Fröhlich S, Tan T, Walsh A, Carey M
Department of Anaesthesia and Intensive Care Medicine, St Vincent's University Hospital, Elm Park, Dublin 4.
Ir Med J. 2011 Nov-Dec;104(10):300-2.
Epidural analgesia has become increasingly popular as a form of labour analgesia in Ireland. However obtaining true inform consent has always been difficult. Our study recruited 100 parturients who had undergone epidural analgesia for labour, aimed to determine the information they received prior to regional analgesia, and to ascertain their preferences regarding informed consent. Only 65 (65%) of patients planned to have an epidural. Knowledge of potential complications was variable and inaccurate, with less than 30 (30%) of women aware of the most common complications. Most women 79 (79%) believed that discomfort during labour affected their ability to provide informed consent, and believe consent should be taken prior to onset of labour (96, 96%). The results of this study helps define the standards of consent Irish patients expect for epidural analgesia during labour.
在爱尔兰，硬膜外镇痛作为一种分娩镇痛方式越来越受欢迎。然而，获得真正的知情同意一直很困难。我们的研究招募了100名接受硬膜外分娩镇痛的产妇，旨在确定她们在区域镇痛前获得的信息，并确定她们对知情同意的偏好。只有65名（65%）患者计划进行硬膜外镇痛。对潜在并发症的了解参差不齐且不准确，不到30名（30%）女性知晓最常见的并发症。大多数女性79名（79%）认为分娩时的不适影响了她们提供知情同意的能力，并认为应在分娩开始前获得同意（96名，96%）。这项研究的结果有助于界定爱尔兰患者对分娩期间硬膜外镇痛的知情同意标准。
