Clinical Case Database / Category: Clinical Care
Anaesthesia and analgesia in obstetrics
Publication details
Dr Liam McLoughlin BScMBBS FRCA, Dr Sofia Amiruddin MB ChB
Foundation Years Journal, volume 3, issue 3, p.71 (123Doc Education, London, April 2009)
Abstract
Approximately 600,000 women give birth in England and Wales each year. Almost half of these (47%) give birth without intervention of any kind. Annually therefore, nearly one-third of a million women might require the services of an anaesthetist for delivery. According to the National Sentinel Caesarean Section Audit the overall Caesarean section rate for England and Wales was 21.5% . The remaining women will receive intrapartum regional analgesia or anaesthesia for post-partum complications such as manual removal of the placenta or post-partum haemorrhage.
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Authors
Dr Liam McLoughlin BScMBBS FRCA
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Dr Sofia Amiruddin MB ChB
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References
1. Intrapartum Care. Care of healthy women and their babies during childbirth. National Institute for Health and Clinical Excellence. CG55, September 2007.
2. Thomas J, Paranjothy S. Royal College of Obstetricians and Gynaecologists Clinical Effectiveness Support Unit. The National Sentinel Caesarean Section Audit Report. London: RCOG Press, 2001.
3. Association of Anaesthetists of Great Britain and Ireland. OAA/AAGBI Guidelines for Obstetric Anaesthetic Services, revised edn. The Association of Anaesthetists of Great Britain and Ireland Obstetric Anaesthetists Association, May 2005.
4. Caesarean section. National Institute for Clinical Excellence. CG13. April 2004.
5. Lewis G (ed.) (2007) The Confidential Enquiry into Maternal and Child Health (CEMACH). Saving Mothers' Lives: reviewing maternal deaths to make motherhood safer, 2003–2005. The Seventh Report on Confidential Enquiries into Maternal Deaths in the United Kingdom. London.
6. McClure J, Cooper G. Fifty years of confidential enquiries into maternal deaths in the United Kingdom: should anaesthesia celebrate or not? International Journal of Obstetric Anesthesia. 14:87–89.
7. Anaesthesia UK (available online at: http//frca.co.uk/).
8. Obstetric Anaesthetists Association (available online at: http://www. oaa-anaes.ac.uk/assets/_managed/editor/File/Info for Mothers/EIC/2008_eic_english.pdf).
9. Safer Childbirth: Minimum Standards for the Organisation and Delivery of Care in Labour. RCOG Press. October 2007.
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The Foundation Years Clinical Cases Database is a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.
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