关键词: anesthesiologist labor labor analgesia opioids regional analgesia

来  源:   DOI:10.7759/cureus.62326   PDF(Pubmed)

Abstract:
BACKGROUND: Labor analgesia plays a crucial role in ensuring a comfortable and positive birthing experience. It provides physiological benefits to both the mother and the child. Knowledge, awareness, and communication between the anesthesiologist and the obstetrician are essential for the safe conduct of labor analgesia. We conducted this cross-sectional online survey amongst obstetric residents to assess their knowledge, attitude, and practices of labor analgesia.
METHODS: A structured questionnaire consisting of 19 questions was circulated amongst obstetric residents of various hospitals via electronic mode of communication. The responses were analyzed using statistical methods.
RESULTS: Among the obstetric residents that we surveyed, 75.7% of them only sometimes employed labor analgesia for their patients. The most commonly employed methods of pain relief are opioids and non-steroidal anti-inflammatory drugs (NSAID). Most of them feel that pain-free labor is necessary because it makes the whole labor process a pleasurable one. Labor analgesia was mostly advocated at patients\' request and demand. The barrier to using labor analgesia was most commonly found to be the non-availability of labor analgesia services.
CONCLUSIONS: Despite the increasing awareness of labor analgesia there still lies a gap between the attitude toward it and the practice of it. Further education to rectify the misconceptions and barriers needs to be taken for providing beneficial services to pregnant females.
摘要:
背景:分娩镇痛在确保舒适和积极的分娩体验中起着至关重要的作用。它为母亲和孩子提供生理益处。知识,意识,麻醉医生和产科医生之间的沟通对于分娩镇痛的安全进行至关重要。我们在产科居民中进行了这项横断面在线调查,以评估他们的知识,态度,和分娩镇痛的做法。
方法:一份由19个问题组成的结构化问卷通过电子通信模式在各医院的产科居民中分发。使用统计学方法分析反应。
结果:在我们调查的产科居民中,75.7%的患者仅有时对患者进行分娩镇痛。最常用的缓解疼痛的方法是阿片类药物和非甾体抗炎药(NSAID)。他们中的大多数人认为无痛劳动是必要的,因为它使整个劳动过程变得愉快。分娩镇痛主要是根据患者的要求和需求而提倡的。使用分娩镇痛的障碍最常见的是无法获得分娩镇痛服务。
结论:尽管对分娩镇痛的认识不断提高,但对分娩镇痛的态度与实践之间仍然存在差距。需要进行进一步的教育,以纠正误解和障碍,为怀孕的女性提供有益的服务。
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