Obstetric Analgesia and Anaesthesia

Question 1

Absolute Contraindications to epidural insertion

Answer 1

• Patient Refusal
• Local Sepsis
• Allergy to amide local anaesthetics-Coagulopathy (INR over 1.4, plt count under 100, LMWH 12-24 hrs, or clopidogrel in last 7 days)

Question 2

Indications for epidural insertion

Answer 2

• Maternal request
• Obstetric indications (to prevent use of GA, surgical anesthesia for CS)
• Gynaecological