Anesthesia for Cesarean Delivery: A Cross-Sectional Survey of Provincial, District, and Mission Hospitals in Zimbabwe

Anesthesia and Analgesia
Herman A LonnéeSunanda Ray

Abstract

Cesarean delivery is the most common surgical procedure in low- and middle-income countries, so provision of anesthesia services can be measured in relation to it. This study aimed to assess the type of anesthesia used for cesarean delivery, the level of training of anesthesia providers, and to document the availability of essential anesthetic drugs and equipment in provincial, district, and mission hospitals in Zimbabwe. In this cross-sectional survey of 8 provincial, 21 district, and 13 mission hospitals, anesthetic providers were interviewed on site using a structured questionnaire adapted from standard instruments developed by the World Federation of Societies of Anaesthesiologists and the World Health Organization. The anesthetic workforce for the hospitals in this survey constituted 22% who were medical officers and 77% nurse anesthetists (NAs); 55% of NAs were recognized independent anesthetic providers, while 26% were qualified as assistants to anesthetic providers and 19% had no formal training in anesthesia. The only specialist physician anesthetist was part time in a provincial hospital. Spinal anesthesia was the most commonly used method for cesarean delivery (81%) in the 3 months before interview, with 19% general ...Continue Reading

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Citations

Jan 8, 2020·Paediatric Anaesthesia·Petros ManyumwaFaye M Evans
Nov 11, 2020·Acta Anaesthesiologica Scandinavica·Herman A LonnéeAlex J van Duinen
Jan 6, 2021·Pediatric Surgery International·Justina O Seyi-OlajideUNKNOWN Global Initiative for Children’s Surgery
Oct 31, 2020·Local and Regional Anesthesia·Lena Ebba DohlmanOdinakachukwu Ehie

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