Background and Goal of Study
In the year 2011 OBAAMACZ
study described anaesthesiological practice for obstetric anaesthesia
and analgesia in the Czech Republic. One of the objectives of the OBAAMAINT
study performed in
the year 2015 was to describe obstetric anaesthesia and analgesia related complications in the
Czech (CZ) and Slovak Republics (SR).
Materials and Methods
OBstetric Anaesthesia and Analgesia Month Attributes International (OBAAMAINT)
was held on
anaesthetic departments throughout the CZ and SR. With Ethical Committees Approval we aimed to
enroll all 149 obstetric departments in CZ and SR and to monitor every case of anaesthetic care in
peripartum period and all anaesthesia and analgesia related complications during November 2015.
Data were recorded to Case Report Form with two parts (Demography 2014 and Case Report) into
CLADEIS
(Masaryk University, CZ). The data were described descriptively (mean, median, SD).
Fisher's exact test was used in case of categorical variables (SPSS 23, IBM).
Results and Discussion
During the study period, we enrolled 105 participating centers (70 in CZ; 35 in SR) and 3 590 valid
cases. Caesarean Section (CS) was recorded in 2 548 cases (71.0%), 1158 cases (31.4%) were
obstetric analgesia and 181 cases (5.0%) were early postpartum procedures. The most preferred
type of anaesthesia for CS was neuraxial anaesthesia (62.5%); spinal in 87.5%. Most frequent
complications related to general anaesthesia were difficult airways (1.4%) at the induction,
hypertension (7.9%) and tachycardia (5.2%) during the anaesthesia. Complications related to spinal
or epidural anaesthesia were more than 1 attempt to achieve neuraxial space (23.6%; 16.1%), blood
in the needle (1.9%; 1.0%), paresthesia (1.3%; 1.0%) and high blockade (0.4%; 0.5%). Epidural
labor analgesia rate was 11.1%. For epidural labor analgesia the most frequent complication was
more than 1 attempt to achieve epidural space (15.5%), blood in the needle or catheter (3.1%) and
unattended dural puncture (0.7%). Postpuncture headache was recorded in 1.2% overall. In case of
epidural labor analgesia it was more frequently associated with multiple attempts (p=0.007) and
unattended dural puncture (p< 0.001).
Conclusion
There are no previously published Czech and Slovak national data available, hence presented data
are very important starting point for future improvement.
Acknowledgement
Financial support grant: CSARIM201501.
ClinicalTrials.gov ID: NCT02380586

Obstetric anaesthesia and analgesia related complications in Czech and Slovak Republics: National observational survey in 2015