Eine Umfrage zur geburtshilflichen Schmerztherapie in Deutschland

Meuser, Thomas; Wiese, Richard; Molitor, D.; Grond, Stefan; Stamer, Ulrike

doi:10.1007/s00482-007-0595-7

Cited by 6 publications

(2 citation statements)

References 28 publications

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“…Regarding labor analgesia, the placement of the epidural catheter was performed in less than 1/5 vof VDs. Similar figures have been reported in the last decade in Germany (17.5%±12.6%) and Norway (25.9%) ( 11 , 12 ). The rates have increased in UK (over 33%) and are significantly higher in Belgium (68%) and USA (77%) ( 13 , 14 ).…”

Section: Discussionsupporting

confidence: 89%

Current Practice in Obstetric Anesthesia and Analgesia in Public Hospitals of Greece: A 2016 National Survey

et al. 2018

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Aims:This descriptive survey was to evaluate the use of regional anesthesia in obstetrics in Greek public hospitals.Methods:The survey was conducted between March and August 2016. A structured questionnaire was sent to 50 anesthesia departments in Greek public hospitals with obstetric units.Results:The response rate was 94%. Data corresponding to 9475 cesarean and 8155 vaginal deliveries were collected. Regional anesthesia was used in 69.2% of all cesareans, with single shot spinal being the most popular (44.3% of all cesareans). Combined spinal-epidural anesthesia was used in 18.1% of all cesareans (35.1% in hospitals of Athens versus 7.9% outside Athens, p<0.001). Post-cesarean analgesia was applied with simple analgesics and systematic opioids (78.6%). Long-acting spinal opioids were rarely used (4.4% of spinal and spinal/epidurals). Labor epidural analgesia was applied in 19.1% of all vaginal deliveries (30.3% in Athens versus 13.1% outside Athens, p<0.001). Paracetamol and pethidine represented the standard labor analgesics in 48.9% and 55.3% of all hospitals. Intravenous remifentanil was used in 10.6% of hospitals (50% in Athens versus 2.5% outside Athens, p=0.002). In 48.9% of hospitals, mainly outside Athens, the anesthesiologists did not get involved in labor analgesia.Conclusion:Regional anesthesia is the most common practice for cesareans in Greek public hospitals; however, the percentage of general anesthesia remains high. In addition, the use of labor epidural analgesia is limited in hospitals outside Athens.

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Section: Discussionsupporting

confidence: 89%

Current Practice in Obstetric Anesthesia and Analgesia in Public Hospitals of Greece: A 2016 National Survey

et al. 2018

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“…Thus, meptazinol could be regarded to be a potent and safe analgesic suitable to be offered during labor and delivery and it was widely introduced to German labor wards since the 1980s. Although no further research was performed on the safety and effectiveness of meptazinol during labor, according to a survey in 2007, still approximately 30% of obstetric units in Germany regularly offered and administered meptazinol [ 15 , 16 ]. The first clinical study on the use of meptazinol during labor was performed in 2016.…”

Section: Introductionmentioning

confidence: 99%

SPAM—sub partual analgesia with meptazinol: a prospective cohort study comparing intramuscular with intravenous administration

Germeshausen

Linzbach

Zöllkau

et al. 2023

Arch Gynecol Obstet

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Purpose Safe and effective analgesia sub partu is one of the central issues in optimizing vaginal delivery birth experiences. Meptazinol is a common opiate approved for treating labor pain in the first stage of labor. According to the manufacturer, manual meptazinol can be applied intramuscularly or intravenously. The aim of this study was to compare the two application methods in terms of efficacy in pain relief, occurrence of side effects and treatment satisfaction. Methods 132 patients with singleton term pregnancies and intended vaginal delivery, receiving meptazinol during first stage of labor were included in this prospective cohort study from 05/2020 to 01/2021. We evaluated effectiveness in pain relief and treatment satisfaction using numeric rating scales (NRS) and documented the occurrence of adverse effects. Chi-square test or Fisher exact test were used to compare categorical data and Mann–Whitney U test to compare continuous data between the two treatment groups. Statistical analysis was done by SPSS 27.0. A p value < 0.05 was considered to indicate statistical significance (two tailed). Results Meptazinol decreased labor pain significantly from a NRS of 8 (IQR 8–10) to 6 (IQR 4.75–8) in both treatment groups with no difference in effectiveness between the groups. Frequency of effective pain reduction of a decrease of 2 or more on the NRS did not differ between groups (39.4% vs 54.5%, p = 0.116), as the occurrence of adverse effects. 12% of the newborns were admitted to NICU, the median NApH was 7.195. Conclusion Meptazinol significantly reduces labor pain regardless of the method of application: intramuscular or intravenous. According to our data, no preferable route could be identified. The comparably poorer perinatal outcome in our study cohort hinders us to confirm that meptazinol is safe and can be recommended without restrictions.

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The influence of labor epidural analgesia on maternal, uteroplacental and fetoplacental hemodynamics in normotensive parturients: a prospective observational study

Gude

Kaci

Sieker

et al. 2021

International Journal of Obstetric Anesthesia

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Eine Umfrage zur geburtshilflichen Schmerztherapie in Deutschland

Abstract: EA is the mainstream method of relieving labour pains in almost all German hospitals, but is used significantly more often in hospitals with rather high numbers of yearly deliveries than in hospitals in which there are few deliveries per year.

Cited by 6 publications

References 28 publications

Current Practice in Obstetric Anesthesia and Analgesia in Public Hospitals of Greece: A 2016 National Survey

Current Practice in Obstetric Anesthesia and Analgesia in Public Hospitals of Greece: A 2016 National Survey

SPAM—sub partual analgesia with meptazinol: a prospective cohort study comparing intramuscular with intravenous administration

The influence of labor epidural analgesia on maternal, uteroplacental and fetoplacental hemodynamics in normotensive parturients: a prospective observational study

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