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Background and Aims This audit was done at DHMC, Lahore to describe the labour epidural analgesia services. Labour epidural is the gold standard for pain relief in parturient. Date regarding epidural services and complication rate was very much scarce in Pakistan, when compared to developed countries. So, this audit will help us improving the practising standards at nation level.

Results This audit was done at DHMC, Lahore to describe the labour epidural analgesia services. Labour epidural is the gold standard for pain relief in parturient. Date regarding epidural services and complication rate was very much scarce in Pakistan, when compared to developed countries. So, this audit will help us improving the practising standards at nation level.

Conclusions We will suggest to avoid lipid soluble drugs as possible and the use of dexmedetomidine instead for induction and maintenance of anaesthesia. And also to avoid inhalational anaesthetics, to avoid the risk of malignant hyperthermia. And to keep a maintain pressure gradient across LVOT, preload, after load and Blood pressure are to be maintained.