My sister was in labour for 19 hours.

At 10th hour she asked for epidural. At the 18th hour the doctor was informed by nurse that my sister had epidural already. In fact she had 2 dosages of it.

The doctor rushed in after the nurse and exclaimed “I didn’t know you had epidural, or else I will put that IV bag sooner to hasten the labour!”

The hospital said its not a standard procedure for nurses to inform doctor when epidural starts (at 12 noon and doctor only knew at 7.30pm).

I would like to know what’s the acceptable standard for epidural administration and notification.

The baby was later vacuumed out within 30 minutes due to increased heart rate and lack of oxygen (waterbag broke at 2am in the early morning earlier). Could this be due to the prolonged labour?