Document Detail


Anesthesiologists' practices for late termination of pregnancy: a French national survey.
MedLine Citation:
PMID:  20817508     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Approximately 6600 cases of medical termination of pregnancy are performed in France annually, of which 78% are performed during the second or third trimester of pregnancy. There are few data and no recommendations regarding anesthesia and analgesia for these late terminations. The aims of this study were to determine the role of anesthesiologists and analgesia and anesthesia practices used for late terminations in France.
METHODS: An electronic mailing survey was sent to all obstetric anesthesia teams working in hospitals with a prenatal diagnosis center in France. The same survey was also sent to a sample of obstetric anesthesia teams working in hospitals near Paris without a prenatal diagnosis center.
RESULTS: The response rate was 96% (45/47) for those with and 85% (23/27) for those without a prenatal diagnosis centre. Anesthesiologists at units with prenatal diagnosis participate on a regular or frequent basis on multidisciplinary prenatal committees in 36% of responding centers and are involved in 69% of centers in case of maternal health problems. Epidural or more rarely combined spinal-epidural analgesia is performed in more than 90% of cases. The block is performed after fetocide in 22% of centers and after the start of labor in 38% of centers. Sedation or general anesthesia is used at delivery in every case or at patient request in 2% and 60% of centers, respectively. Minor differences were found when comparing practices of high-volume centers with prenatal diagnosis and small volume centers without.
CONCLUSIONS: French anesthesiologists do not participate routinely in the decision and planning of all late terminations. Overall, very similar analgesic and anesthetic practices are observed in high- and low- volume centers, with epidural techniques being the most common.
Authors:
G Dubar; D Benhamou
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  International journal of obstetric anesthesia     Volume:  19     ISSN:  1532-3374     ISO Abbreviation:  Int J Obstet Anesth     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-09-27     Completed Date:  2011-01-21     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9200430     Medline TA:  Int J Obstet Anesth     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  395-400     Citation Subset:  IM    
Copyright Information:
Copyright © 2010 Elsevier Ltd. All rights reserved.
Affiliation:
Département d'Anesthésie-Réanimation, Hôpital de Bicêtre, Le Kremlin-Bicêtre, France.
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MeSH Terms
Descriptor/Qualifier:
Abortion, Therapeutic / methods*
Adult
Analgesia
Analgesia, Epidural
Anesthesia / standards*
Anesthesiology / standards*
Female
France / epidemiology
Health Care Surveys
Hospital Units / organization & administration
Humans
Pregnancy
Prenatal Diagnosis
Questionnaires
Referral and Consultation

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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