Journal ArticleDOI
Obstetric Anesthesia Workforce Survey: A 30-Year Update.
Andrea J. Traynor,Meredith Aragon,Debashis Ghosh,Ray S. Choi,Colleen Dingmann,Zung Vu Tran,Brenda A. Bucklin +6 more
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TLDR
There have been significant changes in how responding hospitals provide obstetric anesthesia care and staff the labor and delivery ward since 2001, according to this survey.Abstract:
BACKGROUND:Obstetric Anesthesia Workforce Surveys were conducted in 1981, 1992, and 2001, and the 10-year update was conducted in 2012. Anesthesia providers from US hospitals were surveyed to identify the methods used to provide obstetric anesthesia. Our primary hypothesis was that the provision ofread more
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Iconographies supplémentaires de l'article : Incidence, risk factors, and temporal trends in severe postpartum hemorrhage
Michael S. Kramer,Cynthia J. Berg,Haim A. Abenhaim,Mourad Dahhou,Jocelyn Rouleau,Azar Mehrabadi,K.S. Joseph +6 more
TL;DR: In this paper, the authors examined temporal trends in severe postpartum hemorrhage, defined as PPH plus receipt of a blood transfusion, hysterectomy, and/or surgical repair of the uterus.
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Optimal Pain Management After Cesarean Delivery
TL;DR: Optimal management of patients after cesarean delivery should address the goals of unrestricted maternal mobility, minimal maternal and neonatal side effects, rapid recovery to baseline functionality, and early discharge home.
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Postcesarean delivery analgesia.
TL;DR: The use of neuraxial morphine and opioid-sparing adjuncts such as scheduled nonsteroidal anti-inflammatory medications and acetaminophen is recommended for all women undergoing cesarean delivery with neuraxia anesthesia unless contraindicated.
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Adverse Events and Factors Associated with Potentially Avoidable Use of General Anesthesia in Cesarean Deliveries.
TL;DR: Reducing avoidable general anesthetics for cesarean delivery may improve safety of obstetric anesthesia care and reduce risk of adverse maternal outcomes.
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Choice of Anesthesia for Cesarean Delivery: An Analysis of the National Anesthesia Clinical Outcomes Registry.
TL;DR: Neuraxial anesthesia use in cesarean deliveries (CDs) has been rising since the 1980s, whereas general anesthesia (GA) use has been declining, and higher rates of GA use were observed in CDs performed in university hospitals, after hours and on weekends, and on patients who were American Society of Anesthesiologists class III or higher and 18 years of age or younger.
References
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Two‐sided confidence intervals for the single proportion: comparison of seven methods
TL;DR: Criteria appropriate to the evaluation of various proposed methods for interval estimate methods for proportions include: closeness of the achieved coverage probability to its nominal value; whether intervals are located too close to or too distant from the middle of the scale; expected interval width; avoidance of aberrations such as limits outside [0,1] or zero width intervals; and ease of use.
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WHO analysis of causes of maternal death: a systematic review
TL;DR: Haemorrhage and hypertensive disorders are major contributors to maternal deaths in developing countries and these data should inform evidence-based reproductive health-care policies and programmes at regional and national levels.
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Safe prevention of the primary cesarean delivery
TL;DR: Safe reduction of the rate of primary cesarean deliveries will require different approaches for each of the most common indications, including labor dystocia, abnormal or indeterminate fetal heart rate tracing, fetal malpresentation, multiple gestation, and suspected fetal macrosomia.
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Severe Maternal Morbidity Among Delivery and Postpartum Hospitalizations in the United States
TL;DR: A new standard for monitoring severe maternal morbidity is proposed and increasing rates of blood transfusion, acute renal failure, shock, acute myocardial infarction, respiratory distress syndrome, aneurysms, and cardiac surgery during delivery hospitalizations are found.
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Trends in postpartum hemorrhage in high resource countries: a review and recommendations from the International Postpartum Hemorrhage Collaborative Group.
Marian Knight,William M. Callaghan,Cynthia J. Berg,Sophie Alexander,Marie-Hélène Bouvier-Colle,Jane B. Ford,K.S. Joseph,K.S. Joseph,Gwyneth Lewis,Robert Liston,Christine L. Roberts,Jeremy Oats,James J. Walker +12 more
TL;DR: Clinicians should be more vigilant given the possibility that the frequency and severity of PPH has in fact increased, and training should be provided to all staff involved in maternity care concerning assessment of blood loss and the monitoring of women after childbirth.