A. Basic Obstetric Anesthesia
- The Obstetric Anesthesia Infrastructure Development Project
- Obstetric Anesthesia Support Project
- Private Hospital Project
Seven Themes
Orientation
- Anesthesia Team:Responsibilities, Anesthesia H&P, Analgesia Record, Postpartum F/U
- Nurse Team:Responsibilities, L&D Flow sheet, Postpartum Care
- Obstetrics Team:Admission Record
Mother Safety
- H&P, NPO, Aspiration, Coag, HROB, IV, Monitors, LUD, Anesthesia cart, Test dose, Local anesthetics toxicity
Baby Safety
- Intrauterine Resuscitation, LUD, Hypotension, Tachysystole, FHR, Preterm, Narcotics, Newborn Resuscitation, Breast feeding
No Pain
- Labor analgesia in early labor, Initial dose, epidural pumps, labor analgesia in the second stage, anesthesia for cesarean delivery, postpartum pain control
Patient Satisfaction
- Neuro Complications, Nausea/Vomiting, Fever, Headache, Lower back pain
Crash simulations
- Crash Cesarean Delivery, Maternal cardiac resuscitation, Can’t Intubate Can’t ventilate, PPH
Conference
Background:
The Obstetric Anesthesia Infrastructure Development (OAID) Project was the first project of NPLD-GHI and was launched in 2008 at the Women’s Hospital of Zhejiang University School of Medicine. It has since been implemented at 35 additional hospitals. The OAID project involves a week-long, hands-on session offered by an interdisciplinary team from the United States, Canada, and Europe. The program is offered at 1 to 6 sites per year, depending on the number of volunteers and available resources. OAID is offered only to sites that meet specific screening requirements
Objective
To lay a solid foundation for the comprehensive popularization of obstetric anesthesia and the completion of modern labor and delivery room construction through establishing and improving the basic framework of obstetric anesthesia, which is achieving 24/7 safe and effective neuraxial labor analgesia. To achieve 50% overall neuraxial labor analgesia rate and create win-win scenarios for the nation, hospitals, departments, individuals and patients
NPLD-GHI OAID Site Screening Assessment:
- Adequate anesthesia manpower for 24/7 obstetric anesthesia coverage
- Annual delivery of more than 5,000
- Financial and administrative support from hospital administration including multidisciplinary incentives for individuals and manpower for 24/7 anesthesia coverage in labor & delivery rooms
After the assessment and agreement, a team of 11–12 volunteers including obstetricians, obstetric anesthesiologists, neonatologist or neonatal intensive care nurse, anesthesiology residents, labor and delivery nurses, and interpreters travel to one of the screened hospitals. The team leader is typically a Chinese-born obstetric anesthesiologist practicing in the United States. The team leader is thus fluent in both Mandarin and English and familiar with Western standards of care in perinatology. A typical week schedule consists daily themes mentioned earlier: 1. Orientation 2. Mother safety, 3. Baby safety, 4. No pain, 5. Patient satisfaction, 6. Crash simulations,and 7. Conference.
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