Ryan Benedict V. Babasa,
Charity M. Delovino
Book of Abstracts
Publication Sub Type
CSMC Research Abstract Compendium
BACKGROUND: Labor pain is transmitted through lower thoracic, lumbar and sacral roots that are amenable to regional anesthesia. Approximately 60% of patients receive regional pain relief and 23% of patients undergo cesarean section in studies done by J. Ecker, MD., F. Frigoletto, MD., Cesarean delivery and the risk-benefit calculusN ENGL J MED March 1, 2007. There are different techniques, modes and delivery systems available in the present time. Regional anesthesia is safe, widely used, effective means of pain relief during labor and cesarean section. Not all pregnancies reach term and miscarriage is an unfortunate event that requires anesthesia for completion. Different factors like fasting time, co- morbidities, religion, and culture play a role on the decision making on the type of anesthesia to be given. As stated earlier the patient still is the last say on what and how she wants the anesthesia.
OBJECTIVE: This study aims to determine the current practice of obstetric anesthesia in Cardinal Santos Medical Center.
METHODOLOGY: This descriptive cross sectional study was conducted at the delivery room of Cardinal Santos Medical Center. All patients undergoing surgical obstetric procedures were included in the study. Patient profile and demographic data were also obtained. The number of control of labor pains, cesarean section, completion curettage, and converted control to cesarean section were tabulated. This study will include all surgical obstetric procedures from February 2014 to July 2014. Patients who underwent local normal spontaneous delivery were also included in the study for comparison. Data of subjects and obstetric procedures were obtained from records and logbooks during the said duration of the study.
RESULTS: This study shows an average of 2.5 cases of obstetric surgeries requiring anesthesia per day. It shows that epidural anesthesia is the ideal anesthetic choice for control of labor pains, spinal anesthesia for cesarean section and total intravenous anesthesia for completion curettage. Bupivacaine isobaric, Ropivacaine and Levobupivacaine are the anesthetic drugs of choice for control of labor pains. According to this study there are more private patients having anesthesia than service patients.
CONCLUSION: Obstetric anesthesia has been present and practiced for a long time. In Cardinal Santos Medical Center there is an average of 2.5 live births per day. Obstetric surgeries with anesthesia exclusing gynecologic procedures are divided into 36.49% vaginal deliveries, 52.19% cesarean section and 11.32% completion curettage. Of the total cesarean section 16.12% started of with control of labor pains. The anesthetic of choice for control of labor pains is CLEA, SAB for cesarean section and TIVA for completion curettage. Agents used for labor pains are Bupivacaine, Ropivacaine and Levobupivacaine. Being a private hospital there is more private patients than service. A fellowship program opens room for advancement and change for better patient care and training in Cardinal Santos Medical Center.