Anaesthesia practices for Caesarean section amongst non-physician anaesthesia providers at an Ethiopian referral hospital

Victoria Emma White* (Corresponding Author), Gebrehiwot Asfaw, Jolene Nina Moore

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

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Sub-Saharan Africa faces high rates of maternal mortality and there is an urgent need to reduce this. Shortfalls in access to safe surgery and anaesthetic care result in avoidable maternal death. Providing quality training to anaesthesia providers is of key importance to reduce mortality. This mixed-methods prospective study incorporated workplace observations of anaesthesia for Caesarean section, a paper-based questionnaire and semi-structured, face-to-face interviews in Felege Hiwot Referral Hospital in Ethiopia.

A total of 67 Caesarean section cases under spinal anaesthesia provided by 12 non-physician anaesthetists were observed and a 92% (n = 11) response rate to questionnaires obtained. Deficiencies were observed in communication, pre-operative assessment, spinal height evaluation and application of lateral tilt, while interviews revealed anaesthesia provider perceptions of hierarchy within the surgical team and deficiency in anticipation of potential complications. This study suggests that focusing on communication and anticipation of complications could aid providers in preventing and preparing for complications.
Original languageEnglish
Pages (from-to)29-33
Number of pages5
JournalTropical Doctor
Issue number1
Early online date28 Nov 2020
Publication statusPublished - 1 Jan 2021

Bibliographical note

The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This project received funding in the form of a travel bursary from the Association of Anaesthetists, the Obstetric
Anaesthetists Association and the Royal College of Medicine, to enable the primary author to conduct this project.

The authors wish to thank the WFSA for providing permission to utilise the behavioural survey.


  • obstetric
  • anaesthesia
  • Caesarean
  • Obstetric


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