广东省分娩镇痛现状及发展策略分析OA

Objective To provide objective data for the current work of the labor analgesia and formulate feasible development strategy by investigating the development of labor analgesia in different medical institutions in Guangdong province.Methods The present situation of labor analgesia and medical-teaching-research as well as the personal situation of physicians in department of anesthesiology in sixty-six medical institutions in Guangdong province were investigated by the method of quantitative and qualitative investigation.The data were analyzed and compared by Excel,so as to find out the difficulties and problems for labor analgesia which faced by medical institutions in our province,and to formulate a development strategies Results There was a lack of manpower in anesthesiologists in all the surveyed medical institutions (100.0％).Most hospitals (91.4％) had carried out the work of labor analgesia,but done no relevant subject research.The department (85.1％) had the conditions needed for the work and a unified labor analgesia process,but the proportion of the unit which take labor analgesia as a routine means was low (61.3％).The maternal acceptance of childbirth analgesia was high (97.5％),but the enthusiasm of anesthesiologists working for labor analgesia was not high (27.2％).Most hospitals (68.0％) had no specific staff in delivery room responsible for labor analgesia;and most of the specific staff (65.4％) had no subsidy,and only 34.5％ of them had financial assistance,but all had no holiday benefits.Most anesthesiologists (92.6％) were familiar with the process of labor analgesia and treatment of complications,with independent communication and processing ability as well as reliable technology.Most hospitals (84.3％) had no medical disputes caused by complications of labor analgesia,and the incidence of related complications was relatively low (0.0％-20.0％).Conclusions The rate of labor analgesia is low;except for a small number of medical staff without enough labor analgesia technology,the existing medical system restriction and lack of manpower are the most important factors.Only changing the medical system,developing medical talents,and irnrpoving medical enthusiasm can carry out the work of labor analgesia to the maximum extent and develop the medical technology.