Sustainability of Entonox in obstetrics: a qualitative study

Background/Aims Nitrous oxide is a potent greenhouse gas widely used in childbirth the form of Entonox. In this study, its use was investigated because negative climate effect. The study aimed to identify and investigate midwives' Entonox labour ward tertiary Scottish hospital. Methods This qualitative service evaluation conducted using semi-structured interviews with 10 midwives an environmental sustainability manager. Thematic analysis combined deductive inductive approaches were analyse data. Results Deductive revealed all six work systems factors from system engineering initiative for patient safety framework be pertinent ward, specific influences perceived outcomes found through analysis. Conclusions A reduction would difficult, but changes have been recommended raise awareness among healthcare staff risks create more environmentally sustainable system.