Morishima Hisayo O
Department of Anesthesiology, College of Physicians and Surgeons of Columbia University, USA.
Masui. 2007 Sep;56(9):1040-3; discussion 1044-6.
Obstetric anesthesia has made significant progress over the last 50 years. It is one of the major subspecialties in anesthesia in US. Society for Obstetric Anesthesia and Perinatology (SOAP) was founded in 1968. According to its SCORE project on the practice of obstetric anesthesia, 82.4% of all parturients received some form of anesthesia for cesarean section or labor analgesia. Epidural analgesia was the most common form of labor analgesia (65%), followed by CSEA. This high percentage of anesthesia care for parturients mandates the presence of obstetric anesthesiologists at labor and delivery suites in major hospitals in US. The Japanese Society of Obstetrics and Anesthesia, formerly "Mutsu-bunben Kenkyukai", now called "Bunben to Masui Kenkyukai", was founded in Japan at about the same time as SOAP. Despite its long history, obstetric anesthesia is yet to be a major subspecialty in Japan. It is encouraging, however, that the number of attendants in obstetric anesthesia sessions in JSA seems increasing. SOAP has played an important role in the education and progress of obstetric anesthesia in US. I hope that the joint symposium of SOAP, Bunben to Masui Kenkyukai, and JSA at 39th SOAP annual meeting will facilitate the progress of obstetric anesthesia in Japan.
在过去50年里，产科麻醉取得了显著进展。它是美国麻醉学的主要亚专业之一。产科麻醉与围产医学协会（SOAP）成立于1968年。根据其关于产科麻醉实践的SCORE项目，82.4%的产妇在剖宫产或分娩镇痛时接受了某种形式的麻醉。硬膜外镇痛是最常见的分娩镇痛形式（65%），其次是腰麻-硬膜外联合麻醉（CSEA）。如此高比例的产妇麻醉护理要求美国各大医院的产房配备产科麻醉医生。日本产科麻醉学会，其前身为“陆文辩研究会”，现称为“分娩与麻醉研究会”，与SOAP大约在同一时间在日本成立。尽管历史悠久，但产科麻醉在日本尚未成为一个主要的亚专业。然而，令人鼓舞的是，日本产科麻醉学会会议的参会人数似乎在增加。SOAP在美国产科麻醉的教育和发展中发挥了重要作用。我希望在第39届SOAP年会上，SOAP、分娩与麻醉研究会和日本产科麻醉学会的联合研讨会将推动日本产科麻醉的发展。
