International journal of obstetric anesthesia最新文献

{"title":"A decade of obstetric anaesthetic case reports publications: a focused review","authors":"R. Eshel , A. Berman , C.F. Weiniger","doi":"10.1016/j.ijoa.2025.104341","DOIUrl":"10.1016/j.ijoa.2025.104341","url":null,"abstract":"","PeriodicalId":14250,"journal":{"name":"International journal of obstetric anesthesia","volume":"62 ","pages":"Article 104341"},"PeriodicalIF":2.6,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143386990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Beyond the puncture: new guidelines for intrathecal catheter management in obstetric anesthesia","authors":"Yair Binyamin, Sharon Orbach-Zinger, Michael Heesen","doi":"10.1016/j.ijoa.2024.104311","DOIUrl":"10.1016/j.ijoa.2024.104311","url":null,"abstract":"","PeriodicalId":14250,"journal":{"name":"International journal of obstetric anesthesia","volume":"61 ","pages":"Article 104311"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142871974","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Readability, quality and accuracy of generative artificial intelligence chatbots for commonly asked questions about labor epidurals: a comparison of ChatGPT and Bard","authors":"D. Lee,&nbsp;M. Brown,&nbsp;J. Hammond,&nbsp;M. Zakowski","doi":"10.1016/j.ijoa.2024.104317","DOIUrl":"10.1016/j.ijoa.2024.104317","url":null,"abstract":"<div><h3>Introduction</h3><div>Over 90% of pregnant women and 76% expectant fathers search for pregnancy health information. We examined readability, accuracy and quality of answers to common obstetric anesthesia questions from the popular generative artificial intelligence (AI) chatbots ChatGPT and Bard.</div></div><div><h3>Methods</h3><div>Twenty questions for generative AI chatbots were derived from frequently asked questions based on professional society, hospital and consumer websites. ChatGPT and Bard were queried in November 2023. Answers were graded for accuracy by four obstetric anesthesiologists. Quality was measured using Patient Education Materials Assessment Tool for Print (PEMAT). Readability was measured using six readability indices. Accuracy, quality and readability were compared using independent <em>t</em>-test.</div></div><div><h3>Results</h3><div>Bard readability scores were high school level, significantly easier than ChatGPT’s college level by all scoring metrics (<em>P</em> &lt;0.001). Bard had significantly longer answers (<em>P</em> &lt;0.001), yet with similar accuracy of Bard (85 % ± 10) and ChatGPT (87 % ± 14) (<em>P</em> = 0.5). PEMAT understandability scores were no statistically significantly different (<em>P</em> = 0.06). Actionability by PEMAT scores for Bard was significantly higher (22% vs. 9%) than ChatGPT (<em>P</em> = 0.007)</div></div><div><h3>Conclusion</h3><div>Answers to questions about “labor epidurals” should be accurate, high quality, and easy to read. Bard at high school reading level, was well above the goal 4^th to 6^th grade level suggested for patient materials. Consumers, health care providers, hospitals and governmental agencies should be aware of the quality of information generated by chatbots. Chatbots should meet the standards for readability and understandability of health-related questions, to aid public understanding and enhance shared decision-making.</div></div>","PeriodicalId":14250,"journal":{"name":"International journal of obstetric anesthesia","volume":"61 ","pages":"Article 104317"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142927047","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors affecting womens’ attitude towards labor epidural analgesia in a culturally diverse population: a prospective patient-reported outcome study","authors":"Raneen Abu Shqara ,&nbsp;Gabriela Goldinfeld ,&nbsp;Sari Nahir Biderman ,&nbsp;Tatiana Sher Brodsky ,&nbsp;Asal Darwish ,&nbsp;Nadir Ganem ,&nbsp;Lior Lowenstein ,&nbsp;Maya Frank Wolf","doi":"10.1016/j.ijoa.2025.104329","DOIUrl":"10.1016/j.ijoa.2025.104329","url":null,"abstract":"<div><h3>Background</h3><div>To evaluate pregnant women’s intentions to deliver with labor epidural analgesia (LEA) and identify factors influencing decision-making in a diverse population in northern Israel.</div></div><div><h3>Methods</h3><div>A cross-sectional survey was conducted at Galilee Medical Center from February to July 2024. Women completed pre- and post-labor questionnaires assessing demographics, religiosity, prior experience, prenatal education, attitude towards LEA, reasons for not intending to deliver with and actual LEA use. Statistical analysis included multivariate logistic regression.</div></div><div><h3>Results</h3><div>The LEA rate among participants was 83.5% (380/455) (83.5%); 257 (56.5%) had indented to deliver with. Among those not intending to deliver with LEA, 66.7% (132/198) eventually delivered with. There were 297 (65.3%) Arab and 158 (34.7%) Jewish women; 180 (39.6%) identified as Muslim, 158 (34.7%) Jewish, 92 (20.2%) Druze, and 25 (5.5%) Christian. Factors associated with intention to deliver with LEA were nulliparity (<em>P</em> =0.024), childbirth preparation course (<em>P</em> =0.002), internet as source of information (<em>P</em> =0.016), and previous delivery with LEA (<em>P</em> &lt;0.001). Factors associated with not intending to deliver with but ultimately delivering with LEA were nulliparity (<em>P</em> =0.033), partner presence (<em>P</em> &lt;0.001), labor induction (<em>P</em> =0.044), and previous delivery with LEA (<em>P</em> &lt;0.001).</div></div><div><h3>Conclusion</h3><div>Attitudes toward LEA are shaped by culture, knowledge, prior experiences, and social support. In our cohort, the most important factors for delivering with LEA when not intending to were previous delivery with LEA and partner presence. Factors associated with not delivering with LEA were preference for natural childbirth and fear of LEA-associated side effects. Promoting evidence-based information through language-adapted platforms can further improve informed decision-making about LEA.</div></div>","PeriodicalId":14250,"journal":{"name":"International journal of obstetric anesthesia","volume":"61 ","pages":"Article 104329"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143005255","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Spinal chloroprocaine versus bupivacaine without opioid adjuvant for transvaginal cervical cerclage placement: a pragmatic retrospective cohort study (2018–2023)","authors":"A.K. Hallmark ,&nbsp;R.J. McCarthy ,&nbsp;B.T. Stetson ,&nbsp;J.M. Banayan","doi":"10.1016/j.ijoa.2024.104323","DOIUrl":"10.1016/j.ijoa.2024.104323","url":null,"abstract":"","PeriodicalId":14250,"journal":{"name":"International journal of obstetric anesthesia","volume":"61 ","pages":"Article 104323"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143005275","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Avoidable general anesthesia for nonobstetric surgery during pregnancy: a retrospective cohort pilot study (2011–2020)","authors":"JP Salaün ,&nbsp;A. Baron ,&nbsp;T. Simonet ,&nbsp;A. Chagnot ,&nbsp;A. Alves ,&nbsp;R. Fauvet ,&nbsp;S. Albadri ,&nbsp;E. Villeneuve ,&nbsp;L.J. Salomon ,&nbsp;M-P. Bonnet ,&nbsp;G. Orliaguet ,&nbsp;J-L. Hanouz ,&nbsp;L. Bouvet ,&nbsp;H. Keita","doi":"10.1016/j.ijoa.2024.104265","DOIUrl":"10.1016/j.ijoa.2024.104265","url":null,"abstract":"<div><h3>Background</h3><div>About 2% of pregnant women are exposed to general anesthesia for nonobstetric surgery. Given the possibility of adverse fetal and maternal effects associated with exposure to general anesthesia, we sought to evaluate the proportion of cases where general anesthesia could have been avoided.</div></div><div><h3>Methods</h3><div>This single-center pilot retrospective analysis of nonobstetric surgeries performed during pregnancy was conducted at the Caen Normandy University Hospital (2011–2020). An expert panel of seven French anesthesiologists, obstetricians determined whether general anesthesia was avoidable versus required through a majority vote based on an anonymous standardized data collection sheet. General anesthesia was considered avoidable when an alternative such as neuraxial/regional anesthesia or sedation could have been performed.</div></div><div><h3>Results</h3><div>General anesthesia was avoidable in 36/106 (34%) cases of nonobstetric surgery during pregnancy. Endoscopic JJ ureteral stent insertion or removal was the most common procedure where GA was considered avoidable (19/21 cases; 90%). The consensus rates within the expert panel were of 78% for general anesthesia requirement and 71% for general anesthesia avoidability (<em>P</em>=0.7)</div></div><div><h3>Conclusions</h3><div>A retrospective review of cases by an expert panel identified that general anesthesia for nonobstetric surgery during pregnancy was likely avoidable in one-third of all cases.</div></div>","PeriodicalId":14250,"journal":{"name":"International journal of obstetric anesthesia","volume":"61 ","pages":"Article 104265"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142346582","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Investigating disparity in labor epidural analgesia management in black vs. white women: a retrospective case-control study (2018–2022)","authors":"J. Clifton ,&nbsp;S. Woodward ,&nbsp;S. Hardcastle ,&nbsp;T. Ziga ,&nbsp;A. Lewis ,&nbsp;H. Ende ,&nbsp;J. Bauchat","doi":"10.1016/j.ijoa.2024.104327","DOIUrl":"10.1016/j.ijoa.2024.104327","url":null,"abstract":"<div><h3>Background</h3><div>Disparities in labor epidural analgesia (LEA) management could reduce maternal satisfaction and increase risk. We compared times from the first administration of breakthrough pain medication (top-up) to LEA replacement to evaluate disparities across race.</div></div><div><h3>Methods</h3><div>In this retrospective cohort study (01-01-2018 to 12-31-2022), all patients with LEA and maternal race/ethnicity of non-Hispanic White or Black were eligible. Patients with a scheduled cesarean delivery, previous back instrumentation, or maternal age &lt; 18 were excluded. We used a Cox Proportional Hazards model to evaluate our primary outcome. Predefined top-up medications given ≥60 minutes from initial LEA placement and before replacement were valid. Any replacement ≥60 minutes from the initial LEA was valid. We also studied secondary outcomes incidence of epidural replacement and postoperative patient satisfaction.</div></div><div><h3>Results</h3><div>There were 11,168 total patients receiving LEA, with 479 (5.5%) replacements in White patients and 127 (5.0%) in Black patients. There were 387 (3.5%) LEAs with a top-up followed by replacement within 24 hours. After adjusting for confounders, no association was detected between race and LEA management (Hazard Ratio 0.82; 95% CI 0.63, 1.06; <em>P</em> = 0.13). We failed to detect an association between patient race and the incidence of replacement (<em>P</em> = 0.23). We found that race (<em>P</em> = 0.02) and LEA replacement (<em>P</em> &lt; 0.001) were associated with increased odds of lower postpartum satisfaction.</div></div><div><h3>Conclusions</h3><div>We didn’t detect disparity in treatment at our institution with standardized LEA management protocols. However, Black women and those with LEA replacements were less satisfied. Future studies should evaluate the generalizability and explore interventions that improve patient satisfaction.</div></div>","PeriodicalId":14250,"journal":{"name":"International journal of obstetric anesthesia","volume":"61 ","pages":"Article 104327"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143005269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Embracing change: 2025 priorities and new structure of the Editorial Board of the International Journal of Obstetric Anesthesia","authors":"Ruth Landau","doi":"10.1016/j.ijoa.2025.104330","DOIUrl":"10.1016/j.ijoa.2025.104330","url":null,"abstract":"","PeriodicalId":14250,"journal":{"name":"International journal of obstetric anesthesia","volume":"61 ","pages":"Article 104330"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143038788","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Accuracy of Spanish and English-generated ChatGPT responses to commonly asked patient questions about labor epidurals","authors":"Hinpetch Daungsupawong ,&nbsp;Viroj Wiwanitkit","doi":"10.1016/j.ijoa.2024.104308","DOIUrl":"10.1016/j.ijoa.2024.104308","url":null,"abstract":"","PeriodicalId":14250,"journal":{"name":"International journal of obstetric anesthesia","volume":"61 ","pages":"Article 104308"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142812741","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Anesthesia management for cesarean delivery in patients with an arterial switch operation: a single center case series (2015–2023)","authors":"S. Goto,&nbsp;Y. Suzuki,&nbsp;S. Kurokawa,&nbsp;Y. Nagasaka","doi":"10.1016/j.ijoa.2024.104299","DOIUrl":"10.1016/j.ijoa.2024.104299","url":null,"abstract":"<div><h3>Background</h3><div>Arterial switch operation (ASO) for dextro-transposition of the great arteries was developed four decades ago, and women with ASO have reached childbearing age. Although over 40% of the pregnant women who received ASO gave birth via cesarean delivery, detailed information about anesthesia management has not been reported. This study aimed to evaluate anesthesia and perioperative outcomes in pregnant women with ASO undergoing cesarean delivery.</div></div><div><h3>Methods</h3><div>A retrospective chart review was conducted on pregnant women with a history of ASO with a cesarean delivery at Tokyo Women’s Medical University Hospital between January 1, 2015, and May 31, 2023. Obstetric and anesthetic management, as well as maternal outcomes, were analyzed.</div></div><div><h3>Results</h3><div>A total of 12 cesarean deliveries among 10 ASO patients were identified. The median maternal age at cesarean delivery was 29 years (range: 26–38) and median gestational age was 37 weeks and 1 day (33 weeks and 6 days – 37 weeks and 6 days). Two patients developed arrhythmia (paroxysmal supraventricular tachycardia, non-sustained ventricular tachycardia, and atrial tachyarrhythmia) during pregnancy. Five patients presented with moderate to severe valvular regurgitation, three of which worsened during pregnancy. All patients received neuraxial anesthesia for the cesarean delivery. Spinal induced hypotension occurred in four cases, which was immediately treated with vasopressors. No patient developed heart failure or arrhythmias postoperatively.</div></div><div><h3>Conclusion</h3><div>Neuraxial anesthesia for cesarean delivery in pregnant women with a history of ASO resulted in favorable maternal outcomes with no postoperative cardiac complications.</div></div>","PeriodicalId":14250,"journal":{"name":"International journal of obstetric anesthesia","volume":"61 ","pages":"Article 104299"},"PeriodicalIF":2.6,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143005322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}