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Manejo del dolor durante el parto en el Hospital El-Emarati: una auditoría clínica
Reem Y Dabbour1, Tayseer A Hassan1, Maha S Faqawi1
1The Islamic University in Gaza, Gaza City, Gaza Strip, occupied Palestinian territory.
Lancet (London, England)
|March 20, 2018
Resumen
El manejo del dolor de parto en Gaza mostró brechas significativas, con opciones farmacológicas limitadas y no se ofreció anestesia regional. La elección del paciente y la discusión sobre el alivio del dolor también fueron insuficientes, quedando por debajo de las pautas del Instituto Nacional de Salud y Excelencia en la Atención.
Área de la Ciencia:
- Obstetricia y ginecología
- Tratamiento del dolor
- Salud pública
Sus antecedentes:
- Evalúa las prácticas de manejo del dolor de parto en el Hospital El-Emarati en Rafah, Franja de Gaza.
- Compara las prácticas actuales con las directrices del Instituto Nacional de Excelencia en Salud y Atención (NICE).
Objetivo del estudio:
- Evaluar la adecuación de las opciones de alivio del dolor proporcionadas a las mujeres durante el parto.
- Identificar las discrepancias entre los protocolos de tratamiento del dolor existentes y las normas internacionales establecidas.
Principales métodos:
- Muestreo consecutivo de 50 pacientes en trabajo de parto entre el 1 de febrero y el 1 de abril de 2016.
- Recopilación de datos mediante hojas de auditoría basadas en las directrices de NICE.
- Incluir métodos no farmacológicos (respiración, relajación, masaje) y intervenciones farmacológicas.
Principales resultados:
- Todos los pacientes recibieron tratamiento no farmacológico para el dolor (técnicas de respiración/ relajación; 100%, masaje abdominal; 70%).
- El alivio farmacológico del dolor se administró al 40% de los pacientes.
- A ningún paciente se le informó de los efectos secundarios del medicamento ni se le ofreció anestesia regional.
Conclusiones:
- Existen deficiencias significativas en el manejo del dolor del parto, con una subutilización de las técnicas disponibles.
- Se identificó una información limitada del paciente y la falta de opciones con respecto al alivio del dolor.
- La práctica debe reflejar mejor la naturaleza subjetiva e individual de la experiencia del dolor del parto y las preferencias del paciente.
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