Brander D, Beinder E
UniversitätsSpital Zürich, Department Frauenheilkunde, Klinik für Geburtshilfe, Zürich, Switzerland.
Z Geburtshilfe Neonatol. 2007 Apr;211(2):76-81. doi: 10.1055/s-2007-960629.
The satisfaction of our patients with the intrapartum analgesia and differences between labour with and without epidural analgesia (EDA) were analysed retrospectively.
In March 2004 questionnaires were sent to all women who gave birth between 1 January 2003 and 30 June 2003 at the University Hospital of Zurich.
45.5% of the questionnaires were returned. The EDA-rate reached 47.3%. Women with EDA had a significant longer delivery and the vacuum was more often used (p < 0.001 each). There was no difference between births with or without EDA concerning Apgar- and pH-scores from the umbilical artery. Several factors had an impact on satisfaction: higher age (> 30 years) (p = 0.012), the feeling that this labour was less painful than the previous (p = 0.010), the ability to control labour pain (p = 0.002), to influence drug therapy of pain (p < 0.001).
Our results show, that the individual care and involvement of women in the birth process and pain therapy had a greater influence on satisfaction with birth than the type of analgesia.
回顾性分析了我们的患者对分娩期镇痛的满意度以及有无硬膜外镇痛（EDA）的分娩之间的差异。
2004年3月，向所有于2003年1月1日至2003年6月30日在苏黎世大学医院分娩的女性发送了问卷。
45.5%的问卷被收回。EDA使用率达到47.3%。接受EDA的女性分娩时间显著更长，且更常使用真空吸引器（每项p<0.001）。有无EDA的分娩在脐动脉的阿氏评分和pH值方面没有差异。有几个因素对满意度有影响：年龄较大（>30岁）（p=0.012）、感觉本次分娩比上次疼痛轻（p=0.010）、能够控制分娩疼痛（p=0.002）、能够影响疼痛药物治疗（p<0.001）。
我们的结果表明，女性在分娩过程和疼痛治疗中的个体化护理和参与对分娩满意度的影响大于镇痛类型。
