Document Detail


Prescribing intramuscular opioids for labour analgesia in consultant-led maternity units: a survey of UK practice.
MedLine Citation:
PMID:  17981457     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Intramuscular opioids are widely used for analgesia in labour. We conducted a postal survey to establish current prescribing and monitoring guidelines for intramuscular opioids in consultant-led obstetric units in the UK. METHODS: A postal questionnaire was sent between December 2005 and January 2006 to the lead obstetric anaesthetist of all 234 consultant-led obstetric units in the UK. We enquired about dose regimens of intramuscular opioids in labour and monitoring of mother, fetus and neonate. RESULTS: The response rate was 71%; 84.4% of responding units used pethidine and 34.1% diamorphine. Meptazinol and morphine were available in 13.8% and 13.2% of units respectively. Some units used more than one opioid. The choice of opioid was dictated mainly by tradition (65.3%) and familiarity (40.7%). Prophylactic antiemetics were co-administered in 73.7% of units, the most commonly used being prochlorperazine (30.5%). Vital signs were monitored in 91.6% of units: in total 10.2% measured haemoglobin oxygen saturations and 4.8% respiratory rate. Pain scores were recorded in 13.7% of units. CONCLUSIONS: When compared with previous studies the use of intramuscular diamorphine is increasing in UK consultant-led obstetric units, although pethidine remains the widely used opioid. At present this change cannot be justified by a suitably powered, randomised study comparing intramuscular pethidine with diamorphine.
Authors:
J P Tuckey; R E Prout; M Y K Wee
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Publication Detail:
Type:  Journal Article; Multicenter Study     Date:  2007-11-05
Journal Detail:
Title:  International journal of obstetric anesthesia     Volume:  17     ISSN:  1532-3374     ISO Abbreviation:  Int J Obstet Anesth     Publication Date:  2008 Jan 
Date Detail:
Created Date:  2007-12-28     Completed Date:  2008-04-07     Revised Date:  2008-05-17    
Medline Journal Info:
Nlm Unique ID:  9200430     Medline TA:  Int J Obstet Anesth     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  3-8     Citation Subset:  IM    
Affiliation:
Department of Anaesthesia, Royal United Hospital Bath, UK. Jenny.Tuckey@ruh-bath.swest.nhs.uk
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MeSH Terms
Descriptor/Qualifier:
Analgesia, Obstetrical*
Analgesics, Opioid / administration & dosage*
Antiemetics / administration & dosage
Drug Administration Schedule
Female
Great Britain
Health Care Surveys
Humans
Injections, Intramuscular
Labor Pain / drug therapy*
Pain Measurement / methods
Patient Satisfaction / statistics & numerical data
Pregnancy
Pregnancy Outcome
Questionnaires
Chemical
Reg. No./Substance:
0/Analgesics, Opioid; 0/Antiemetics

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


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