Investigation and Analysis of the Current Situation of Intrathecal Labor Analgesia and Childbirth in Jinan City

Abstract

Objective: To understand the current status of intraspinal labor analgesia and childbirth in medical institutions in Jinan, and to promote the implementation of labor analgesia. Methods: The expert group of the Jinan Labor Analgesia Quality Control Center conducted quality inspections and childbirth surveys on labor analgesia in more than 20 hospitals across the city in 2019, 2021, and 2023. The inspections were conducted through hospital briefings, data reviews, and on-site visits, collecting data on the number of obstetric beds, monthly delivery volumes, natural birth rates, and rates of intraspinal anesthesia for labor analgesia in each hospital, and providing on-site feedback on inspection findings and recommendations for improvement. Results: Among the 24 public hospitals surveyed, there were 6 tertiary general hospitals, 15 secondary general hospitals, and 3 tertiary maternal and child health hospitals. Data collected from the survey: From January to July 2019, the total number of deliveries in the 24 hospitals was 36,101 cases, with an overall implementation rate of intraspinal labor analgesia of 16.5%, a pain relief rate of 51%, and maternal satisfaction of 50%. From January to August 2021, the total number of deliveries in the 24 public hospitals was 27,846 cases, with an overall rate of intraspinal labor analgesia of 34.0%, a pain relief rate of 82%, and maternal satisfaction of 79%. From January to October 2023, the total number of deliveries in 23 hospitals was 26,979 cases, with an overall rate of intraspinal labor analgesia of 55.9%, a pain relief rate of 100%, and maternal satisfaction of 98%. Conclusion: From 2019 to 2023, the rate of intraspinal labor analgesia in hospitals in Jinan significantly increased, and the effectiveness of labor analgesia significantly improved, but the total number of deliveries significantly decreased.