• D Rizzo, E Giustiniano, and V Cascini.
• Servizio di Anestesia e Rianimazione, Casa di Cura Cascini, Belvedere Marittimo, Cosenza.
• Minerva Anestesiol. 1999 Oct 1;65(10):711-5.

BackgroundWe know that a stress condition causes hormonal responses (cortisol, prolactin, TSH, ACTH, catecholamines, beta-endorphines). This hormonal "storm" causes metabolic and haemodynamic changes that can get worse postoperative outcome as well as birth. Analgesia for labour is an anesthesiological procedure which spreading in Italy resulted very difficult, for instance, especially in southern Italy, "old popular believes" (such as paralysis risk after lumbar puncture, Post-Dural Puncture Headache (PDPH) and the confusion between epidural and subdural anesthesia).MethodsIn front of these problems we report our experience in this field. Experimental plan: in our retrospective study we examined painless labour cases and we compared them with natural labour cases without analgesia.Environmentwomen of this study were pregnant admitted in obstetrics department of our hospital at the end of pregnancy.Patientspregnant women who wanted epidural analgesia were 50 (group A); data group A were compared with data of 50 pregnant women who refused analgesia (group B).Techniquebeginning labour, when cervical dilatation was 3 cm and foetal head was going down we performed epidural puncture and positioned, catheter in epidural space giving opiate and local anesthetic drugs using "top-up" method.Datawe compared APGAR-score after birth and the judgement expressed by women of the two groups.Results And ConclusionsAPGAR-score in new-borns with epidural analgesia in higher than new-born without epidural analgesia; furthermore, patients who choose painless labour expressed a better judgement than women who refused epidural analgesia.

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