Garel M, Lelong N, Kaminski M
J Gynecol Obstet Biol Reprod (Paris). 1987;16(2):219-28.
Semi-directed interviews were conducted with 103 primiparous women between the 3rd and the 6th day after delivery to compare the effects of the two methods of anaesthesia on the way they experienced caesarean operation. Analysis of the contents of the interviews show that the mothers who had caesarean operation under general anaesthesia were more often depressed than those who had an epidural. Overall, the experience of delivery was more satisfying when the caesarean took place under an epidural because it enabled the mother to take part in the delivery. The mothers who were unconscious because they had a general anaesthetic felt sorrow that they deprived of the experience of the delivery. All the same, it must be said that one-third of the women felt ill-at-ease owing to delivery under epidural, both physically and psychologically. The first contacts with the infant are earlier and less disagreeable after epidural analgesia, but in the days following the delivery the interactions between mother and baby and the comments the mothers make about their child do not differ markedly whichever form of anaesthesia has been used.
在产后第3天至第6天,对103名初产妇进行了半定向访谈,以比较两种麻醉方法对她们剖宫产体验的影响。访谈内容分析表明,接受全身麻醉进行剖宫产的母亲比接受硬膜外麻醉的母亲更容易出现抑郁情绪。总体而言,硬膜外麻醉下进行剖宫产时,分娩体验更令人满意,因为这能让母亲参与到分娩过程中。因全身麻醉而失去意识的母亲会因被剥夺了分娩体验而感到悲伤。尽管如此,必须指出的是,三分之一的女性在硬膜外麻醉下分娩时,身体和心理上都感到不自在。硬膜外镇痛后,与婴儿的首次接触更早且不适感更小,但在分娩后的几天里,无论采用哪种麻醉方式,母婴之间的互动以及母亲对孩子的评价并没有明显差异。