Labor analgesia in Czech Republic and Slovakia: a 2015 national survey
Language English Country Netherlands Media print-electronic
Document type Journal Article
PubMed
29773486
DOI
10.1016/j.ijoa.2018.04.001
PII: S0959-289X(17)30482-X
Knihovny.cz E-resources
- Keywords
- Analgesia, Epidural, Labor, National, Survey,
- MeSH
- Analgesia, Epidural adverse effects methods MeSH
- Humans MeSH
- Analgesia, Obstetrical adverse effects methods MeSH
- Prospective Studies MeSH
- Surveys and Questionnaires MeSH
- Pregnancy MeSH
- Check Tag
- Humans MeSH
- Pregnancy MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Geographicals
- Slovakia MeSH
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).
České Budějovice Hospital České Budějovice Czech Republic
Derera Hospital Bratislava Slovakia
Institute for Care of Mother and Child Prague Czech Republic
Institute of Biostatistics and Analyses Medical Faculty of Masaryk University Brno Czech Republic
L Pasteur University Hospital Košice Slovakia
Medical Faculty of Masaryk University and University Hospital Brno Brno Czech Republic
Motol University Hospital Prague Czech Republic
Petržalka University Hospital Bratislava Slovakia
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