Teaching neuraxial anesthesia techniques for obstetric care in a Ghanaian referral hospital: achievements and obstacles.
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Anesthesia providers in low-income countries may infrequently provide regional anesthesia techniques for obstetrics due to insufficient training and supplies, limited manpower, and a lack of perceived need. In 2007, Kybele, Inc. began a 5-year collaboration in Ghana to improve obstetric anesthesia services. A program was designed to teach spinal anesthesia for cesarean delivery and spinal labor analgesia at Ridge Regional Hospital, Accra, the second largest obstetric unit in Ghana. The use of spinal anesthesia for cesarean delivery increased significantly from 6% in 2006 to 89% in 2009. By 2012, >90% of cesarean deliveries were conducted with spinal anesthesia, despite a doubling of the number performed. A trial of spinal labor analgesia was assessed in a small cohort of parturients with minimal complications; however, protocol deviations were observed. Although subsequent efforts to provide spinal analgesia in the labor ward were hampered by anesthesia provider shortages, spinal anesthesia for cesarean delivery proved to be practical and sustainable.
Education, Medical, Graduate
Medical Missions, Official
Referral and Consultation
Published Version (Please cite this version)10.1213/ANE.0000000000000464
Publication InfoAtito-Narh, E; Eshun, M; Muir, Holly Ann; Olufolabi, Adeyemi John; Owen, Medge D; & Ross, VH (2015). Teaching neuraxial anesthesia techniques for obstetric care in a Ghanaian referral hospital: achievements and obstacles. Anesth Analg, 120(6). pp. 1317-1322. 10.1213/ANE.0000000000000464. Retrieved from https://hdl.handle.net/10161/10333.
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Professor of Anesthesiology
My principle area of interest is obstetric anesthesia. With in this context I am interested in effects of interventions on obstetric outcome, both maternal and neonatal. I also have an interest in the genetics of medicine as it related to obstetric outcomes, largely pre eclampsia, preterm labor and dystocia. Pain management is a secondary interest. I am currently investigating the ethnic and cultural influences on pain expression. I have an additional interest in genetic and molecular aspec
Professor of Anesthesiology
My interests include obstetric and gynecological anesthesia research. This includes the use of opioids in obstetric population. I also have an interest in the management of the difficult airway in general anesthesia and in the Obstetric population. More recently, I have been engaged in global health and the role of anesthesia in resolving the disparity gap. I have a particular interest in anesthesia in sub-sahara Africa and have been involved in capacity building, research and educat
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