[Initial training in obstetric anaesthesia]

(Formation initiale en anesthésie obstétricale.)

Full Abstract

Obstetric anaesthesia is a "young" discipline, with constant novelties from a clinical, scientific and academic standpoint. While there is still no official sub-specialty in obstetric anesthesia, this field has become more diversified because of the growing maternal request for labor analgesia, a constant and perhaps even increasing rate of caesarean deliveries of 20-30% depending on institutions and countries, and also due to the raise in "high risk" pregnancies in women carrying various medical conditions such as complex congenital cardiopathies. In their anesthesia training, most residents rotate in the delivery room for three months on average, which should allow them to acquire good practical skills when performing regional analgesia and anesthesia for labor and delivery. It has been shown that performing 75 epidurals in the obstetric context is sufficient to provide good technical expertise, when appropriate supervision is provided by a present and devoted staff. General anaesthesia remains the critical point, because this technique is less and less performed in pregnant women. It should be recommended to develop training programs to improve the technical skills for intubation in pregnant women, which is why anaesthesia simulators may have an important role in the future. In terms of the theoretical knowledge, good academic training programs are required. The physiology of pregnancy and the physiopathology of pregnancy-related disorders justify a thorough and rigorous teaching in order to reduce both maternal and neonatal morbidity and mortality.

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Author information

Author/s: Landau, R (R); Chassard, D (D);

Affiliation: Service d'Anesthésiologie, Hôpitaux Universitaires de Genève, Genève, Suisse. ruth.landau(-atsign-)hcuge.ch

Journal and publication information

Publication Type: English Abstract; Journal Article

Journal: Annales françaises d'anesthèsie et de rèanimation (Ann Fr Anesth Reanim), published in France. (Language: fre)

Reference: 2006-Jun; vol 25 (issue 6) : pp 589-92

Dates: Created 2006/06/12; Completed 2006/08/11; Revised 2006/11/15;

PMID: 16701978, status: MEDLINE (last retrieval date: 12/26/2008)

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MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Female
Humans
Internship and Residency
Intubation, Intratracheal
Pregnancy - physiology
Pregnancy Complications - physiopathology
Pregnancy, High-Risk
Teaching - methods

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