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[Obstetric anesthesia in Gifu]

Y Kasuya1, H Uematsu

  • 1Department of Anesthesiology, Prefectural Gifu Hospital.

Masui. the Japanese Journal of Anesthesiology
|June 1, 1993
PubMed
Summary

Maternal deaths in Japan are primarily linked to the perinatal period, necessitating advanced anesthesia management. While Cesarean rates are moderate, spinal anesthesia is common, but local anesthetic use for obstetric analgesia remains limited.

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Area of Science:

  • Obstetrics and Gynecology
  • Anesthesiology
  • Public Health

Context:

  • Japan has seen remarkable improvements in perinatal mortality rates over the past two decades.
  • However, maternal mortality rates remain relatively high, with most deaths occurring during the perinatal period.
  • Key causes of maternal death include hemorrhage, pulmonary embolism, and hypertension, highlighting the need for intensive peripartum therapy.

Purpose:

  • To investigate current anesthesia practices in maternity clinics within the Gifu area.
  • To assess the utilization of different anesthesia techniques and agents during the peripartum period.
  • To identify trends in Cesarean delivery rates and anesthetic management.

Summary:

  • A survey of 51 maternity clinics in the Gifu area revealed an average Cesarean rate of 7.3%.
  • Spinal anesthesia was employed in 74.5% of clinics, with Dibucaine being the most frequent local anesthetic.
  • General anesthesia for airway management predominantly utilized endotracheal tubes (64.0%), while local anesthetic use for obstetric analgesia was infrequent.

Impact:

  • Findings underscore the critical role of anesthesia management in reducing maternal mortality during the peripartum period.
  • The study provides insights into regional anesthesia practices, informing potential areas for improved obstetric care and training.
  • Results highlight the need for wider adoption of effective obstetric analgesia techniques to enhance maternal safety.

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