Abstract

(Anaesthesia. 2022;77:389–397) At the onset of the COVID-19 pandemic, world health authorities recommended neuraxial (NA) over general anesthesia (GA) for infected parturients. The intent for risk reduction was 2-fold: to reduce the risks accompanying GA in parturients with acute respiratory symptoms, and to minimize SARS-CoV-2 exposure to health care teams. Initial retrospective studies have shown paradoxically both increased and decreased use of NA versus GA in different studies, but many having low numbers of participants. With no large-scale multi-center study of trends of labor analgesia in COVID-19-positive parturients, there is a need for understanding of these interventions and associated outcomes that can influence future recommendations.

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