Mixed‐methods systematic review: Childbearing women's views, experiences, and decision‐making related to epidural analgesia in labour

Borrelli, Sara E.; Evans, Kerry; Pallotti, Phoebe; Evans, Catrin; Eldridge, Jeanette; Spiby, Helen

doi:10.1111/jan.14555

Cited by 12 publications

(5 citation statements)

References 59 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A recent systematic review on epidural experience in labor also shows that desire to have pain-free labor and duration of labor are the main considerations for women to choose epidural analgesia. 34 …”

Section: Discussionmentioning

confidence: 99%

Parturients’ Stated Preferences for Labor Analgesia: A Discrete Choice Experiment

Özdemir

Chen

Tan

et al. 2022

PPA

View full text Add to dashboard Cite

Objective The objective was to investigate the extent to which treatment benefits, risks and costs affected parturients’ preferences for labor analgesia. Methods We recruited 248 healthy parturients prior to labor at an antenatal ward and administered a discrete choice experiment survey. Parturients were asked to choose among four hypothetical forms of labor analgesia: epidural analgesia, pethidine, Entonox and no analgesia, which were defined by: pain score, duration of second stage of labor, risks of instrumental delivery, back pain and permanent nerve injury, and out-of-pocket cost. We used mixed logit model to calculate the relative importance of each attribute (out of 100). Results Parturients preferred receiving labor analgesia over not receiving analgesia and those who had positive past experience with epidural preferred epidural over other modalities. Out-of-pocket cost (28%), duration of second stage of labor (26%) and pain score following treatment (18%) were the most important attributes. Conclusion Out-of-pocket cost was a major concern. Parturients prioritized having lower pain and shorter labor experience over risks associated with epidural analgesia. Parturients should be presented with realistic range of risks of side-effects so that they can decide how to balance risks against benefits and costs associated with child labor.

show abstract

Section: Discussionmentioning

confidence: 99%

Parturients’ Stated Preferences for Labor Analgesia: A Discrete Choice Experiment

Özdemir

Chen

Tan

et al. 2022

PPA

View full text Add to dashboard Cite

show abstract

“…Therefore, the high use of epidural analgesia may be because epidural analgesia is considered the goldstandard pain relief method [28], and it is the most preferred method expressed by women in BPs in some studies [27,29]. Additionally, some factors may influence a woman's choice to undergo an epidural, such as her pain threshold, her ability to cope with pain, the timing of the epidural and the length of labour [30].…”

Section: Discussionmentioning

confidence: 99%

Birth plan presentation to hospitals and its relation to obstetric outcomes and selected pain relief methods during childbirth

López-Gimeno

Falguera-Puig²,

Vicente-Hernández

et al. 2021

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

Background The information on birth plan (BP) usage in Spanish hospitals is scant. Aim To identify the percentage of pregnant women presenting a BP at five hospitals in Spain, the reasons why some women failed to do so and how BP presentation relates to obstetric outcomes and selected pain relief methods. Methods In this descriptive, multi-centre study, data were retrospectively collected. During the postpartum visits at primary healthcare centres in various health districts in Barcelona (Catalonia, Spain), a data collection sheet about obstetric outcomes and analgesia was administered to 432 mothers who had completed a BP during their pregnancies. The main outcome was the rate of BP presentation to the hospital. The sociodemographic and obstetric characteristics and pain relief measures were compared to identify any differences between mothers who presented a BP and those who did not. Results A total of 422 (99.7%) women were studied; 51.2% of women (95% confidence interval (CI): 46.4–55.9) had presented a BP. The main reason for not presenting a BP was because the hospital midwives did not request them (61.2%). No differences were observed in BP presentation according to age, the country of origin, education, employment or hospital. Mothers who presented a BP were more likely to start breastfeeding in the birthing room (82.4% vs. 73.3%; p = 0.024). Epidural analgesia was the most common method used for pain relief (88.9%), and women who presented a BP attempted to use concomitant non-pharmacological methods more often (50.5% vs. 38.8%; p = 0.012). Conclusion Almost half of the mothers failed to present a BP, usually because midwives did not request it.

show abstract

“…An antenatal anesthetic consultation also helps in lowering the anxiety level, helps in decision making and is advised especially for obese women [14]. However, any antenatal consultation about the possibilities of labor analgesia provided by a health professional is beneficial for the pregnant women's decision making during delivery [15,16].…”

Section: Discussionmentioning

confidence: 99%

Intrapartum Analgesia—Have Women’s Preferences Changed over the Last Decade?

2022

View full text Add to dashboard Cite

Background: Global access to social media has supposedly changed women’s awareness about the pharmacological and alternative methods of pain relief during vaginal delivery. The purpose of the study was to analyze changes in women’s preference and opinion about different forms of labor analgesia over the past decade. Materials and methods: The study was designed as an anonymous survey with questions about women’s knowledge and preference of different forms of pain relief in labor. The survey was conducted in 2010 and 2020, with data collected from 1175 women in 2010 and 1033 in 2020. Results: There were no differences between 2010 and 2020 in the proportion of women who wanted to receive analgesia in labor, at, respectively 67.9% of women in 2010 and 73.9% in 2020. About 50% of women chose epidural analgesia as the only efficacious method of pain relief in labor both in 2010 and 2020. There were no differences between the two time-points in the distribution of chosen methods of pain relief. In total, 92.3% of women in 2010 and 94.9% in 2020 thought that they should have the possibility of independent choice of analgesia method before the delivery (p < 0.04). Conclusions: A high proportion of Polish women choose EDA over other pharmacological and nonpharmacological methods of pain relief in labor, and this preference has not changed over the last decade. Increasing women’s knowledge about different methods of intrapartum pain relief may lead to wider use of nonpharmacological methods of pain relief.

show abstract

Mixed‐methods systematic review: Childbearing women's views, experiences, and decision‐making related to epidural analgesia in labour

Cited by 12 publications

References 59 publications

Parturients’ Stated Preferences for Labor Analgesia: A Discrete Choice Experiment

Parturients’ Stated Preferences for Labor Analgesia: A Discrete Choice Experiment

Birth plan presentation to hospitals and its relation to obstetric outcomes and selected pain relief methods during childbirth

Intrapartum Analgesia—Have Women’s Preferences Changed over the Last Decade?

Contact Info

Product

Resources

About