Anaesthesia for Caesarean section: a survey in a UK region from 1992 to 2002

Summary Data are presented for anaesthesia for Caesarean section (CS) in the South‐west Thames region of the UK. The CS rate rose from 12.7% in 1987 to 24.2% in 2002. The rate of increase shows no sign of slowing. The rate of regional anaesthesia (RA) for elective CS rose from 69.4% in 1992 to 94.9%...

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Published inAnaesthesia Vol. 58; no. 11; pp. 1114 - 1118
Main Authors Jenkins, J. G., Khan, M. M.
Format Journal Article
LanguageEnglish
Published Oxford, UK Blackwell Science Ltd 01.11.2003
Blackwell
Subjects
Abdominal surgery. Urology. Gynecology. Obstetrics
Anaesthesia
Anesthesia
Anesthesia depending on type of surgery
Anesthesia, Epidural - statistics & numerical data
Anesthesia, Epidural - trends
Anesthesia, General - statistics & numerical data
Anesthesia, General - trends
Anesthesia, Obstetrical - methods
Anesthesia, Obstetrical - trends
Anesthesia, Spinal - statistics & numerical data
Anesthesia, Spinal - trends
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Caesarean section
Cesarean Section - statistics & numerical data
Cesarean Section - trends
Elective Surgical Procedures - statistics & numerical data
Emergencies
England
Female
Health Care Surveys
Humans
Medical sciences
obstetrical
Pregnancy
United Kingdom
Europe
Human
Regional anesthesia
Caesarean section. Anaesthesia: obstetrical
Surgery
Extradural administration
General anesthesia
Female
Delivery
Epidemiology
Intrathecal administration
Cesarean section
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Summary:Summary Data are presented for anaesthesia for Caesarean section (CS) in the South‐west Thames region of the UK. The CS rate rose from 12.7% in 1987 to 24.2% in 2002. The rate of increase shows no sign of slowing. The rate of regional anaesthesia (RA) for elective CS rose from 69.4% in 1992 to 94.9% in 2002, when spinal anaesthesia was used for 86.6% of cases. This may limit the opportunities to teach other anaesthetic techniques. The rate of RA for emergency CS rose from 49.3% in 1992 to 86.7% in 2002. There is an unacceptable rate of failure of RA for both elective and emergency CS, 1.3% of RAs for elective CS and 4.9% of RAs for emergency CS were converted to general anaesthesia.
Bibliography:Presented in part at the Annual Meeting of the Obstetric Anaesthetists' Association, Cardiff, June 2003.
ObjectType-Article-1
SourceType-Scholarly Journals-1
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ISSN:0003-2409
1365-2044
DOI:10.1046/j.1365-2044.2003.03446.x