June 2, 2026 · British journal of anaesthesia · DOI: 10.1016/j.bja.2026.04.049

From Mendelson to modern labour wards: rethinking fasting in labour

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The authors investigate the ongoing practice of fasting during labor, questioning whether current restrictions are necessary or merely a continuation of outdated protocols in light of the low risk of aspiration in modern obstetric care. They highlight the inequities in fasting practices, particularly affecting socially disadvantaged women, and advocate for a more individualized approach that prioritizes both safety and maternal wellbeing. Ultimately, the paper calls for a reevaluation of fasting policies to better align with contemporary clinical realities and equity considerations.

Dominique N Lucas, Desire Adansi

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