A matter of justice: an obstetric anesthesia workforce survey of the United States highlights the unequal access to anesthesia care for childbirth

IF 2.6 3区医学 Q2 ANESTHESIOLOGY

International journal of obstetric anesthesia Pub Date : 2025-05-29 DOI:10.1016/j.ijoa.2025.104699

R.B. George , M.I. Zakowski

引用次数: 0

Abstract

Disparities in anesthesia services for labor and delivery constitute a persistent, structural inequity in healthcare, affecting peripartum outcomes, and perpetuating needless suffering. Labor and delivery units should be resourced equivalently to surgical suites. Institutions, funding organizations, and quality assurance programs should include anesthesia readiness as a marker of maternal safety. Improving access will require a coordinated response starting with redesigning staffing models to reflect demand variability and acuity. We must confront these systemic inequities that limit access to anesthesia care because access to safe, timely anesthesia in childbirth is not a privilege, it is a right.

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一个公正的问题：美国产科麻醉劳动力调查强调了不平等获得麻醉护理分娩

分娩和分娩麻醉服务的差异构成了医疗保健中持续的结构性不平等，影响围产期结局，并使不必要的痛苦永久化。产房和产房的资源应与手术室相同。机构、资助组织和质量保证项目应包括麻醉准备作为产妇安全的标志。改善获取机会需要采取协调一致的对策，首先是重新设计人员配置模式，以反映需求的可变性和敏锐性。我们必须面对这些限制获得麻醉护理的系统性不公平现象，因为在分娩时获得安全、及时的麻醉不是一种特权，而是一种权利。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International journal of obstetric anesthesia 医学-妇产科学

CiteScore

4.70

自引率

7.10%

发文量

285

审稿时长

58 days

期刊介绍： The International Journal of Obstetric Anesthesia is the only journal publishing original articles devoted exclusively to obstetric anesthesia and bringing together all three of its principal components; anesthesia care for operative delivery and the perioperative period, pain relief in labour and care of the critically ill obstetric patient. • Original research (both clinical and laboratory), short reports and case reports will be considered. • The journal also publishes invited review articles and debates on topical and controversial subjects in the area of obstetric anesthesia. • Articles on related topics such as perinatal physiology and pharmacology and all subjects of importance to obstetric anaesthetists/anesthesiologists are also welcome. The journal is peer-reviewed by international experts. Scholarship is stressed to include the focus on discovery, application of knowledge across fields, and informing the medical community. Through the peer-review process, we hope to attest to the quality of scholarships and guide the Journal to extend and transform knowledge in this important and expanding area.