Abstract
Some observations made upon the results of 1035 consecutively-given epidural blocks for the relief of pain in labour are reported, and comparisons made with those relating to a previous series of similar size. The high standard of pain relief provided has been maintained; the “unblocked segment” continues to be a source of concern; among primigravidae an epidural appears to promote the progress of first stage labour, whilst the effect upon multigravidae appears to be minimal, but the second stage tends to be prolonged in both primigravidae and multigravidae by an epidural and this response has led increasingly to the choice of delivery by forceps. Ill-effects referable to epidural block have been infrequent and innocuous; the incidence of dural tap was 3.2%. Reference is made to the value of lectures given to midwives and to ante-natal patients.