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Abstrakt

Investigation on the current status of labor analgesia in medical institutions in Southwest China

Yan Wang

To explore the current situation of labor analgesia in medical institutions in Southwest China.

A Cross-sectional survey was performed. The present situation of labor analgesia in medical institutions of Sichuan, YunnanGuizhou, Tibet, and Chongqing provinces/autuomonous region/municipalities in Southwest China were investigated.

A total of 278 medical institutions in Southwest China were surveyed, of which 196 (70.3%) with drug analgesia measures and 275 (98.6%) with non-drug analgesia. Non-drug analgesic measures were mainly psychological supports (239,85.7%), Lamaze breathing (194,69.5%) and free posture (193,69.2%). The proportion of obstetricians (128, 45.9%) and anesthesiologists (114, 40.9%) advocating epidural anesthesia was relatively high, and the proportion of midwives (78, 28,0%) advocating epidural anesthesia was the lowest. The main reasons for not implementing non-drug analgesia measures in medical institutions are inadequate human resources (68,24.4%) and untrained midwives (47,16.8%).

The role of non-drug labor analgesia has not been paid enough attention to. The lack of human resources and relevant training of midwives hinder the popularization and development of non-drug analgesia measures.