrated inconsistent knowledge of key safety checkpoints. Midwives generally exhibited strong handover practices but lacked awareness of certain procedural risks, such as the implications of high neuraxial blocks and dural punctures. Additionally, there was minimal experience with managing intrathecal catheter across both groups.Abstract EP161 Figure 1Questionnaire for anaesthetistAbstract EP161 Figure 2Questionnaire for midwifeConclusions The findings highlight the need for enhanced education and structured simulation training to improve epidural safety. A multidisciplinary approach, incorporating SBAR handovers and adherence to standardized checklists, may help optimize patient outcomes and prevent critical incidents.",
  "authors": [
    {
      "affiliations": [
        "Anaesthetics, George Elliot Hospital, Nuneaton, UK"
      ],
      "name": "Davis Kurian"
    },
    {
      "affiliations": [
        "Anaesthetics, George Elliot Hospital, Nuneaton, UK"
      ],
      "name": "Gyee Vuei Phang"
    },
    {
      "affiliations": [
        "Anaesthetics, George Elliot Hospital, Nuneaton, UK"
      ],
      "name": "Kausik Dasgupta"
    },
    {
      "affiliations": [
        "Anaesthetics, George Elliot Hospital, Nuneaton, UK"
      ],
      "name": "Muhammad Chaudhary"
    },
    {
      "affiliations": [
        "Anaesthetics, George Elliot Hospital, Nuneaton, UK"
      ],
      "name": "Vikas Gulia"
    }
  ],
  "title": "EP161 Safety practices in labour epidurals: a questionnaire-based evaluation",
  "uid": "6ce6741d-8aee-59a5-ae5c-e9f2bbcf845f"
}