Obstetric anesthesia services in Israel snapshot (OASIS) study: a 72 hour cross-sectional observational study of workforce supply and demand

Table 4 Reasons for deliveries without epidural analgesia

Center	Patient Refusal^a	Late arrival of anesthesiologist	Epidural not performed due to rapid labor progress^b	Contra-indication to epidural
1	10 (83.3)	1 (8.3)	1 (8.3)	0
2	11 (68.8)	2 (12.5)	2 (12.5)	1 (6.3)
3	24 (60.0)	2 (5.0)	12 (30.0)	2 (5.0)
4	6 (37.5)	2 (12.5)	6 (37.5)	2 (12.5)
5	5 (45.5)	0	5 (45.5)	1 (9.1)
6	19 (65.5)	2 (6.9)	8 (27.6)	0
7	0	2 (100.0)	0	0
8	4 (44.4)	2 (22.2)	2 (22.2)	1 (11.1)
9	23 (79.3)	3 (10.3)	3 (10.3)	0
10	6 (54.5)	1 (9.1)	4 (36.4)	0
11	15 (60.0)	1 (4.0)	9 (36.0)	0
12	10 (76.9)	0	3 (23.1)	0
Total	133 (62.4)	18 (8.5)	55 (25.8)	7 (3.3)

^a Patient offered an epidural but declined
^b Patient was interested in an epidural but labor was so fast that there was not time for the midwife to request it; alternatively, the time from epidural request to crowning prior to delivery was so short that the arrival of the anesthesiologist was not the limiting factor, but rather the very rapid progress of labor

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