RESULTS

The Figure shows epidural analgesia labors (TOT DELIVER.) and normal deliveries under epidural analgesia (EUT DELIVER.). The forceps use is very decreased in our activity. The increased cesarean section rate is caused by increased rate of pathological labor under epidural analgesia.

Evaluation of epidural analgesia satisfaction

339 questionnaires are distributed to pregnant women that came to the anesthesiological consultations. 220 questionnaires are compiled in the first part contained the medical history , the opinions on labor pain and the possible use of EA as in the second part contained the patient’s evaluation of the adequacy of the analgesia, and also the psychological impact of this experience.

mean age : 24,6±4.7 (16-43)  
maternal characteristics
NULLIPAROUS 249
PLURIPAROUS 90
NONE OCCUPATION 147
MANUAL OCCUPATION 15
PROFESSIONAL OCCUPATION 96
antenatal training course 29
during labor YES % NO %
confortable environment ? 75 25
anesthesiologist free quickly? 80 20
relative presence? 54 56
anxiety for anesthesia? 75 25
anxiety for delivery? 62 38
during delivery YES % NO%
confortable environment ? 75 25
relative presence? 66 34
active sharing? 83 17
pushing efficacy? 75 25
perineal pain? 10 90
analgesia in delivery analgesia in labor
lumbar puncture motor block 70%
would you take EA for a next pregnancy?
pain is necessary 20,4 %
motivations pat. n°
"natural" delivery 62
religious motives 25
psychological motives 12
well-being newborn 5
pain is not necessary 79,6 %
motivations pat. n°
"natural" delivery 60
religious motives 0
psychological motives 67
well-being newborn 30