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215 posters, 5 topics, 22 sessions, 596 authors, 283 institutions

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Obstetric Anaesthesia Annual Scientific Meeting 2025

May 15 - 16, 2025 | ICC, 2 Lanyon Place, Belfast BT1 3WH

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Promoting Maternal safety:Anaesthetists' and Midwives' perspectives on oral intake in labour and its impact on general anaesthesia for delivery

Part of Topic

Quality Improvement

Promoting Maternal safety : Anaesthetists' and Midwives' perspectives on oral intake in labour and its impact on general anaesthesia for delivery.

Introduction:

Labouring women face an increased risk of pulmonary aspiration under general anaesthesia for several reasons, necessitating measures to minimize this risk, including  careful regulation of oral intake during labour[1]. In recognition of this, the Royal college of Anaesthetits recommend that maternity units establish a clear policy on oral intake during labour[2]. To address this recommendation, we conducted a review and a survey to analysemidwives’ and anaesthetists’ perspectives on oral intake during labour in our hospital unit to identify areas for standardisation and improvement

Methods:

1) Review of RCOA GPAS in Obstetrics, NICE, and OAA and DAS joint guidelines.
2) Identified several key standards for compliance:

                          a) Stratification of women into  risk categories for operative

                               delivery

                          b) Appropriate oral intake advice based on the risk category.

                          c) Written oral intake policy during labour.

3) Designed a structured survey questionnaire that explored how anaesthetists’ and midwives’ current practices and opinions on appropriate oral intake in labouring women aligned with the identified standards.

Results and Discussion:

- The advice provided to women within the same risk group varied significantly among midwives.
- The perception of pulmonary aspiration risk associated with oral intake was similar among anaesthetists and midwives, however, recommendations on the type of    
  oral intake differ considerably. 
- Both midwives and anaesthetists were in favour of having a written oral intake policy

 To address these concerns, we aim to develop a local policy on oral intake in labour to provide uniform, consistent advice to all labouring women, followed by re-audit to assess compliance, staff understanding and patient satisfaction.

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