Regional analgesiaanaesthesia

The extent of information required when seeking consent for regional analgesia/ anaesthesia is controversial, although most surveys suggest that some women would wish to know most, if not all, complications. Most obstetric anaesthetists would now consider, as a minimum, explanation of the risk of partial or complete failure of the technique, dural puncture and headache, motor block and neurological complications. Signed, written consent is not considered necessary, although a list of the pertinent aspects of the discussion should be recorded, and a note made if the patient's condition does not allow for a full explanation. Antenatal access to an anaesthetist should be available for women who have particular concerns.

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