METHODS OF LABOR ANALGESIA BY DETERMING THE LEVEL OF CHILDBIRTH SATISFACTION

Introduction. Woman’s satisfaction with childbirth is associated adequate labor analgesia [1]. Negative experience could increase the risk of poor mother-child connection, breastfeeding problems [2], and decreased desire for elective caesarian section [3]. Effective management pain positive improve quality maternity care [4]. Aim. Explore correlation between different pharmacological/non-pharmacological methods at ‘’home’’/hospital environment experience. Methods materials: There are 321 women who completed questionnaire Survey consists 4 parts: ‘’own capacity’’, ‘’professional support’’, ‘’perceived safety’’, ‘’participation’’. In postpartum period, were divided into groups with: patient-control epidural (PCEA) (n=217), nitrous oxide (50:50) (n=18), alternative in ‘’home’’ (n=46) hospital birth without pharmacological (n=40). Logistic regression was used to analyze risks. Results. The study shown unsatisfactory assessment Childbirth Experience Questionnaire sections “perceived safety” (p=0,034, OR=2,03 (95% CІ 1,06–3,86)), support’’ (p=0,006, (OR=2,58 1,31–5,07)), increased patients severe (VAS 7 points), compared VAS <7 points. PCEA considered be standard not capacity’’ (p>0,05). Nitrous higher rates ’’participation’’ (p=0,029, OR=0,48 0,25–0,93), capacity’’(р=0,040), low OR=1,91 1,07–3,41). Conclusions. An effective strategy level provide communication inform about using pharmacological/ non-pharmacological