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ASA NEWSLETTER
 
 
November 1998
Volume 62
Number 11
   
In the Spotlight: Epidural Analgesia for Labor - A Necessity or a Luxury?

David J. Birnbach, M.D., President
Society for Obstetric Anesthesia and Perinatology


On June 16, 1998, an article titled "Childbirth Anesthesia Refusals Spur Probe" appeared in the Los Angeles Times. (The text of the article can be obtained on the Internet at <http://www.latimes.com/>.) This article described the alleged denial of epidural analgesia to a patient with Medi-Cal insurance at Northridge Hospital in Los Angeles and has produced an avalanche of letters to ASA, the Society for Obstetric Anesthesia and Perinatology (SOAP) and the California Society of Anesthesiologists. Because there are so many strongly held opinions regarding this subject, I have been asked, as President of SOAP, to discuss this case and the issues that have arisen from it.

There is little debate that the incident at Northridge Hospital, if it occurred as reported, was counter to the guidelines of the American Society of Anesthesiologists, since that particular patient might have been denied an epidural block due to her insurance status and her inability to come up immediately with sufficient cash while in labor. The ASA "Guidelines for the Ethical Practice of Anesthesiology" clearly state, "Anesthesiologists share with all physicians the responsibility to provide care for patients irrespective of their ability to pay for their care." As I have previously stated, we do not have all of the details about that specific California case and, therefore, we should not rush to judgment about that specific event. Although I made that comment to the reporters, it apparently was not important enough for inclusion in the newspaper articles!

This case, however, brings up numerous issues of considerable importance, which I would like to discuss. I have taken these questions (in bold) and statements from the letters which have been sent to SOAP and will attempt to address the key issues.

Is analgesia for labor an "elective extravagance" or is it a patient's right to receive pain relief during labor?

Although a few continue to debate this question, it has been addressed many times, and the consensus of opinion is that any patient who desires analgesia for childbirth should receive it. An anesthesiologist asked, "If a woman wants breast implants or a rhinoplasty for cosmetic correction and is on welfare, would it also be unethical and reprehensible to charge her?" Labor is not elective, it is extremely painful to most women, and the relief of labor pain should not be compared with a request for elective cosmetic surgery. ASA President William D. Owens, M.D., has stated that "pain during childbirth is no different than severe pain suffered by a person after surgery or a person who has been shot or in an accident." In addition, a joint statement by ASA and the American College of Obstetricians and Gynecologists (ACOG) in effect since 1992 states, "Labor results in severe pain for many women. There is no other circumstance where it is considered acceptable for a person to experience severe pain, amenable to safe intervention, while under a physician's care."1 Finally, ASA and ACOG have helped to clear this issue by declaring that a mother's request for pain relief is sufficient justification for her receiving it.2

"Women have been having babies for centuries without medication, and they won't die if I don't give them an epidural. An epidural is not a medical necessity. Why do you think that everyone deserves an epidural?"

The pursuit of effective labor pain relief has persisted from the first report of childbirth, and there is abundant documentation that this pursuit of pain-free labor has occupied a place of prominence in almost every culture. Haggard, in a book titled Devils, Drugs and Doctors, eloquently suggested that "the position of woman in any civilization is an index of the advancement of that civilization; the position of woman is gauged best by the care given her at the birth of her child. Accordingly, the advances and regression of civilization are nowhere seen more clearly than in the story of childbirth." Although it is true that patients don't die without labor analgesia, too often they feel like dying during labor!

Can every laboring patient demand and expect to receive an epidural in labor?

Obviously not. While maternal request represents sufficient justification for pain relief, the selected form of analgesia technique depends on the medical status of the patient and her fetus, the progress of labor, and the resources of the facility - including not only those of anesthesiology but also obstetrics and nursing. While most of us agree that patients in labor should not be denied pain relief for economic reasons, we should remember that there are some patients who cannot receive an epidural (for example, the coagulopathic patient), and there are logistical circumstances that, despite the best of intentions, can preclude the administration of an epidural. This is a vast country with extensive rural areas where medical access may be limited. Even in urban centers, there can be logistical problems that prohibit or delay epidural analgesia. For example, when three parturients in active labor all request an epidural at the same time, can they all expect an instantaneous response? Of course not. Likewise, hospitals with small obstetric services often have anesthesiologists who are also working in the operating room and depending on the nature of the other case(s) being covered, the anesthesiologist (or a backup) might be delayed in providing analgesia.

"Is epidural block any better than parenteral opioid? I may need to give a patient analgesia, but I don't need to give them an epidural."

Some anesthesiologists who wish to avoid administering neuraxial blockade on patients for whom the procedure will be poorly reimbursed have suggested that parenteral opioids are an excellent alternative for those without adequate insurance. The evidence clearly suggests the opposite. As stated in the "Guidelines for Perinatal Care" (American Academy of Pediatrics and American College of Obstetricians and Gynecologists), "Of the various pharmacologic methods used for pain relief during labor and delivery, lumbar epidural block is the most effective and least physiologically depressant, allowing for an alert, participating mother." Anyone who has witnessed a parturient who has received an adequate dose of parenteral opioid to relieve pain will tell you that the patient still complains during contractions and is usually sedated to the point of profound somnolence in between contractions. Several recent studies3,4 have demonstrated that epidural analgesia provides far superior pain relief as compared to parenteral injections of meperidine, and epidural analgesia has been shown to be far less depressing on the homeostasis of both mother and fetus.5

Are epidurals dangerous?

An anesthesiologist recently sent a letter to his local newspaper suggesting that "epidurals are only one of several tools available. It is also the most invasive, requiring that a needle be placed into a patient's spine and medication injected directly into the central nervous system. Although this procedure is relatively safe (thanks to the skills and training of anesthesiologists), there are potential life-threatening risks involved with this technique." He continues, "When treating labor-induced pain, I, for one, am reluctant to begin with the most invasive and potentially the riskiest tool at my disposal in lieu of safer options." Do any anesthesiologists actually believe that statement? I think not. The argument that systemic opioids are safer than neuraxial techniques is deceptive for two reasons. First, epidurals are not dangerous and are eminently safe when placed by skilled anesthesiologists. Our patients should not be unnecessarily scared by reading fiction about the immense risks of epidurals. Second, it suggests that parenteral opioids are a reasonable alternative to neuraxial block, when for most patients they are not.

Do I need to offer the same analgesia service to both insured and non-insured patients (or as stated in a recent e-mail sent to SOAP, "poor people can't expect to drive a Rolls Royce or to eat at a fine French restaurant, so why should they expect to receive the Cadillac of analgesics for free?")

Although this is far more controversial than the preceding questions, the answer is clear. If we accept that neuraxial techniques provide more effective pain relief and are safer for the fetus, how can we suggest that we use inferior techniques on patients who have inferior insurance? Adequate pain relief in labor is not a luxury, and if we continue to suggest that neuraxial techniques are a purely luxury item, how long do you think that insurers will continue to reimburse us for these services?

"There is no law that makes me provide my services for free to the indigent. If I'm not reimbursed, I won't provide the service." "Did the anesthesiologist have a moral obligation to provide a service that was not a medical necessity?" "Her alleged need does not justify the theft of services."

This is incorrect reasoning, which makes us look very bad in the eyes of the public and may very well place the anesthesiologist in jeopardy of violating state and federal laws. Many of these so-called "uninsured" patients have Medicaid coverage and, therefore, they are actually insured and, according to the U.S. government, are entitled to the same treatment as patients with third-party insurance. Our patients (including even those who are uninsured or insured by managed care organizations that do not adequately reimburse anesthesiologists) are not stealing anything from us, and we should not practice in a way that will allow us to be accused of extorting money from them.

Obviously, none of us is happy about the present situation, but while we are lobbying for better reimbursement, we cannot let our patients (and our reputations as caring physicians) suffer. Socrates summed it up well by saying, "Divinum est sedare dolorem" (Divine is the work to subdue pain).

"If public sentiment or state law requires that we 'work for free,' we will stop doing epidurals on all patients."

Although there are some hospitals (mostly those with very few deliveries) that do not offer epidurals to any patient, this policy clearly puts the hospital and obstetricians at a consumer disadvantage if patients have a choice of hospitals. However, there are hospitals that, for many different reasons, do not offer epidurals. This is not the same as denying some patients epidurals, however. Patients and obstetricians delivering at hospitals without an epidural service know that epidurals are not available. There are no surprises and there is no "double standard."

Can we expect the situation to get any better?

Representatives of ASA, SOAP and many state component societies are working diligently with third-party payers and government agencies so that we can restructure our current system and guarantee a fair reimbursement for the care that we give our patients - all of our patients. There is presently a large Medicaid reimbursement disparity between obstetricians and anesthesiologists, and this inequality has put us at a major disadvantage. With aggressive lobbying efforts from all members of ASA and with the help of the media, we need to get the message to insurers and government agencies that this problem exists and cannot be ignored.

There is no question that we are being placed in an untenable situation by being expected to perform epidurals without fair reimbursement (sometimes without reimbursement at all), while incurring the same medical liability, but if we are to succeed, we must fight the reimbursing agencies, not the patients. It is obscene for anesthesiologists to provide services and not to be reimbursed, but the fairness that we seek will not occur overnight and it will not happen if we lose support of our patients or our obstetric colleagues. If reimbursement for labor analgesia is unacceptably low, anesthesiologists should also attempt to negotiate subsidization arrangements with their individual hospitals. Hospital administrators know that to stay competitive, their hospital must offer an on-demand epidural service, and in many cases, Medicaid reimbursement to hospitals is sufficient to allow the hospitals to partially support anesthesiologists who would otherwise be providing free care.

In an attempt to disseminate the message that anesthesiologists do care about their patients but that they have been unjustly pushed to the point where many feel that they cannot afford to continue practicing obstetric analgesia, I have appeared on ABC's Nightline show. The transcript can be found at <http://www.abcnews.com/onair/nightline/transcripts/ntl_980618_trans.html>. In addition, several SOAP Board members and I have been interviewed by the Chicago Tribune for an upcoming story that we have been told will discuss our plight and possible reasons why third-party payers and government agencies have disregarded our pleas and ignored the cries of our patients.

History has shown that health care is a consumer-driven market, and women can have major influences on the practice of childbirth and on reimbursement for labor and delivery services. We need to ensure that our patients, both individually and as members of organized women's groups, fight for us, for what is fair and for what is right. Some of the letters that were sent to SOAP and ASA or posted on the Internet place the anesthesiologist at odds with their patients and, in my opinion, will only do us harm.

In conclusion, I would like to quote my dear friend and colleague, Gerard M. Bassell, M.D., who wrote the following eloquent response in the most recent SOAP newsletter: "We are not simply technicians, we are skilled, caring physicians who have devoted our lives to the alleviation of pain during surgery and childbirth. The worth of our contributions should be recognized. Throughout all of this, the recipients of our services are our greatest advocates. We should never turn our back on the woman suffering though a painful labor to achieve a political or economic end."

References:

  1. Joint ASA-ACOG Statement, American Society of Anesthesiologists, Park Ridge, IL: October 21, 1992; amended October 1997.
  2. American College of Obstetricians and Gynecologists: Committee Opinion: Pain Relief During Labor. Number 118, 1993.
  3. Sharma SK, Sidawi JE, Ramin SM, et al. Cesarean Delivery. A randomized trial of epidural versus patient-controlled meperidine analgesia during labor. Anesthesiology. 1997; 87:487-494.
  4. Ramin SM, Gambling DR, Lucas MJ, et al. Randomized trial of epidural versus intravenous analgesia during labor. Obstet Gynecol. 1995; 86:783-789.
  5. Morley-Forster PK, Weberpals J. Neonatal effects of patient-controlled analgesia using fentanyl in labor. Int J Obstet Anesth. 1998; 7:103-107.

David J. Birnbach, M.D., is Director of Obstetric Anesthesiology, St. Luke's-Roosevelt Hospital Center, and Associate Professor, College of Physicians and Surgeons, Columbia University, New York, New York.



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