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Auswirkungen der Periduralanästhesie (PDA) auf das Geburtserlebnis


Brander, D; Beinder, E (2007). Auswirkungen der Periduralanästhesie (PDA) auf das Geburtserlebnis. Zeitschrift für Geburtshilfe und Neonatologie, 211:76-81.

Abstract

BACKGROUND: The satisfaction of our patients with the intrapartum analgesia and differences between labour with and without epidural analgesia (EDA) were analysed retrospectively. PATIENTS AND METHODS: In March 2004 questionnaires were sent to all women who gave birth between 1 January 2003 and 30 June 2003 at the University Hospital of Zurich. RESULTS: 45.5% of the questionnaires were returned. The EDA-rate reached 47.3%. Women with EDA had a significant longer delivery and the vacuum was more often used (p < 0.001 each). There was no difference between births with or without EDA concerning Apgar- and pH-scores from the umbilical artery. Several factors had an impact on satisfaction: higher age (> 30 years) (p = 0.012), the feeling that this labour was less painful than the previous (p = 0.010), the ability to control labour pain (p = 0.002), to influence drug therapy of pain (p < 0.001). CONCLUSION: Our results show, that the individual care and involvement of women in the birth process and pain therapy had a greater influence on satisfaction with birth than the type of analgesia.

Abstract

BACKGROUND: The satisfaction of our patients with the intrapartum analgesia and differences between labour with and without epidural analgesia (EDA) were analysed retrospectively. PATIENTS AND METHODS: In March 2004 questionnaires were sent to all women who gave birth between 1 January 2003 and 30 June 2003 at the University Hospital of Zurich. RESULTS: 45.5% of the questionnaires were returned. The EDA-rate reached 47.3%. Women with EDA had a significant longer delivery and the vacuum was more often used (p < 0.001 each). There was no difference between births with or without EDA concerning Apgar- and pH-scores from the umbilical artery. Several factors had an impact on satisfaction: higher age (> 30 years) (p = 0.012), the feeling that this labour was less painful than the previous (p = 0.010), the ability to control labour pain (p = 0.002), to influence drug therapy of pain (p < 0.001). CONCLUSION: Our results show, that the individual care and involvement of women in the birth process and pain therapy had a greater influence on satisfaction with birth than the type of analgesia.

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Additional indexing

Other titles:The impact of epidural analgesia on birth experience
Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Clinic for Obstetrics
Dewey Decimal Classification:610 Medicine & health
Language:German
Date:2007
Deposited On:15 Mar 2009 19:53
Last Modified:05 Apr 2016 13:10
Publisher:Thieme
ISSN:0948-2393
Publisher DOI:https://doi.org/10.1055/s-2007-960629
PubMed ID:17486528

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