Did you know that the Cesarean delivery rate in China is 40-50 percent, among the highest in the world?1,2  Did you also know that many of these Cesarean deliveries could be avoided with the use of epidural analgesia?

With a focus on decreasing maternal and neonatal morbidity and mortality, Dr. Ling Qun Hu established the “No Pain Labor & Delivery – Global Health Initiative” to improve the delivery of obstetric anesthesia in China. Since its inception in 2008, the program has seen dramatic results. For example, at Shijiazhuang Obstetrics and Gynecology Hospital near Beijing, the epidural analgesia rate increased from 0 percent to 33.5 percent, while the total Cesarean delivery rate decreased by 10 percent over a two-year period.3,4 

The complex interweaving of China’s history, culture and economy may explain the development of...

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