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产科住院医师对分娩镇痛的认知、态度和实践:一项横断面调查。

Knowledge, Attitude, and Practices of Labor Analgesia Amongst Obstetric Residents: A Cross-Sectional Survey.

作者信息

Vijapurkar Swati, Sandeep Gade, Kalbande Jitendra V, Merin Thomas Sandra, Singha Subrata K

机构信息

Anesthesiology, All India Institute of Medical Sciences, Raipur, Raipur, IND.

Cardiac Anesthesia, All India Institute of Medical Sciences, Raipur, Raipur, IND.

出版信息

Cureus. 2024 Jun 13;16(6):e62326. doi: 10.7759/cureus.62326. eCollection 2024 Jun.

DOI:10.7759/cureus.62326
PMID:39011223
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11247256/
Abstract

BACKGROUND

Labor analgesia plays a crucial role in ensuring a comfortable and positive birthing experience. It provides physiological benefits to both the mother and the child. Knowledge, awareness, and communication between the anesthesiologist and the obstetrician are essential for the safe conduct of labor analgesia. We conducted this cross-sectional online survey amongst obstetric residents to assess their knowledge, attitude, and practices of labor analgesia.

METHODS

A structured questionnaire consisting of 19 questions was circulated amongst obstetric residents of various hospitals via electronic mode of communication. The responses were analyzed using statistical methods.

RESULTS

Among the obstetric residents that we surveyed, 75.7% of them only sometimes employed labor analgesia for their patients. The most commonly employed methods of pain relief are opioids and non-steroidal anti-inflammatory drugs (NSAID). Most of them feel that pain-free labor is necessary because it makes the whole labor process a pleasurable one. Labor analgesia was mostly advocated at patients' request and demand. The barrier to using labor analgesia was most commonly found to be the non-availability of labor analgesia services.

CONCLUSION

Despite the increasing awareness of labor analgesia there still lies a gap between the attitude toward it and the practice of it. Further education to rectify the misconceptions and barriers needs to be taken for providing beneficial services to pregnant females.

摘要

背景

分娩镇痛在确保舒适且积极的分娩体验中起着至关重要的作用。它对母亲和孩子都有生理益处。麻醉医生与产科医生之间的知识、意识及沟通对于安全实施分娩镇痛至关重要。我们对产科住院医师进行了这项横断面在线调查,以评估他们对分娩镇痛的知识、态度和实践情况。

方法

通过电子通讯方式向各医院的产科住院医师发放一份包含19个问题的结构化问卷。使用统计方法对回复进行分析。

结果

在我们调查的产科住院医师中,75.7%的人只是有时为患者采用分娩镇痛。最常用的止痛方法是阿片类药物和非甾体抗炎药(NSAID)。他们中的大多数人认为无痛分娩很有必要,因为这会使整个分娩过程变得愉快。分娩镇痛大多是应患者的要求和需求而提倡的。使用分娩镇痛的障碍最常见的是分娩镇痛服务无法提供。

结论

尽管对分娩镇痛的认识不断提高,但在对其的态度和实践之间仍存在差距。需要进行进一步教育以纠正误解和障碍,从而为孕妇提供有益的服务。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c4e/11247256/2a1465f3f47d/cureus-0016-00000062326-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c4e/11247256/aa979d86a067/cureus-0016-00000062326-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c4e/11247256/427c1b7dbecb/cureus-0016-00000062326-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c4e/11247256/52bd822370f8/cureus-0016-00000062326-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c4e/11247256/64eb94aee477/cureus-0016-00000062326-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c4e/11247256/2a1465f3f47d/cureus-0016-00000062326-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c4e/11247256/aa979d86a067/cureus-0016-00000062326-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c4e/11247256/427c1b7dbecb/cureus-0016-00000062326-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c4e/11247256/52bd822370f8/cureus-0016-00000062326-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c4e/11247256/64eb94aee477/cureus-0016-00000062326-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c4e/11247256/2a1465f3f47d/cureus-0016-00000062326-i05.jpg

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