QUAIL
Quality of Anaesthetic Information given for Labour
What is QUAIL?
QUAIL (Quality of Anaesthetic Information given for Labour) is an anaesthetic trainee-led audit of labour analgesia and anaesthesia information provision to maternity patients across Greater London.
Why is it being done?
The OAA/AAGBI guidelines from June 2013 state that all women, irrespective of birthing plan, should be given up-to-date, evidence based information on analgesia for labour and anaesthesia for caesarean section. These guidelines recommend that this information is formulated by the obstetric anaesthesia department and is provided to the women during the antenatal period. Feelings of lack of control during labour contribute to a negative birth experience, which has been shown to increase the risk of postnatal depression. As anaesthetists we should be ensuring that the women we attend to on labour ward have been provided with adequate information prior to hospital admission to ensure they have a greater feeling of control over their choices.
The aim of this audit is to determine maternity patient perceptions of the content and quality of information received on anaesthesia/analgesia in labour. This data will be compared against standards set out by the OAA/AAGBI.
When is it happening and how can you find out more about QUAIL?
The audit will involve a survey of recently delivered mothers across London to elicit what information they received and from where during their preparations for birth and whether they feel this was good enough to prepare them for labour. We plan to trial a BYOD (bring your own device) approach to electronic data collection and transfer.
Update: Data collection took place in November 2017, and ran for two non-consecutive days at each site.
Link to full paper
QUAIL.pdf (1.06 MB)
A survey of antenatal and peripartum provision of information on analgesia and anaesthesia
R. Brinkler, Z. Edwards, S. Abid, C. M. Oliver, Q. Lo, A. Stewart, the Pan-London Peri-operative Audit and research Network (PLAN)
https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/full/10.1111/anae.14745
https://pubmed.ncbi.nlm.nih.gov/31256437/
QUAIL summary.pdf (634 KB)
Study Documents:
QUAIL protocol 1.1.pdf (1.08 MB)
QUAIL patient info leaflet 0.5.pdf (126 KB)
Study Support Documents:
QUAIL poster.pdf (513 KB)
QUAIL Set up guide and FAQ.pdf (420 KB)
QUAIL summary.pdf (634 KB)
QUAIL project lead
Dr Rebecca Brinkler
Dr Zara Edwards
Dr Sonia Abid
QUAIL Collaborators
UCLH
Adi Stewart
Lauren Wilson
Safeena Afzal
Clarissa Cheah
Ella Veglio
LISTER
Kathryn King
Stephen Barrett
Megan Peake
WHITTINGTON
Konstantinos Miltsios
Abigail Cole
BARNET
Sonia Brocklesby
Jolyon Cohen
Noman Mahmood
Mayavan Abayalingam
COLCHESTER
Kate Gardener
Rachel Ariyanayagam
Joshua Cain
Alice Webb
PRINCESS ALEXANDRA, HARLOW
Perumal Tamilselvan
Puvan Suppiah
Edward Rintoul
WATFORD
Srinath Sudunagunta
Harry Thompson
HILLINGDON
Con Papageorgiou
Emma Forman
Catriona Routley
QUEEN CHARLOTTES
Lorraine Hamlyn
Laura Matthews
Nadia Masood
NORTHWICK PARK
Carolyn Chan
Alex Wickham
Zara Edwards
ST MARYS
Soo-Ming Lim
Tessa Greenslade
ROYAL LONDON
Sarah Wray
Beki Baytug
Rhiannon Wong
Naomi Pritchard
Angela Nicklin
Laurence Sharifi
Lydia Fletcher
Eric Fawcett
BROOMFIELD
Samantha Brayshaw
Lucy Westcott
Suzie Milne
Philippa Casey
HOMERTON
Sara Bowman
Adrian Dabrowicz
Vijeta Mahinthan
James Waiting
Heather Story
Rebecca Black
WHIPPS CROSS
Laura Fulton
Roshan Patel
QUEEN’S, ROMFORD
Mano Doraiswami
Kyron Chambers
Gloria Ashiru
Jenna Hutchinson
Paavan Gorur
Rachel Moores
Rosie Herrmann
ST GEORGES
Adam Shonfeld
Neel Desai
Rik Hawkins
T Gowripalann
EPSON & ST HELIER
Selvaranee Pathmabaskaran
Andrew Combeer
Jasmina Perinpanayagam
Mark Sapsford
Michael Robson
FRIMLEY PARK
Sarah Armstrong
Tracey Ellimah
Matt Samuel
KINGSTON
Nicci Richards
Jonathan Major
Rachel Chapman
Tom Wedgwood
Will Turner
Clare Donovan
ASHFORD & ST PETERS
Richard George
Katie Redington
Saeed Zafar
CROYDON
Vanessa Cowie
Barry McHugh
ROYAL SURREY
Leigh Kelliher
Katie Wimble
Matt Evans
ST THOMAS’
David Monks
Jenna Kelly
Kate Cheesman
Theanu Kasi Anandan
PRINCESS ROYAL, BROMLEY
Navjot Panesar
Nuala Schwartz
Sam Wong
Jibran Qureshi
QUEEN ELIZABETH, WOOLWICH
Vishal Salota
Imran Shareiff
Claudie Sellers
Hagar Aly
UNIVERSITY HOSPITAL, LEWISHAM
Vilma Uzkalniene
Katy Powell
Olivia El Amin
James Hilton
