Childbirth is a special event for women. Maternal satisfaction regarding childbirth is quite important, that is why this factor has to be taken into account. A bad experience related to childbirth could lead to serious psychological and organic consequences such as postpartum depression, mother-baby bond deterioration and chronic pelvic pain. Childbirth image changed over the years to the extent that an increasingly physiological process keeping analgesia and safety is more and more desired. In this perspective, this study aims to investigate an approach so-called ambulatory epidural. Indeed, only a few studies have been conducted and the ones published in 1990s did not involve the current recommended pharmacological protocols.
Women older than 18 years old
with Physiological pregnancy (fetus cephalic position, normal fetal heart rate, spontaneous work between 37 and 41 SA)
Having benefited from epidural, usual or ambulatory depending on the study period
who speeks and understand French
Hearing or comprehension impairment
Twin pregnancies
Scarred uterus
Fetus in non cephalic position
Pregnant women willing to give birth at CHR Metz/Thionville (maternity)
Cohort
Prospective
QEVA questionnaire
BehavioralQEVA questionnaire administered at 2 days pospartum (in hospital) and 4 weeks postpartum (phone call). (specific for the study)
Obstetrical labor and delivery experience in birthgiving women
The "emotional state" dimension of the Childbirth Assessment Questionnaire (QEVA) will be evaluated. This questionnaire is written and validated in French. It contains 26 questions covering 4 dimensions: emotional state, relations with nursing staff, first moments with the baby, and the young mother's feelings one month before delivery.
Relations with nursing staff and first moments with the child
Other dimensions and isolated items of the QEVA questionnaire
Obstetrical labor and delivery experience in birthgiving women
" emotional state " dimension of the Childbirth Assessment Questionnaire (QEVA)
Labor and delivery safety : time spent in the delivery room
Time spent in the delivery room (min)
Labor and delivery safety: need for instrumental extraction
Need for instrumental extraction (yes/no)
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