Obstetric anesthesia

Obstetric anesthesia in Latin America: a workforce and clinical practice survey (2025)

Int J Obstet AnesthPublished Cross-sectional study

Authors' conclusion

The survey reveals strengths including high rates of neuraxial analgesia and safety protocols, but substantial variation in staffing, analgesia, and techniques.

Study context

Population
National leaders in obstetric anaesthesia (anesthesiologists) from Latin American countriesof 62 contacted, 19 countries
Participants
50 participants
Outcome
Obstetric anesthesia workforce composition, clinical practices and safety protocols
Methodological detailsweb-based, anonymous survey, weighted for national birth rates, Survey administered August 2025; tool adapted from the US Obstetric Anesthesia Workforce Survey; comparisons with US data descriptive
  • Web-based
  • Anonymous survey
  • Weighted for national birth rates
  • Survey administered August 2025; tool adapted from the US Obstetric Anesthesia Workforce Survey; comparisons with US data descriptive

Main finding

As reported in the abstract

Respondents working in high-risk referral hospitals
90%
Respondents in academic centers with residency programs
54%
Non-obstetric concurrent duties, daytime
50%
Non-obstetric concurrent duties, after hours
60%
Neuraxial labor analgesia
69%
Epidural
37%
CSE
23%
Dural puncture epidural
3.4%
Single spinal
3.8%
Laboring patients receiving no analgesia
26%
Spinal anesthesia for planned cesarean delivery
86%
Centers using intrathecal morphine
83%
ERAS protocols used
27%
GA in urgent cesarean deliveries
18%
Centers with massive transfusion protocols
79%
Centers with ALS training
69%
Centers with ultrasound
87%

Observational data: associations, not effects.

Original publication

Obstetric anesthesia in Latin America: a workforce and clinical practice survey (2025). Int J Obstet Anesth. Published 16 November 2025. doi:10.1016/j.ijoa.2025.104818

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