Inequity in healthcareThe outlook for obstetric analgesia
Keywords:
Equity, Health, Systems Social, Welfare Analgesia, Obstetrical
Abstract
Healthcare inequity is a social phenomenon that has been subject of multiple studies and debates. Obstetric patients are not spared from its effects. The general belief is that obstetric analgesia in particular is substandard, usually because of healthcare inequities. This article intends to discuss the issue based on the authors' analysis of the literature and the current clinical practice, in addition to making proposals to cope with inequity and reduce the considerable social gap in this area.
References
1. Ley 100 de 1993 consultado Abr 2012. Disponible en: http://www.secretariasenado.gov.co
2. Douma MR, Verwey R, Kam-Endtz CE, van der Linden P, Stienstra R. Obstetric analgesia: a comparison of patient-controlled meperidine, remifentanil, and fentanyl in labour. Br J Anaesth. 2010;104:209-15.
3. Simmons SW, Cyna AM, Denis AT, Hughes D. Combined spinal-epidural versus epidural analgesia in labour. Cochrane Database Syst Rev. 2007;CD003401 Jul 18(3).
4. Hawkins JL. Epidural analgesia for labor and delivery. N Engl J Med. 2010;362:1503-10.
5. Navarro R, Herrera P, Duarte G, Valero JF. Recomendaciones para el manejo del dolor en obstetricia. En: Fernandez CF, Gomez MP, editores. Dolor agudo y postoperatorio. l.a ed. Bogota, Colombia: ACED; 2011. p. 83-97.
6. Le Ray C, Goffmet F, Palot M, Garel M, Blondel B. Factors associated with the choice of delivery without epidural analgesia in women at low risk in France. Birth. 2008;35: 171-8.
7. Ekeus C, Cnattingius S, Hjern A. Epidural analgesia during labor among immigrant women in Sweden. Acta Obstet Gynecol Scand. 2010;89:243-9.
8. Mugambe JM, Nel M, Hiemstra LA, Steinberg WJ. Knowledge of and attitude towards pain relief during labour of women attending the antenatal clinic of Cecilia Makiwane Hospital, South Africa. SA Fam Pract. 2007;49:16a-16a.
9. DANE Colombia. Nacimientos por tipo de parto según Departamento de residencia de la madre. Información estadística a 31 de diciembre de 2011. Disponible en: http://www.dane.gov.co/index.php7option=com_content&view =article&id=1295&Itemid=119 consultado 3 Jun 2012.
10. Fróhlich S, Tan T, Walsh A, Carey M. Epidural analgesia for labour: maternal knowledge, preferences and informed consent. IrMed J. 2011;104:300-2.
11. Palot M, Leymarie F, Jolly DH, Visseaux H, Botmans-Daigrement C, Mariscal-Causse A. Request of epidural analgesia by women and obstetrical teams in four French areas. Part I: Request for analgesia. Ann Fr Anesth Reanim. 2006;25:559-68.
12. Makara P. Can we promote equity when we promote health? Health Promot Internation. 1997;12.
13. Nakamura G, Ganem EM, de Souza LM, Machado YM. Effects on mother and fetus of epidural and combined spinal-epidural techniques for labour analgesia. Rev Assoc Med Bras. 2009;55:405-9.
14. Dahlgren G, Whitehead M. Policies and strategies to promote social equity in health. Background document to WHO-strategy paper for Europe. Institutet for Framtidsstudier. 2007;14:1-67.
15. Liu N, Wen SW, Manual DG, Katherine W, Bottomley J, Walker MC. Social disparity and the use of intrapartum epidural analgesia in a publicly funded health care system. Am J Obstet Gynecol. 2010;202:273el-8.
16. Mung';ayi V, Nekyon D, Karuga R. Knowledge. Attitude and use of labour pain relief methods among women attending antenatal clinic in Nairobi. East Afr Med J. 2008;85:438-H.
17. Whitehead M, Dahlgren G, Evans T. Equity and health sector reforms: can low-income countries escape the medical poverty trap? Lancet. 2001;358:833-6.
2. Douma MR, Verwey R, Kam-Endtz CE, van der Linden P, Stienstra R. Obstetric analgesia: a comparison of patient-controlled meperidine, remifentanil, and fentanyl in labour. Br J Anaesth. 2010;104:209-15.
3. Simmons SW, Cyna AM, Denis AT, Hughes D. Combined spinal-epidural versus epidural analgesia in labour. Cochrane Database Syst Rev. 2007;CD003401 Jul 18(3).
4. Hawkins JL. Epidural analgesia for labor and delivery. N Engl J Med. 2010;362:1503-10.
5. Navarro R, Herrera P, Duarte G, Valero JF. Recomendaciones para el manejo del dolor en obstetricia. En: Fernandez CF, Gomez MP, editores. Dolor agudo y postoperatorio. l.a ed. Bogota, Colombia: ACED; 2011. p. 83-97.
6. Le Ray C, Goffmet F, Palot M, Garel M, Blondel B. Factors associated with the choice of delivery without epidural analgesia in women at low risk in France. Birth. 2008;35: 171-8.
7. Ekeus C, Cnattingius S, Hjern A. Epidural analgesia during labor among immigrant women in Sweden. Acta Obstet Gynecol Scand. 2010;89:243-9.
8. Mugambe JM, Nel M, Hiemstra LA, Steinberg WJ. Knowledge of and attitude towards pain relief during labour of women attending the antenatal clinic of Cecilia Makiwane Hospital, South Africa. SA Fam Pract. 2007;49:16a-16a.
9. DANE Colombia. Nacimientos por tipo de parto según Departamento de residencia de la madre. Información estadística a 31 de diciembre de 2011. Disponible en: http://www.dane.gov.co/index.php7option=com_content&view =article&id=1295&Itemid=119 consultado 3 Jun 2012.
10. Fróhlich S, Tan T, Walsh A, Carey M. Epidural analgesia for labour: maternal knowledge, preferences and informed consent. IrMed J. 2011;104:300-2.
11. Palot M, Leymarie F, Jolly DH, Visseaux H, Botmans-Daigrement C, Mariscal-Causse A. Request of epidural analgesia by women and obstetrical teams in four French areas. Part I: Request for analgesia. Ann Fr Anesth Reanim. 2006;25:559-68.
12. Makara P. Can we promote equity when we promote health? Health Promot Internation. 1997;12.
13. Nakamura G, Ganem EM, de Souza LM, Machado YM. Effects on mother and fetus of epidural and combined spinal-epidural techniques for labour analgesia. Rev Assoc Med Bras. 2009;55:405-9.
14. Dahlgren G, Whitehead M. Policies and strategies to promote social equity in health. Background document to WHO-strategy paper for Europe. Institutet for Framtidsstudier. 2007;14:1-67.
15. Liu N, Wen SW, Manual DG, Katherine W, Bottomley J, Walker MC. Social disparity and the use of intrapartum epidural analgesia in a publicly funded health care system. Am J Obstet Gynecol. 2010;202:273el-8.
16. Mung';ayi V, Nekyon D, Karuga R. Knowledge. Attitude and use of labour pain relief methods among women attending antenatal clinic in Nairobi. East Afr Med J. 2008;85:438-H.
17. Whitehead M, Dahlgren G, Evans T. Equity and health sector reforms: can low-income countries escape the medical poverty trap? Lancet. 2001;358:833-6.
How to Cite
1.
Duarte Ortiz G, Navarro-Vargas JR, Eslava-Schmalbach J. Inequity in healthcareThe outlook for obstetric analgesia. Colomb. J. Anesthesiol. [Internet]. 2013 Jul. 1 [cited 2024 Apr. 23];41(3):215–217. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/694
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Published
2013-07-01
How to Cite
1.
Duarte Ortiz G, Navarro-Vargas JR, Eslava-Schmalbach J. Inequity in healthcareThe outlook for obstetric analgesia. Colomb. J. Anesthesiol. [Internet]. 2013 Jul. 1 [cited 2024 Apr. 23];41(3):215–217. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/694
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