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Awareness of labor analgesia among healthcare workers (HCWs) may be suboptimal. To evaluate the knowledge, attitudes, and practices of HCWs regarding labor analgesia. This cross-sectional study enrolled HCWs (obstetricians, anesthesiologists, midwives, and nurses) at hospitals in Shaanxi Province (October 2022 to December 2022). The questionnaires designed for the HCWs contained four dimensions (demographic information, knowledge, attitude, and practice). Factors associated with dimension scores were identified by multivariate logistic regression analysis. The analysis included 402 HCWs. The average knowledge, attitude, and practice scores were 7.3 ± 1.1 points (possible range, 0-9 points), 33.0 ± 4.7 points (possible range, 8-40 points), and 11.8 ± 2.7 points (possible range, 3-15 points), respectively, for the HCWs. Specific deficits in knowledge, attitudes, and practices were identified for the HCWs. Factors independently associated with higher knowledge scores and higher attitude scores for HCWs included working as an anesthetist and working in an institution offering labor analgesia (P < 0.05). Attitude scores > 70% of the maximum and working in an institution with a standardized labor analgesia protocol were associated with a higher practice score for HCWs (P < 0.05). These findings may facilitate the design of targeted education/training programs to raise awareness about labor analgesia.
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http://dx.doi.org/10.1038/s41598-025-09609-4 | DOI Listing |
Int J Obstet Anesth
August 2025
Department of Liver Transplant Anaesthesia, Institute of Liver and Biliary Sciences, New Delhi, India.
Background: Epidural analgesia is the gold standard for labor pain relief, yet performing patient education remains challenging due to time constraints, language barriers, and variable health literacy. Traditional educational approaches often fail to ensure adequate patient understanding. Artificial intelligence (AI) interactive avatars offer a novel solution for delivering standardized, empathetic, and accessible patient education.
View Article and Find Full Text PDFInt J Obstet Anesth
September 2025
Westmead Hospital Department of Anaesthesia and Perioperative Medicine, Westmead, Australia.
Background: Maternal cardiovascular disease (CVD) is a leading cause of maternal mortality. Data on anaesthetic management in patients with CVD is limited.
Methods: This ten-year retrospective cohort study of 508 pregnancies in women with CVD, stratified by modified World Health Organization (mWHO) risk category, compared lowrisk (mWHO I-II) (n = 323) and high-risk (mWHO II to III-IV) (n = 185) groups to a control obstetric population (n = 55,153).
Int J Obstet Anesth
August 2025
Department of Anesthesiology and Perioperative Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, United States. Electronic address:
Introduction: Patient priorities for anesthesia during a cesarean delivery are not well defined. Previous studies have explored patient preferences for cesarean delivery anesthesia but have not evaluated patient-centered endpoints unrelated to the physical experience which are known to be important to patients' birth experiences, such as being treated with respect, communication, and emotional support. The purpose of this study was to compare patients' and providers' priorities for cesarean delivery anesthesia care.
View Article and Find Full Text PDFNeurol Ther
September 2025
Department of Neurosurgery, The General Hospital of Western Theater Command, Chengdu, China.
Central post-stroke pain (CPSP) is an intractable neuropathic pain syndrome. Dual-target deep brain stimulation (DBS), which integrates sensory thalamic modulation and endogenous analgesic pathways, has emerged as a potential intervention; however, clinical evidence remains scarce. We report a 54-year-old woman who developed right-sided limb paresthesia progressing to persistent right hemibody pain following a left thalamic hemorrhage.
View Article and Find Full Text PDFJ Int Med Res
September 2025
Department of Orthopedics, Sanshui Hospital, Zhujiang Hospital, Southern Medical University, China.
ObjectiveTo investigate the analgesic effects of acetaminophen-mannitol injections after endoscopic lumbar discectomy.MethodsThis is a prospective case-control study involving 60 patients who were randomly selected from those who underwent endoscopic lumbar discectomy for lumbar disc herniation or lumbar spinal stenosis at Sanshui District People's Hospital of Foshan between April and September 2024. Two groups were formed by randomly assigning patients, with each group containing 30 individuals.
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