Teaching and Learning Obstetric Anaesthesia in Low- and Middle-Income Countries: Current Situation and Perspectives.

Area of Science:

• Obstetrics and Gynecology
• Anesthesiology
• Global Health

Background:

• Obstetric anaesthesia in low- and middle-income countries (LMIC) presents unique challenges.
• Significant barriers include inadequate infrastructure and a shortage of trained anaesthesia providers.
• Despite these issues, international efforts are underway to achieve 2030 global health goals.

Purpose of the Study:

• To review the current context and specific challenges of obstetric anaesthesia in LMIC.
• To describe ongoing initiatives and future perspectives in teaching and learning for obstetric anaesthesia.
• To focus on strategies aimed at improving maternal health outcomes in these regions.

Main Methods:

• This review synthesizes information on the state of obstetric anaesthesia in LMIC.
• It examines current practices, challenges, and educational strategies.
• The focus is on identifying effective interventions and future directions.

Main Results:

• Key barriers such as lack of infrastructure and anaesthesia providers remain significant obstacles.
• Structured training courses have demonstrated a positive impact on knowledge and skills.
• International consensus and commitment are crucial for addressing these issues and achieving global targets.

Conclusions:

• Addressing infrastructure and provider shortages is critical for advancing obstetric anaesthesia in LMIC.
• Structured training initiatives are effective in enhancing provider capabilities.
• Future efforts must concentrate on measurable indicators to reduce high maternal mortality and morbidity rates.