NPLD-GHI is an outreach program of SOAP (Society of Obstetric Anesthesia and Perinatology). The main mission of NPLD-GHI is to promote safe labor and decrease the rate of cesarean delivery. The approach involves establishing 24/7 obstetric anesthesia coverage in Chinese hospitals utilizing a transitional medicine approach: education and modeling multidisciplinary collaborations, including problem-based learning discussions, bedside teaching, daily debriefings, simulation training drills and weekend conferences.

As of June 2017, NPLD-GHI has engaged with about 80 hospitals encompassing a combined annual delivery rate of over one half million since 2008. This medical educational mission trip is a week-long activity. About 30 OSU personal, including about 15 anesthesia faculty/residents/fellows, have participated in the activity.

It is believed that the NPLD-GHI will have a significant impact on rates of local maternal mortality, neonatal mortality and Cesarean delivery. Read more about the program at

A 24/7 obstetric anesthesia coverage has been established and labor epidural analgesia rates have exceeded 50% in approximately 80% of the hospitals engaged with NPLD-GHI.

The last mission trip took place on June 10-18, 2017.

2017 No Pain Labor Trip (pptx)

Near 100 volunteers participated in the NPLD-GHI (No Pain Labor Delivery – Global Health Initiative), including anesthesiologists, obstetricians, neonatologists, residents, L&D nurses and interpreters from many major US academic institutes:

  • Northwestern University
  • The Ohio State University
  • Harvard University
  • Yale University
  • Columbia University
  • Johns Hopkins University
  • Washington University at St. Louis
  • Southwestern University
  • Tuft University
  • State University of New York
  • University of California
  • Stanford University
  • and several other institutes

For more information, contact:

Yun Xia, MD

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