Department of Anesthesiology, Geetanjali Medical College and Hospital, Udaipur, Rajasthan, India.
Department of Anaesthesiology, All India Institute of Medical Sciences (AIIMS), Bathinda, Punjab, India.
Int J Obstet Anesth. 2024 Feb;57:103928. doi: 10.1016/j.ijoa.2023.103928. Epub 2023 Sep 15.
Obstetric anaesthesiologists play a pivotal role as peripartum physicians steering the team of obstetric healthcare providers towards a continuum of medical education, enhanced training and safer patient care. However, in resource-limited countries, deficiency of human resources and hence services available poses challenges to those attempting to reduce maternal mortality rates. Measures to fill the gap include creating a cadre of uniformly well-trained and certified non-physician anaesthesia providers (NPAPs) supervised by a physician obstetric anaesthesiologist and well-equipped rural and urban health care facilities. The Association of Obstetric Anaesthesiologists of India needs to upscale their outreach programs with regular knowledge updates and practical skill training to the NPAPs, medical graduates and postgraduate doctors in these regions. A combination of strong local administrative will, legislation for the provision of essential supplies and a global collaborative effort using checklists and protocols may help to stem gaps in the provision of safe maternal care.
产科麻醉医师作为围产期医师发挥着关键作用，指导产科医疗保健提供者团队进行医学教育、强化培训和提供更安全的患者护理。然而，在资源有限的国家，人力资源的缺乏以及由此导致的服务提供不足，给那些试图降低孕产妇死亡率的人带来了挑战。填补这一空白的措施包括建立一支由经过统一良好培训和认证的非医师麻醉提供者（NPAP）组成的干部队伍，由一名产科麻醉医师监督，并配备良好的农村和城市医疗保健设施。印度产科麻醉医师协会需要向这些地区的 NPAP、医学毕业生和研究生医生扩大他们的外联计划，定期提供知识更新和实践技能培训。强大的地方行政意愿、提供基本用品的立法以及使用清单和协议的全球合作努力的结合，可能有助于弥合安全产妇护理提供方面的差距。
