///2009 Abstract Details
2009 Abstract Details2018-05-01T17:45:11+00:00

Help or Hindrance: The effect of partner's presence on stress levels during epidural analgesia insertion

Abstract Number: 43
Abstract Type: Original Research

Claudio Treitel M.D.1 ; Julia Sverdlik Bsc2; Sharon Orbach-Zinger MD3; Leonid A. Eidelman MD4

Introduction: Epidural analgesia has been found to reduce paternal anxiety and stress and increases paternal involvement, participation and satisfaction with the experience of childbirth. To date,however, no studies have been performed to discover whether paternal presence during epidural insertion influences anxiety

Aim:To determine whether paternal presence during epidural analgesia reduces paternal and maternal stress levels and maternal perception of pain during epidural insertion.

Methods: Primaparas coming to the hospital with parters for vaginal delivery and who desired epidural analgesia were recruited. After signed informed consent, the following parameters were assessed in both partners: blood pressure, pulse, anxiety (scale 1-10)and salivary amylase. Parturients were also assessed for contraction pain (visual analog score). Following measuremts, couples were randomized into two groups : Group 1 where partners were not present in the room when epidural was performed and group 2 where partners remained in the room during epidural insertion. Immediately following epidural insertion, blood pressure, pulse, anxiety (scale 1-10), salivary amylase, were measured again in both partners. Both partners were asked to fill out the State-trate anxiety inventory questionnaire (STAI), measuring current anxiety. The parturient was also asked to rate the pain of epidural insertion (1-10). Objective anesthetic measurements including time for epidural insertion and number of attempts were also recorded.

Results: 84 couples were recruited into the study; one couple was removed due to protocol violation. 41 couples were in group 1 and 43 in group 2. In parturients pulse, blood pressure, and salivary amylase were not statistically different at both times. Anxiety levels did not differ statistically before epidural insertion ( Group 1 -6.22 4.24, Group 2 - 6.98 2.81 p=0.23) but differed significantly aqt the end of epidural insertion ( Group 1 -6.815.66, Group 2-7.95 2.54, p=0.052). Woman in Group 1 reported significantly less pain during epidural insertion than women in Group 2 (Group 1- 4.464.24, Group 2- 6.02 2.67, p=0.006), less anxiety in the STAI questionnaire ( Group 1- 37.73.54, Group 2- 42.5411.09, p=0.039), and a trend to significantly less anxiety in parturients after epidural insertion ( Group 1 - 6.8 5.66, Group 2 - 7.95 2.54, p=0.052). In partners, blood pressure, pulse, STAI questionnare score, and anxiety levels were not different at both study points. Before epidural insertion, salivary amylase did not differ statistically between groups ( Group 1-53.07 40.73, group 2- 52.85 48.49,p=0.99) but after epidural insertion , partners in Group 1 showed a trend toward significantly lower salivary amylase levels (Group 1- 43.46 31.08, Group 2- 60.17 44.81, p=0.052).

Conclusion: Partners presence during epidural analgesia insertion did not decrease stress levels either in father or mother and may actually have deleter

SOAP 2009