COMPARISON OF OBSTETRIC ANESTHESIA PRACTICES IN DIFFERENT LEVEL OF HOSPITALS ACROSS PAKISTAN

Objective: To compare the current practices in obstetric anesthesia in different level of hospitals across Pakistan and their adherence to guidelines and standards. Study Design: Cross sectional analytical study. Place and Duration of Study: Department of Anesthesiology, Combined Military Hosp...

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Autores principales:	Saira Mahboob, Mobeen Ikram, Mobasher Ahmed Saeed, Jamal Hussain Khan, Amna Gulrez, Anum Sultan
Formato:	article
Lenguaje:	EN
Publicado:	Army Medical College Rawalpindi 2019
Materias:	epidural for painless labor local anesthetic dose obstetric anesthesia prophylactic vasopressor Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/30fea06d725c4167902285e6513e4068
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spelling	oai:doaj.org-article:30fea06d725c4167902285e6513e40682021-11-11T04:42:15ZCOMPARISON OF OBSTETRIC ANESTHESIA PRACTICES IN DIFFERENT LEVEL OF HOSPITALS ACROSS PAKISTAN0030-96482411-8842https://doaj.org/article/30fea06d725c4167902285e6513e40682019-08-01T00:00:00Zhttps://www.pafmj.org/index.php/PAFMJ/article/view/3210/2319https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To compare the current practices in obstetric anesthesia in different level of hospitals across Pakistan and their adherence to guidelines and standards. Study Design: Cross sectional analytical study. Place and Duration of Study: Department of Anesthesiology, Combined Military Hospital Okara for two months, from Dec 2018 to Feb 2019. Material and Methods: Five hundred questionnaire were sent to Department of Anesthesiology of 100 different hospitals. The proforma was a self-administered 22-questions that asked about the various aspects of the conduct of obstetric anesthesia. The data were analyzed using SPSS version 20. The qualitative variables were presented as frequency and percentage. Chi square used to calculate significance; p-value ≤0.05 taken as significant. Results: We received 311 questionnaires (62.2%) from various institutes. At the tertiary care hospital, most of respondents were aged less than 35 years and had an experience of 11-20 years as compared to 35-50 years in primary and secondary care hospitals; p<0.01. Although males (68.5%) make up a bulk of anesthetist, most of the females were working in tertiary care hospitals, p-value<0.01. Most of the obstetric anesthesia practices were comparable between the levels of hospitals. Anesthetist at tertiary care hospitals more commonly used colloid preload; a lesser volume for preload; routine left uterine tilt, prophylactic vasopressors and epidural analgesia for painless labor in obstetric anesthesia practices, p<0.05. Conclusion: Most the obstetric anesthesia practices were comparable between the three levels of hospital. These are in accordance with the latest guidelines by international societies.Saira MahboobMobeen IkramMobasher Ahmed SaeedJamal Hussain KhanAmna GulrezAnum SultanArmy Medical College Rawalpindiarticleepidural for painless laborlocal anesthetic doseobstetric anesthesiaprophylactic vasopressorMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 69, Iss 4, Pp 837-842 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	epidural for painless labor local anesthetic dose obstetric anesthesia prophylactic vasopressor Medicine R Medicine (General) R5-920
spellingShingle	epidural for painless labor local anesthetic dose obstetric anesthesia prophylactic vasopressor Medicine R Medicine (General) R5-920 Saira Mahboob Mobeen Ikram Mobasher Ahmed Saeed Jamal Hussain Khan Amna Gulrez Anum Sultan COMPARISON OF OBSTETRIC ANESTHESIA PRACTICES IN DIFFERENT LEVEL OF HOSPITALS ACROSS PAKISTAN
description	Objective: To compare the current practices in obstetric anesthesia in different level of hospitals across Pakistan and their adherence to guidelines and standards. Study Design: Cross sectional analytical study. Place and Duration of Study: Department of Anesthesiology, Combined Military Hospital Okara for two months, from Dec 2018 to Feb 2019. Material and Methods: Five hundred questionnaire were sent to Department of Anesthesiology of 100 different hospitals. The proforma was a self-administered 22-questions that asked about the various aspects of the conduct of obstetric anesthesia. The data were analyzed using SPSS version 20. The qualitative variables were presented as frequency and percentage. Chi square used to calculate significance; p-value ≤0.05 taken as significant. Results: We received 311 questionnaires (62.2%) from various institutes. At the tertiary care hospital, most of respondents were aged less than 35 years and had an experience of 11-20 years as compared to 35-50 years in primary and secondary care hospitals; p<0.01. Although males (68.5%) make up a bulk of anesthetist, most of the females were working in tertiary care hospitals, p-value<0.01. Most of the obstetric anesthesia practices were comparable between the levels of hospitals. Anesthetist at tertiary care hospitals more commonly used colloid preload; a lesser volume for preload; routine left uterine tilt, prophylactic vasopressors and epidural analgesia for painless labor in obstetric anesthesia practices, p<0.05. Conclusion: Most the obstetric anesthesia practices were comparable between the three levels of hospital. These are in accordance with the latest guidelines by international societies.
format	article
author	Saira Mahboob Mobeen Ikram Mobasher Ahmed Saeed Jamal Hussain Khan Amna Gulrez Anum Sultan
author_facet	Saira Mahboob Mobeen Ikram Mobasher Ahmed Saeed Jamal Hussain Khan Amna Gulrez Anum Sultan
author_sort	Saira Mahboob
title	COMPARISON OF OBSTETRIC ANESTHESIA PRACTICES IN DIFFERENT LEVEL OF HOSPITALS ACROSS PAKISTAN
title_short	COMPARISON OF OBSTETRIC ANESTHESIA PRACTICES IN DIFFERENT LEVEL OF HOSPITALS ACROSS PAKISTAN
title_full	COMPARISON OF OBSTETRIC ANESTHESIA PRACTICES IN DIFFERENT LEVEL OF HOSPITALS ACROSS PAKISTAN
title_fullStr	COMPARISON OF OBSTETRIC ANESTHESIA PRACTICES IN DIFFERENT LEVEL OF HOSPITALS ACROSS PAKISTAN
title_full_unstemmed	COMPARISON OF OBSTETRIC ANESTHESIA PRACTICES IN DIFFERENT LEVEL OF HOSPITALS ACROSS PAKISTAN
title_sort	comparison of obstetric anesthesia practices in different level of hospitals across pakistan
publisher	Army Medical College Rawalpindi
publishDate	2019
url	https://doaj.org/article/30fea06d725c4167902285e6513e4068
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_version_	1718439572629618688

COMPARISON OF OBSTETRIC ANESTHESIA PRACTICES IN DIFFERENT LEVEL OF HOSPITALS ACROSS PAKISTAN

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