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226 posters, 5 topics, 20 sessions, 599 authors, 292 institutions

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Obstetric Anaesthesia Annual Scientific Meeting 2026

14-15 May 2026 | Liverpool Convention Centre

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More than a spinal: the anaesthetist's impact on safety, trust, and patient experience in planned caesarean birth.

Part of Topic

Service Evaluation

More than a spinal: The anaesthetist’s impact on safety, trust and patient experience in planned caesarean birth

Sarah Hudson, Katy Oliver, Annika Smith & Sally Shiels

Oxford Univeristy Hospitals NHS Foundation Trust

Background: 

UK Maternity services are under intense scrutiny with a barrage of negative press. While learning from mistakes is crucial, we must also consider  learning from what works.1 Patient experience is a core component of high-quality maternity care in national policy.2 So what do our patients say?

 Aim:

To identify key drivers of patient experience in planned caesarean birth

Method:

Propective clinical service evaluation with anonymous survey sent to all patients.

88 out of 163 patients responded, average rating for the service was 4.9 out of 5 star

1 in 3 patients explicitly mentioned the anaesthetic team as a positive part of their experience. 

Patient priorities closely align with national safety frameworks: communication, compassion, senior leadership and teamwork. Dual role of the anaesthetist

These findings reinforce the anaesthetists contribution beyond technical expertise: custodians of emotional & physical safety.

What should we do differently?

✓Protect senior anaesthetic experience on elective lists
✓Prioritise communication training as a safety intervention
✓Improve pre-operative expectation setting
✓Strengthen continuity and staff support
 

References

[1] Liberati EG, Tarrant C, Willars J, et al. Seven features of safety in maternity units: a framework based on multisite ethnography and stakeholder consultation. BMJ Quality & Safety. 2021; 30: 444–456.

[2] UK Parliament. Maternity services in England. 2023. Available at: https://researchbriefings.files.parliament.uk/documents/CBP-9815/CBP-9815.pdf

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