Abstract
The epidural route is currently the gold standard for labour analgesia, although it is not without serious consequences when incorrect placement goes unrecognised. Intravascular, intrathecal and subdural placements have been reported to occur with incidences of 1 in 5000, 1 in 2900 and 1 in 4200 respectively.1 Until now there has not been a viable alternative to epidural analgesia. Pethidine is far from ideal having been described as providing “more sedation than analgesia,” effecting maternal gastric motility, modifying the cardiotocograph (CTG), causing fetal acidosis and having active metabolites with prolonged half lives.
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