A Survey of the Knowledge Attitude and Practice Regarding Epidural Labor Analgesia among Anesthesiologists in Government Hospitals of Eastern India
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 7
Abstract
Background and Aims: Epidural labor analgesia has become a milestone in obstetric analgesia with anaesthesiologists worldwide using it on parturients for painless and safe childbirth. This survey aims to look at the anaesthesiologists’ knowledge on epidural labor analgesia, their attitude towards its routine use against their ages, gender and years of experience, how often they practiced it and whether their personal experience influenced their practice. Material and Methods: The study is designed as a cross-sectional descriptive survey. Sixty-two anaesthesiologists working in government hospitals of eastern India responded to the study. Data was collected using a likert type questionnaire send through digital mail. Statistical analysis was done be The Statistical Package for Social Sciences 20. Results: Anaesthesiologists surveyed had a resident to consultant ratio of 4.2:1 and male female ratio of 1.8:1. Only 22.58% practiced epidural anaesthesia often but 80.64% had a positive attitude toward its routine use regardless of age, gender and years of practice. The greatest hindrance to practice came up as inadequate knowledge about epidural analgesia among obstetricians. Conclusions: We concluded that although knowledge was adequate and attitude positive among anaesthesiologists regarding epidural labor analgesia, its practice seems to be lagging behind. To improve this and optimise patient benefits, obstetricians have to foster collaboration with the anaesthesiologists to further upgrade their knowledge on epidural labor analgesia. Hospitals have to increase resource allocation to maternal health services for procurement of equipment so as to aid in the establishment of an effective epidural labor analgesia program Key-words: Anaesthesia, Epidural/utilisation. Anaesthesia, Obstetrical/psychology. Health Knowledge, Attitudes, Practice. Surveys and Questionnaires.
Authors and Affiliations
Dr Ipsita Chattopadhyay
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