Obstetric anesthesia

Impact of an interdisciplinary process to increase utilization of neuraxial anesthesia for cesarean delivery: a retrospective database analysis

Int J Obstet AnesthPublished Retrospective database analysis

Authors' conclusion

This study demonstrates the utility of educational strategies to increase neuraxial anesthesia use and highlights the importance of proactive interdisciplinary labor management.

Study context

Population
Cesarean delivery (CD) at one hospital, 2014–2023
Exposure
Before vs after interdisciplinary educational strategies
Outcome
Rate of neuraxial anaesthesia for CD
Methodological detailsbefore-after
  • Before-after

Main finding

As reported in the abstract

Neuraxial anaesthesia rate, all CD

Observational data: associations, not effects.

Further findings

GA, all CD

Labor epidural augmentation for unplanned CD

Use increased from 31.9% to 55.1%

IV supplementation with spinal anesthesia for unplanned CD

Increased from 18.1% to 32.1%

Original publication

Impact of an interdisciplinary process to increase utilization of neuraxial anesthesia for cesarean delivery: a retrospective database analysis. Int J Obstet Anesth. Published 14 September 2024. doi:10.1016/j.ijoa.2024.104267

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