Lee Keat, Ho Kwok-Ming
Department of Anaesthesiology and Perioperative Medicine, North Shore Hospital, Takapuna, Auckland, New Zealand.
N Z Med J. 2004 Nov 26;117(1206):U1177.
To investigate the availability and pattern of obstetric regional analgesia services in New Zealand.
A postal survey of all registered obstetric facilities in New Zealand for year 2000 was carried out.
A total of 87 obstetric facilities were identified. Sixty-two percent of them responded to our survey, which covered 75% of all deliveries in year 2000. Numerous non-pharmacological and systemic analgesia modalities were widely available. Obstetric regional analgesia services were available in 20 facilities (38%), which provided obstetric care for 92.5% of all deliveries identified in this survey. Only the number of deliveries per year in a facility was associated with the availability of obstetric regional analgesia services (OR: 1.03; 95% CI: 1.01-1.06; p=0.03), not the location of the facility, whether in non-major urban or major urban areas. Among all the obstetric regional analgesia techniques that were available, patient controlled epidural analgesia (PCEA) was not widely used at the time of this survey.
Availability of obstetric regional analgesia services in New Zealand is very geographically focused, and appears to match closely with the distribution of obstetric deliveries in New Zealand.
调查新西兰产科区域镇痛服务的可及性及模式。
对2000年新西兰所有注册产科机构进行邮寄调查。
共识别出87个产科机构。其中62%对我们的调查做出回应，这些机构涵盖了2000年所有分娩的75%。众多非药物和全身镇痛方式广泛可得。20个机构（38%）提供产科区域镇痛服务，这些机构为本调查中识别出的所有分娩中的92.5%提供产科护理。仅机构每年的分娩数量与产科区域镇痛服务的可及性相关（比值比：1.03；95%可信区间：1.01 - 1.06；p = 0.03），而与机构位置无关，无论其位于非大城市还是大城市地区。在所有可用的产科区域镇痛技术中，患者自控硬膜外镇痛（PCEA）在本次调查时未被广泛使用。
新西兰产科区域镇痛服务的可及性在地理上非常集中，且似乎与新西兰产科分娩的分布密切匹配。
