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Assessment of obstetric analgesia in the Czech Republic and Slovak Republic-international study 2022
Monika Grochová1, Petr Štourač2,3,4, Jan Bláha5
11st Department of Anesthesiology and Intensive Medicine, Pavol Jozef Šafárik University, Faculty of Medicine and Louis Pasteur University Hospital, Košice, Slovak Republic.
Background:
An international observational study was conducted to describe the preferred techniques for obstetric analgesia and anesthesia in the Czech Republic (CZE) and Slovakia (SVK), as well as during the period after the COVID-19 pandemic. In this article, the authors present only results about analgesia during vaginal delivery.
Objective:
To determine whether modes of obstetric analgesia are adequate and in line with the needs of women in labor and current trends.
Study Design:
An international multicentric observational study.
Setting:
A total of 149 centers were invited to participate; 64 from CZE and 22 from SVK supplied the electronic case report form for obstetric analgesia (prepared by the steering committee); the study period was November 2022.
Study Population:
Patients who underwent vaginal delivery.
Intervention:
Labor analgesia during vaginal delivery.
Main Outcome Measurers:
Modes of labor analgesia and complication rates.
Results:
In CZE, of the total number of births, 5914 were born, 1552 (26.2%) of which were cesarean deliveries. In Slovakia, the total number of births was 2030, of which 684 (33.7%) were cesarean deliveries. Obstetric analgesia was administered by an anesthesiologist to 1331 (23.3%) parturients, 900 (20.6%) in the CZE group and 431 (32%) in the SVK group. In most cases, 1280 (96.5%) epidural analgesia was used; 874 (97.4%) parturients were in the CZE, and 406 (94.2%) parturients were in the SVK. Complications from epidural analgesia occurred in 74 (5.8%) parturients.
Conclusion:
This study describes the limited use of epidural analgesia in CZE (20.0%) and SVK (30.2%), which are associated with a low incidence of complications. Regularly performed audits or national registers would provide relevant data for describing daily practices.
Trial Registration:
The study was registered at http://www.
Clinicaltrials:
gov . NCT04912791. June 2, 2021 Trial Overview Official Title: Obstetric Anaesthesia and Analgesia Month Attributes - in COVID-19 (OBAAMA-COV) Sponsor: Brno University Hospital, Czech Republic Condition Studied: Obstetric anesthesia care during the COVID‑19 pandemic Study Type: Observational national survey across the Czech Republic and Slovakia.
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