Factors associated with choice of delivery with or without epidural analgesia among laboring women: a cross-sectional survey at a tertiary care hospital of a developing country

Ismail, Samina; Abbasi, Shemila; Khan, Sidra; Monem, Abdul; Afshan, Gauhar

doi:10.1515/jpm-2015-0206

Cited by 2 publications

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“…A study conducted in this institution found out that the main reasons for not availing labor epidural service are lack of awareness, knowledge, and misconceptions, rather than the desire to have an unmedicated natural birth. [ 14 ]…”

Section: Discussionmentioning

confidence: 99%

Failure rate of labor epidural

Ismail

Raza

Munshi

et al. 2021

Journal of Anaesthesiology Clinical Pharmacology

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Context: Frequent use of labor epidural has also led to a corresponding increase in failed epidural analgesia (FEA). Aims: This study aims to identify the overall rate of FEA and evaluate its association with trainee anesthesiologist at different years/levels of anesthesia residency training. Settings and Design: Prospective observational study was conducted for one year in the labor room suit of a university hospital. Methods and Material: After university ethics committee approval, full-term parturient receiving labor epidurals and consenting for the study were included. FEA was identified by the presence of one or more set criteria of failure including; pain of numeric rating scale of >4 at 45 minutes after epidural placement, accidental dural puncture, need to re-site the epidural, abandoning the procedure, and maternal dissatisfaction with labor pain relief. Statistical Analysis Used: A binary logistic regression was used to assess the association between failure rate of labor epidural and grades of anesthesiologists. Odds ratio (OR) and 95% confidence interval (CI) were reported. P value ≤0.05 was considered significant. Results: Out of 500 women included, 76 (15.2%) had FEA, which was significantly high in 2 nd and 3 rd year residents compared to 5 th year and above level anesthesiologists [OR = 2.08; 95% CI: 1.17 to 3.67; P = 0.012]. Failure rate was also high but insignificant in 4 th year residents compared to senior level anesthesiologists [OR = 1.78; 95%CI: 0.89 to 3.53; P = 0.098]. Conclusions: The incidence of FEA is comparable to those quoted in literature from developed countries and shows association to experience and year of training of anesthesia residents.

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Section: Discussionmentioning

confidence: 99%

Failure rate of labor epidural

Ismail

Raza

Munshi

et al. 2021

Journal of Anaesthesiology Clinical Pharmacology

Self Cite

View full text Add to dashboard Cite

show abstract

“…Ismail et al from Pakistan [9] evaluated the factors responsible for epidural analgesia (EA) refusal among parturient patients. They reported that even though epidural was available, patients in developing countries labored without epidural because of lack of awareness and misconceptions and family pressure about the epidural.…”

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confidence: 99%

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Grünebaum

2016

Journal of Perinatal Medicine

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Factors associated with choice of delivery with or without epidural analgesia among laboring women: a cross-sectional survey at a tertiary care hospital of a developing country

Abstract: Patients in developing countries are laboring without EA, even in centers where there is a provision for it. The main reasons for not availing themselves of EA are lack of awareness and knowledge and misconceptions, rather than the desire to have un-medicated natural birth.

Cited by 2 publications

References 23 publications

Failure rate of labor epidural

Failure rate of labor epidural

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