Stewart P
Br Med J. 1977 Sep 17;2(6089):749-52. doi: 10.1136/bmj.2.6089.749.
An attempt was made to ascertain patients' attitudes towards planned induction and labour. Twenty per cent of patients had not heard of induction before their pregnancy, and those who had had most probably heard about it from relations and friends rather than the media. Most patients had no firm opinions on induction of labour but were usually glad to have their pregnancy ended. Many considered that they had not been given enough information by the medical staff on their induction. The amount of pain experienced by patients at amniotomy was related to the "favourability" of the cervix. Possibly women with a low cervical score should be given more premedication or inhalation analgesia at amniotomy. Most patients found injections of narcotic agents adequate analgesia in labour. Those patients who did not receive adequate analgesia were principally those who had either very short or quite long labours. Patients with long labours may benefit from more liberal use of analgesia, but no satisfactory form of analgesia seems to be available for patients who are likely to deliver within two or three hours of induction.
曾尝试确定患者对计划引产和分娩的态度。20%的患者在怀孕前未曾听说过引产，而那些听说过的患者很可能是从亲戚朋友而非媒体那里得知的。大多数患者对引产没有坚定的看法，但通常很高兴能结束妊娠。许多患者认为医护人员在引产方面没有给他们提供足够的信息。患者在人工破膜时所经历的疼痛程度与宫颈的“有利程度”有关。可能宫颈评分低的女性在人工破膜时应给予更多的术前用药或吸入性镇痛。大多数患者发现在分娩时注射麻醉剂能提供足够的镇痛。那些没有得到足够镇痛的患者主要是那些产程非常短或相当长的患者。产程长的患者可能会从更广泛地使用镇痛中受益，但对于那些可能在引产两三个小时内分娩的患者，似乎没有令人满意的镇痛方式。
