Krzysztof and Susilo Chandra assess maternal satisfaction
with single-dose spinal analgesia for the management of
obstetric pain in Indonesian women [14]. The investigation included
62 labouring women with single pregnancy at term,
with 45 primigravida and 17 multigravida. All 62 parturients
received single-dose spinal anaesthesia with a combination of
bupivacaine, 2.5 mg; morphine, 0.25 mg; and clonidine,
45 lg. Maternal satisfaction, duration of pain relief, and side
effects were studied. The overall maternal satisfaction with
the single-dose spinal technique for labour analgesia in their
study group was high, with 50 patients (81%) being very satis-
fied, and 7 patients (11%) being satisfied with the quality of labour
analgesia. Forty-nine patients (79%) stated that they
would select single-dose spinal analgesia for pain control in labour
in the future. They concluded that single-dose spinal
analgesia with a combination of bupivacaine, morphine, and
clonidine provided effective labour pain control, and maternal
satisfaction with this technique was very high. They concluded
that spinal technique is very cost-effective and should be recommended
for routine obstetric pain control. Their conclusion
agreed with that mentioned in our study.
Holstrom et al. in a controlled study single segment combined
spinal epidural (CSE) block was compared with spinal
and epidural block for major orthopaedic surgery [15]. The
study was carried out on seventy-five patients randomly assigned
to receive one of the three blocks. Bupivacaine 0.5%
and morphine were used for anaesthesia and analgesia; they
concluded that analgesia and surgical condition provided by
spinal and CSE were superior to those provided by epidural
block. Their conclusions go with that in our study.