Comparison Of The Analgesia Obtained By Infiltration For The Joinings Of Episiotomies (Liropep) (LiRoPep)

Pre-inclusion criteria :

• Assent of participation in the study signed
• Major parturient (> 18 years) in the course of work in room of childbirth
• Mono-foetal pregnancy
• Presentation at the top

Inclusion Criteria:

• Checking of the criteria of pre-inclusion
• Oral confirmation of the assent of the patient
• ASA 1 or 2
• Childbirth by low way
• Patient having an epidural analgesia
• Patient having an episiotomy
• Counter-indication with the ropivacaïne

Pre-exclusion criteria :

• Absence of signed assent of participation in the study
• Counter indication with the lidocaïne
• General counter-indications suitable for the epidural anaesthesia , independently of the local anaesthetic used
• Counter-indications with the infiltration: patient under anticoagulants, coagulopathy
• Allergy to the lidocaine or the ropivacaine
• Allergy to the one of analgesics per bones used in the assumption of responsibility of routine
• Severe insufficiency hepatic and/or renal and/or ulcerates gastro-duodénal (in the case of anti-inflammatory drug regulation not steroid during the postpartum)
• Minor
• Major protected within the meaning of the law Huriet
• Patient during one time of exclusion following another biomedical study

Exclusion Criteria:

• Absence of oral confirmation of the assent of the patient
• Infection or ignition of the point of puncture
• Analgesia epidural not functional
• Dural breach
• Appearance of ascribable side effects to only the anaesthetic buildings at the time of epidural analgesia
• Median Episiotomy (increased risk of lesions of the sphincter)
• Need for an instrumentation at the time of expulsion
• Haemorrhage of the delivery requiring a blood transfusion and/or general anaesthesia in urgency with surgical operation for haemostasis