Narayanappa Archana, Gurulingaswamy Shivkumar, Prabhakaraiah Umesh, Kempegowda Krishna, Hanumantharayappa Nagarajaiah B
Department of Anaesthesiology, Mandya Institute of Medical Sciences, Mandya, Karnataka, India.
Department of Pharmacology, Mandya Institute of Medical Sciences, Mandya, Karnataka, India.
Anesth Essays Res. 2018 Jul-Sep;12(3):651-656. doi: 10.4103/aer.AER_74_18.
The practice of labor analgesia is an essential part of standard obstetric care. There are many guidelines and programs, which have been setup in labor pain management, in the developed country. In India, the practice of labor analgesia is not very popular. The role of labor analgesia providers lies in educating the parturients about the need of labor analgesia and also to develop comprehensive programs and guidelines in providing it.
The aim of our study was to assess knowledge and practice of labour analgesia among anaesthesiologists across India.
Survey was carried out using SurveyMonkey, an online internet website. Questionnaires were sent by mail to 11,986 anesthesiologists. The questions were based on methods of labor analgesia practice, regional analgesia techniques, commonly used drugs, complications and myths surrounding labor analgesia.
Responses were compiled and data was analysed. Results were expressed as percentages.
There were 1351 responses to the survey. Labor analgesia was practiced mainly by anesthesiologists across India (71.34%, = 945). Regional analgesia techniques were the most common techniques followed in providing labor analgesia (69.61%, = 940) and among regional analgesia techniques, epidural analgesia (43.52%, = 588) was the most common method. Bupivacaine was considered the drug of choice (64.10% = 866) and Fentanyl was the standard adjuvant used (83.34% = 1126). Majority of the respondents did not believe in myths surrounding labor analgesia.
Epidural analgesia is the most common technique practiced, bupivacaine the commonly used local anaesthetic, fentanyl common adjuvant used in practice of labour analgesia by anaesthesiologists across India.
分娩镇痛是标准产科护理的重要组成部分。在发达国家，已经制定了许多分娩疼痛管理的指南和方案。在印度，分娩镇痛的应用并不十分普遍。分娩镇痛提供者的作用在于教育产妇了解分娩镇痛的必要性，并制定提供分娩镇痛的综合方案和指南。
我们研究的目的是评估印度麻醉医生对分娩镇痛的知识和实践情况。
使用在线网站SurveyMonkey进行调查。通过邮件向11986名麻醉医生发送问卷。问题基于分娩镇痛的实践方法、区域镇痛技术、常用药物、并发症以及围绕分娩镇痛的误解。
整理回复并分析数据。结果以百分比表示。
共有1351份问卷得到回复。印度各地的麻醉医生是分娩镇痛的主要实施者（71.34%，即945人）。区域镇痛技术是提供分娩镇痛时最常用的技术（69.61%，即940人），在区域镇痛技术中，硬膜外镇痛（43.52%，即588人）是最常用的方法。布比卡因被认为是首选药物（64.10%，即866人），芬太尼是常用的辅助药物（83.34%，即1126人）。大多数受访者不相信围绕分娩镇痛的误解。
硬膜外镇痛是最常用的技术，布比卡因是常用的局部麻醉药，芬太尼是印度麻醉医生在分娩镇痛实践中常用的辅助药物。
