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
Main Article Content
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.
Article Details
Keywords
Labor pain, epidural analgesia, anesthetic nurse, perinatal care, maternal satisfaction
References
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