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Table 4 Reasons for deliveries without epidural analgesia

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

Center Patient Refusala Late arrival of anesthesiologist Epidural not performed due to rapid labor progressb 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)
  1. a Patient offered an epidural but declined
  2. 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