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Labor analgesia in Czech Republic and Slovakia: a 2015 national survey

J. Bláha, P. Štourač, M. Grochová, R. Klozová, S. Richterová, P. Nosková, D. Seidlová, V. Zenkner, A. Novotný, D. Schwarz, J. Ščamburová, M. Kosinová, C. Kufa, M. Kirchnerová, J. Macková, L. Várošová, R. Toboláková, J. Cepák, J. Firment, . ,

. 2018 ; 35 (-) : 42-51. [pub] 20180407

Language English Country Netherlands

Document type Journal Article

Persistent link   https://www.medvik.cz/link/bmc19000725

BACKGROUND: The purpose of this international survey was to describe the current practices and techniques of labor analgesia in the Czech Republic (CZE) and Slovakia (SVK). METHODS: All Czech and Slovak departments that provide obstetric anesthesia were invited to participate in a one-month (November 2015) prospective study that monitored in detail all peripartum anesthetic procedures delivered by anesthesiologists. Participating centers recorded all data on-line in the CLADE-IS database (Masaryk University, CZE). RESULTS: The response rate was 71% (70 of 95 departments in CZE, 35 of 54 centers in SVK). Participating centers represented 87.7% of all births in CZE and 66.4% of all births in SVK during the study period. Analgesia for labor, administered by anesthesiologists, was recorded in 12.5% of deliveries (CZE 12.1%, SVK 13.4%). Epidural analgesia was used in most of the cases (CZE 97.2%, SVK 99.1%) whereas spinal (CZE 1.4%, SVK 0.9%) or combined spinal-epidural (CZE 0.5%, SVK 0.0%) and intravenous remifentanil analgesia (CZE 2.4%, SVK 0.0%) were used infrequently. One fifth of the labors with analgesia administered by anesthesiologists (CZE 20.2%, SVK 20.5%) terminated in cesarean section. CONCLUSIONS: Although labor analgesia was available in all Czech and Slovak obstetric centers, only a small proportion of parturients received an effective method of labor pain relief (regional or intravenous analgesia).

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$a BACKGROUND: The purpose of this international survey was to describe the current practices and techniques of labor analgesia in the Czech Republic (CZE) and Slovakia (SVK). METHODS: All Czech and Slovak departments that provide obstetric anesthesia were invited to participate in a one-month (November 2015) prospective study that monitored in detail all peripartum anesthetic procedures delivered by anesthesiologists. Participating centers recorded all data on-line in the CLADE-IS database (Masaryk University, CZE). RESULTS: The response rate was 71% (70 of 95 departments in CZE, 35 of 54 centers in SVK). Participating centers represented 87.7% of all births in CZE and 66.4% of all births in SVK during the study period. Analgesia for labor, administered by anesthesiologists, was recorded in 12.5% of deliveries (CZE 12.1%, SVK 13.4%). Epidural analgesia was used in most of the cases (CZE 97.2%, SVK 99.1%) whereas spinal (CZE 1.4%, SVK 0.9%) or combined spinal-epidural (CZE 0.5%, SVK 0.0%) and intravenous remifentanil analgesia (CZE 2.4%, SVK 0.0%) were used infrequently. One fifth of the labors with analgesia administered by anesthesiologists (CZE 20.2%, SVK 20.5%) terminated in cesarean section. CONCLUSIONS: Although labor analgesia was available in all Czech and Slovak obstetric centers, only a small proportion of parturients received an effective method of labor pain relief (regional or intravenous analgesia).
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$a Novotný, A $u First Faculty of Medicine, Charles University and General University Hospital in Prague, Prague, Czech Republic.
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$a Schwarz, D $u Institute of Biostatistics and Analyses, Medical Faculty of Masaryk University, Brno, Czech Republic.
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$a Ščamburová, J $u Institute for Care of Mother and Child, Prague, Czech Republic.
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$a Kosinová, M $u Medical Faculty of Masaryk University and University Hospital Brno, Brno, Czech Republic.
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$a Kufa, Ch $u University Hospital Ostrava, Ostrava, Czech Republic.
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$a Kirchnerová, M $u Palacky University in Olomouc, Faculty of Medicine and Dentistry, University Hospital Olomouc, Olomouc, Czech Republic.
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$a Macková, J $u Derera Hospital, Bratislava, Slovakia.
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$a Várošová, L $u Petržalka University Hospital, Bratislava, Slovakia.
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$a Toboláková, R $u GPN, Bratislava, Slovakia.
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$a Cepák, J $u České Budějovice Hospital, České Budějovice, Czech Republic.
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