You have been asked to put in an epidural in a G1 P0 woman who has presented in spontaneous labour at 38 weeks' gestation. She has a normal body habitus. She has no significant past medical history.
Her antenatal history is unremarkable other than stable gestational thrombocytopaenia.
An FBE was performed at 36 weeks gestation.
Hb 129 g/L (115-165)
WCC 11 x 10^9/L (4-11)
Plt 88 x 10^9/L (150-400)
When you enter the room, she is in obvious pain and states "Just put the epidural in!"
Sections covered in this viva
Labour epidural insertion and managementProgression to very urgent LUSCS with patchy blockadeNeonatal resuscitation