Articles Vol. 65 No. CĐ 9 - Hội Gây mê Hồi sức 26/09/2024

26. OUTCOMES OF A TRAINED NURSE TO MANAGE THE EPIDURAL LABOR ANALGESIA IN VINMEC HEALTH CARE SYSTEM BASED ON 2 YEARS DATA COLLECTION 2023-2024

Pham Thi My Duyen1,2
1 Vinmec Times City International General Hospital
2 Bệnh viện Đa khoa quốc tế Vinmec Times City
Corresponding author: v.duyenptm3@vinmec.com
DOI: 10.52163/yhc.v65iCD9.1540
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Keywords
Labor pain epidural analgesia anesthetic nurse perinatal care maternal satisfaction
Abstract

Background: In practice anesthesiologists do not always respond immediately to mothers' needs, which can impact the quality of care. To address this issue, this study aims to evaluate the effectiveness of having a trained anesthetic nurse manage epidural analgesia in improving maternal satisfaction, pain relief quality, and not affecting the mother's pushing efforts.

Research objects and methods: Retrospective of 3986 pregnancies over 36 weeks gestation who received epidural analgesia for pain control were reviewed during (n = 3986) under the
cared for by an anesthetist nurse at Vinmec healthcare system including 7 hospitals: Vinmec Time City, Hai Phong, Ha Long, Phu Quoc, Nha Trang, Da Nang, Center Park.

Results: Among them 3986 women received care from a anesthetists nurse between January 2023 and June 2024, there were 70 cases (1.8%) of pain during labor requiring catheter adjustment and management with a satisfaction score assessed by the midwife of less than 4 points. Having an anesthetic nurse resulted in higher maternal satisfaction scores compared to before, with no adverse effects on maternal, neonatal, or epidural-related complications.

Conclusion: These findings suggest that assigning an anesthetic nurse to manage epidural analgesia may enhance maternal satisfaction and potentially improve overall care quality.

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