Questionnaire survey of satisfaction with labour analgesia: combined technique versus epidural technique

Authors

  • Sofia Almeida Carvalho Hospital Beatriz Ângelo
  • Inês Fernandes Ferraz Hospital Beatriz Ângelo
  • André Carrão Hospital Beatriz Ângelo
  • Pedro Antunes Hospital Beatriz Ângelo https://orcid.org/0000-0001-8834-5545
  • Patrícia Martins Hospital Beatriz Ângelo
  • Maria Manuel Marques Hospital Beatriz Ângelo

DOI:

https://doi.org/10.25751/rspa.31045

Keywords:

analgesia de trabalho de parto, técnica epidural, técnica combinada, obstetrícia, satisfação

Abstract

Background: Patient’s satisfaction is a quality indicator of healthcare, making its evaluation important. Evidence regarding preference between an epidural or combined spinal-epidural (CSE) technique for labor analgesia is still controversial. The goal of this study was to evaluate the degree of satisfaction for each technique in our institution.

Methods: We performed an observational retrospective study through an inquiry to all new mothers up till the third day after giving birth between July and September of 2020 in our hospital, located in Portugal. The statistical analysis was done using SPSS v23.0.

Results: Two hundred and thirteen patients answered the questionnaire. About 52% (n=110) of women had a CSE technique and 48% (n=103) had an epidural technique. The median degree of satisfaction after CSE technique was 10 (IQR 1) and after epidural technique was 10 (IQR 2) (p=0,021). Pain relief was superior in the CSE group – from 9 (IQR 3) to 0 (IQR 2) – compared to the epidural group – from 9 (IQR 2) to 1 (IQR 3) (p=0,014). The rate of pruritus was significantly superior in the CSE group (p=0,006).

Conclusion: CSE technique showed a higher degree of pain relief as well as patient’s satisfaction compared to epidural technique, despite a higher incidence of pruritus.

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Published

2023-09-29

How to Cite

Almeida Carvalho, S., Fernandes Ferraz, I., Carrão, A., Antunes, P., Martins, P., & Manuel Marques, M. (2023). Questionnaire survey of satisfaction with labour analgesia: combined technique versus epidural technique. Journal of the Portuguese Society of Anesthesiology, 32(3). https://doi.org/10.25751/rspa.31045

Issue

Vol. 32 No. 3 (2023): Revista da Sociedade Portuguesa de Anestesiologia

Section

Original Article

License

Copyright (c) 2023 Sofia Almeida Carvalho, Inês Fernandes Ferraz, André Carrão, Pedro Antunes, Patrícia Martins, Maria Manuel Marques

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