Belghiti E, Bahno M, Maneglia R, Cousin M T
Service de Gynécologie-Obstétrique, Hôpital Jean-Rostand, Ivry.
J Gynecol Obstet Biol Reprod (Paris). 1991;20(2):273-8.
An enquiry was carried out by sending 368 women a double questionnaire at the eighth month of pregnancy and after delivery, in order to assess their opinions and motivations as far as epidural anaesthetic was concerned, and how far their expectations had been fulfilled. One hundred forms were returned. The sample was: 64% primipara and 36% multipara, of whom 64 women were married, 27 living in a stable relationship and 9 living on their own. 85% had a profession and 52% were in a higher social category. Eighty two of the women asked for an epidural in order to: in 58% of cases participate in their delivery, and in 31% of cases bond with the child. 57% hoped for less pain rather than for complete absence of pain which was asked for in 43%. Of the 36 multipara, 34 asked for epidural analgesia. Those who refused to have an epidural thought that they would be able to live through the delivery in a more natural way (44%) and 52% thought the process had become too medicalized and that complications of a medical nature might supervene. 33% gave no reason for refusing. This group contained more primipara (16) than multipara (2). These primipara thought that epidural analgesia would stop them taking part in the delivery and 10 of these knew that they would have pain in the delivery. Post partum replies showed that 58% had a higher opinion of epidural after than before the delivery and 93% were highly satisfied with the analgesia that they received. This despite the fact that the techniques were not perfect. Seven women thought the procedure unsatisfactory although there were no technical faults but the enquiry showed that they expected more from epidural analgesia. Whether they were satisfied or not, 98% of the women said that they would ask for epidurals in subsequent deliveries.
通过在怀孕第八个月和分娩后向368名女性发送双份问卷进行了一项调查，以评估她们对硬膜外麻醉的看法和动机，以及她们的期望在多大程度上得到了满足。共收回100份问卷。样本情况如下：初产妇占64%，经产妇占36%，其中64名女性已婚，27名处于稳定关系，9名单身。85%有职业，52%属于较高社会阶层。82名女性要求进行硬膜外麻醉，目的是：58%的情况是为了参与分娩过程，31%的情况是为了与孩子建立亲密关系。57%希望减轻疼痛，而非43%所要求的完全无痛。在36名经产妇中，34人要求硬膜外镇痛。拒绝进行硬膜外麻醉的人认为她们能够以更自然的方式度过分娩过程（44%），52%的人认为这个过程变得过于医学化，可能会出现医疗性质的并发症。33%没有给出拒绝的理由。这个群体中初产妇（16人）比经产妇（2人）多。这些初产妇认为硬膜外镇痛会阻止她们参与分娩过程，其中10人知道她们在分娩时会疼痛。产后回复显示，58%的女性对产后硬膜外麻醉的评价高于分娩前，93%对所接受的镇痛效果非常满意。尽管技术并不完美。7名女性认为该过程不满意，尽管没有技术故障，但调查显示她们对硬膜外镇痛的期望更高。无论是否满意，98%的女性表示她们在后续分娩时会要求进行硬膜外麻醉。
