title: [Medical care organization in analgesia, anaesthesia and intensive care in maternity units: results from the National Perinatal Surveys in 2003 and 2010].
abstract: OBJECTIVE
  The equipment and practices in obstetric analgesia, anaesthesia and intensive care, as well as their evolution between 2003 and 2010 in metropolitan France, were described.
  
  
  METHODS
  Data were derived from two representative samples of births in 2003 and 2010, based on all births in France during one week. The sample included 534 maternity units and 14,903 births in 2010 and 618 maternity units and 14,737 births in 2003.
  
  
  RESULTS
  The caesarean operating room was adjacent or inside the labour ward in 66% of maternity units in 2010 vs 56% in 2003. An anaesthetist was appointed permanently to the labour ward in 38.9% of maternity units in 2010 vs 21.5% in 2003. Locoregional analgesia or anaesthesia rate increased significantly: 81.5% in 2010 compared to 74.9% in 2003. Almost all operative vaginal deliveries were performed under epidural anesthesia in 2010. Patient controlled epidural analgesia (PCEA) was available in 58% of the units in 2010 but only 34.2% of women had PCEA. Newborn's resuscitations were performed mainly by paediatricians in 2010, but 11.4% of children were resuscitated by an anaesthetist in level 1 maternity units.
  
  
  CONCLUSIONS
  The conditions required to ensure anaesthetic care safety in maternity units has improved since 2003. Improvements in quality of care are still possible.
authors.affiliation: Pôle anesthésie réanimation, maternité Jeanne de Flandre, CHRU de Lille, 2, avenue Oscar-Lambret, 59037 Lille cedex, France. anne-sophie.ducloy@chru-lille.fr
authors.forename: A-S
authors.initials: AS
authors.lastname: Ducloy-Bouthors
authors.forename: C
authors.initials: C
authors.lastname: Prunet
authors.forename: J
authors.initials: J
authors.lastname: Tourrès
authors.forename: D
authors.initials: D
authors.lastname: Chassard
authors.forename: D
authors.initials: D
authors.lastname: Benhamou
authors.forename: B
authors.initials: B
authors.lastname: Blondel
mesh_terms: D000328:Adult; D000698:Analgesia / Q000379:methods*; D015360:Analgesia, Epidural; D016362:Analgesia, Obstetrical; D000758:Anesthesia / Q000379:methods*; D002585:Cesarean Section / Q000706:statistics & numerical data; D003422:Critical Care / Q000379:methods*; D005260:Female; D005602:France; D019538:Health Care Surveys; D006757:Hospital Units; D006801:Humans; D007231:Infant, Newborn; D007743:Labor, Obstetric; D011247:Pregnancy; D012151:Resuscitation; D014505:Urban Population