Masui. The Japanese journal of anesthesiology
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In Japan, about 40% of all the parturients give birth in small obstetrician's clinics. There is no anesthesiologist in most clinics. The labor analgesia is not performed or is performed by the obstetrician in many facilities. ⋯ Adequate pain relief and high satisfaction were ascertained by the questionnaire to the parturients who had received labor analgesia in this hospital. The number of parturients who request labor analgesia is increasing. However, it is difficult or almost impossible to provide labor analgesia by one anesthetist for 24 hours and 365 days.
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Labor epidural analgesia is unfamiliar to parturients in Wakayama Prefecture partly because of insufficient information and medical services for expectant mothers given by anesthesiologists and other medical staffs. We offered introductory approaches for providing epidural analgesia for labor and delivery in our obstetric care unit. ⋯ We spent considerable time to achieve better communication with midwives and obstetricians in order to improve our professional qualities for caring labor pain. After practical approach of labor epidural analgesia, midwives came to accept epidural analgesia as an option during childbirth.