Year 2023 / Volume 30 / Number 2

Special Article

Have the concepts of obstetric analgesia changed in the last 100 years?

Rev. Soc. Esp. Dolor. 2023; 30(2): 125-130 / DOI: 10.20986/resed.2023.4018/2022

Bartolomé Fernández, Esterfanía Peralta, Isabel María Fontán


ABSTRACT

Objectives: To compare current obstetric analgesia concepts and methods with those existing 100 years ago, when Anesthesia & Analgesia (1922) and British Journal of Anaesthesia (1923), the first two independently published anesthesia journals, were first published.
Methods: We identified and analyzed all articles related to obstetric analgesia published in these journals during the years 1922 and 1923 and compared them with current clinical practice. We also searched these issues for indirect references to the attention given to obstetric analgesia at scientific meetings of the time.
Results: In the first issue of Anesthesia & Analgesia, appearing in August 1922, 3 of the 8 articles published are related exclusively to obstetric anesthesia and analgesia, and between 1922 and 1923 we found a high number of articles and references. The analysis of these articles published a century ago allows us to objectify the interest of the time in the results, the comparison between different anesthetic methods, safety and the dissemination of scientific knowledge. References to mortality, complications, patient comfort and satisfaction, the influence of obstetric analgesia on the duration of labor, as well as savings in time and anesthetic gases are common.
It is obvious that today's research methodology cannot be compared with that of 100 years ago. But there are many scientific aspects that laid some of the foundations of current research in obstetrics, including the collection of large series of patients over long periods of time, the express mention of the publication of both favorable and unfavorable results, the references not only to cost but also to cost-effectiveness, as well as the use of specific parameters to measure not only results but also patient satisfaction.
Conclusions: It is evident that over the years the outcomes in the practice of anesthesiology have improved, but also that many concepts remain the same 100 years later. The high number of articles published between 1922 and 1923 reflects the interest that existed a century ago in obstetric analgesia, and leads us to think that it may have been an important line of research in the specialty at that time.



RESUMEN

Objetivos: Comparar los conceptos y métodos de analgesia obstétrica actual con los existentes hace 100 años, cuando se publicaron por primera vez Anesthesia & Analgesia (1922) y British Journal of Anaesthesia (1923), que son las dos primeras revistas de anestesia publicadas de forma independiente.
Material y métodos: Identificamos y analizamos todos los artículos relacionados con la analgesia obstétrica publicados en estas revistas durante los años 1922 y 1923, y los comparamos con la práctica clínica actual. También buscamos en estos números referencias indirectas a la atención prestada a la analgesia obstétrica en las reuniones científicas de la época.
Resultados: En el primer número de Anesthesia & Analgesia que aparece en agosto de 1922, 3 de los 8 artículos publicados están relacionados exclusivamente con la anestesia y analgesia obstétrica, y entre 1922 y 1923 encontramos un alto número de artículos y referencias. El análisis de estos artículos publicados hace un siglo permite objetivar el interés de la época por los resultados, la comparación entre los diferentes métodos anestésicos, la seguridad y la divulgación del conocimiento científico. Son habituales las referencias a la mortalidad, a las complicaciones, al confort y la satisfacción de la paciente, a la influencia de la analgesia obstétrica en la duración del parto, así como al ahorro de tiempo y de gases anestésicos. Resulta obvio que la metodología de investigación actual no puede compararse con la de hace 100 años. Pero existen numerosos aspectos científicos que sentaron algunas de las bases de la investigación actual en obstetricia, entre los que destacan la recogida de amplias series de pacientes durante largos periodos de tiempo, la mención expresa a la publicación de resultados tanto favorables como desfavorables, las referencias no solo al coste sino también a la rentabilidad, así como la utilización de parámetros específicos para medir no solo resultados sino también la satisfacción de las pacientes.
Conclusiones: Es evidente que con el paso de los años los resultados en la práctica de la anestesiología han mejorado, pero también que muchos conceptos siguen siendo los mismos 100 años después. El elevado número de artículos publicados entre 1922 y 1923 refleja el interés que existía hace un siglo por la analgesia obstétrica, y nos lleva a pensar que pudo ser una importante línea de investigación de la especialidad en aquella época.





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Instrucciones para citar

Fernández B, Peralta E, Fontán I. Have the concepts of obstetric analgesia changed in the last 100 years?. Rev Soc Esp Dolor 2023; 30(2): 125-130 / DOI: 1020986/resed20234018/2022


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Recibido: 06/09/2022

Aceptado: 25/05/2023

Prepublicado: 08/06/2023

Publicado: 20/09/2023

Tiempo de revisión del artículo: 178 días

Tiempo de prepublicación: 275 días

Tiempo de edición del artículo: 379 días


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