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Excerpt
Materials and Methods: a cross sectional study carried out at a tertiary centre of perinatology in Kaunas, Lithuania, in January of 2009. After informed written consent standardized questionnaires covering different aspects of anaesthetic care (information on labor analgesia techniques, preanalgesia visit, analgesia and postanalgesia period) were presented on second post-partum day to all mothers having given vaginal birth. Data were analysed usingt, χ2 and Kruskal-Wallis tests were appropriate (p<0.05 was considered significant).
Results and Discussion: 217 women agreed to participate in the study, response rate was 93%. 29% of patients received continuous epidural analgesia (EA), systemic analgesics or no analgesia was administered in 71% of patients. Willingness to get EA correlated with younger age (p=0.000) and less parity (p=0.03). All patients had sufficient information about analgesia techniques, but primary sources of it were different: EA was chosen more frequently by women who identified maternity classes as primary source of information in comparison to those who learned about it from internet, media, etc (p=0,028). Respect experienced during anaesthesia care and level of discomfort before analgesia had no influence on patients' evaluation of analgesia efficacy (p=0,5, p=0,2 respectively). Efficiency of pain relief highly influenced satisfaction with analgesia (p=0,000), perceived anaesthesiologist's competence (p=0,000) and overall estimation of anaesthesia care (p=0,000).
Conclusion(s): younger nulliparous women choose invasive analgesia techniques more often. Efficiency of pain relief is main determinant of different aspects of satisfaction with anesthesia care during labour.
