An investigation of the present situation of labour analgesia in
comprehensive Grade 3A hospitals in Fujian Province, China
Abstract
Objective To investigate the present situation of labour analgesia in
comprehensive Grade 3A hospitals in Fujian Province, to analyse the
influencing factors, and to seek countermeasures to promote the
popularization of labour analgesia. Methods: The investigation was
conducted at all Western medicine comprehensive Grade 3A hospitals in
Fujian Province, field investigations and on-site questionnaire surveys
were adopted, and on-site interviews were conducted with leaders in
charge of the hospitals and leaders related to departments of labour
analgesia. Results: Among the 16 hospitals surveyed, 12 hospitals (75%)
routinely carried out intraspinal labour analgesia, and the analgesia
rates for 2015, 2016, 2017 and 2018 were 0.24%, 1.43%, 2.34% and
9.21%, respectively. At present, the quantity of labour analgesia is
insufficient, the proportion of analgesia is still low, and the
enthusiasm of hospitals is not high. Factors affecting the development
of labour analgesia mainly include a heavy workload/lack of staff
(93.75%), department coordination/leadership (87.50%), high cost/low
benefit (62.50%), maternal and family members (68.75%), and
insufficient publicity (68.75%). Conclusions: The labour analgesia work
of the comprehensive Grade 3A hospitals in Fujian Province is still in
its initial stage; there is still a lack of uniform implementation
standards and charging standards among hospitals in various cities. To
better promote labour analgesia, it is suggested that hospitals increase
the publicity of labour analgesia, strengthen the training of labour
analgesia personnel, standardize the implementation standard of labour
analgesia, set up appropriate charging items, and optimize labour
analgesia management while appropriately supplementing medical personnel