Predictors associated with low-risk women’s pre-labour intention for intrapartum pain relief: a cross-sectional study

Fontein-Kuipers, Yvonne; Beeck, Elise van

doi:10.1016/j.ijnsa.2022.100070

Cited by 1 publication

(4 citation statements)

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“…MLRA was used to examine the relationship between the dependent variable (intention EA) and the multiple independent variables (ethnic background, age, partnership, level of education, working status, gestation, gravidity, parity, history of miscarriage, progress pregnancy, primary caregiver, personal history of psychological problems, six HEXACO domains, MHI-5, TPDS-NA, TPDS-PI, the TPDS-C, LPRAQ-p). The independent variables were selected based on the literature [ 2 , 12 – 14 , 16 , 17 , 31 , 32 ]. The correlation matrix was checked for multicollinearity of the independent variables.…”

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…Several factors are known to be associated with wanting intrapartum EA, such as prior epidural, partner preferences, type of care professional, accepting EA as the norm and self-confidence [ 2 , 11 , 12 ]. Additionally, women’s choice for intrapartum pharmacological pain relief is associated with birth-related anxiety and with a history of psychological problems [ 12 – 14 ]. Also, women with overall low levels of extraversion, agreeableness, emotional stability, conscientiousness, and openness to experiences are more likely to use pharmacological pain relief during labour [ 15 , 16 ].…”

Section: Introductionmentioning

confidence: 99%

“…Although various studies have identified individual factors that affect the intention for EA during birth [ 12 , 13 , 16 , 17 ], no research has been performed to explore to what extent factors such as mental health, birth-related anxiety, personality traits and attitudes towards pain relief contribute to Flemish women’s intentions about EA. This knowledge would allow healthcare professionals to support women in sustaining their intention to choose or not to choose EA.…”

Section: Introductionmentioning

confidence: 99%

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Factors associated with the intention of pregnant women to give birth with epidural analgesia: a cross-sectional study

Van Leugenhaege,

Degraeve,

Jacquemyn

et al. 2023

BMC Pregnancy Childbirth

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Background In Belgium most women receive epidural analgesia during labour. Although, it offers satisfactory pain relief during labour, the risk on a series of adverse advents has been reported. The objective of this study was to determine factors associated with the intention of pregnant women, anticipating a vaginal birth, of requesting epidural analgesia during labour. Methods A cross-sectional study, using an online self-report questionnaire was performed, including socio-demographic and personal details. Associated factors were examined with the HEXACO-60 questionnaire, the Mental Health Inventory-5, the Tilburg Pregnancy Distress Scale and the Labour Pain Relief Attitude Questionnaire for pregnant women. The level of intention to request epidural analgesia was based on two questions: Do you intend to ask for epidural analgesia (1) at the start of your labour; (2) at some point during labour? Data were collected predominantly during the second and third trimester of pregnancy. Descriptive analysis and a multiple linear regression analysis were performed. Results 949 nulliparous (45.9%) and multiparous (54.1%) pregnant women, living in Flanders (Dutch-speaking part of Belgium) anticipating a vaginal birth completed the questionnaires. Birth-related anxiety (ß 0.096, p < 0.001), the attitude that because of the impact of pregnancy on the body, asking for pain relief is normal (ß 0.397, p < 0.001) and feeling more self-confident during labour when having pain relief (ß 0.034, p < 0.001) show a significant positive relationship with the intention for intrapartum epidural analgesia. The length of the gestational period (ß − 0.056, p 0.015), having a midwife as the primary care giver during pregnancy (ß − 0.048, p 0.044), and considering the partner in decision-making about pain relief (ß − 0.112, p < 0.001) show a significant negative relationship with the intention level of epidural analgesia. The explained variability by the multiple regression model is 54%. Conclusions A discussion during pregnancy about the underlying reason for epidural analgesia allows maternity care providers and partners to support women with pain management that is in line with women’s preferences. Because women’s intentions vary during the gestational period, pain relief should be an issue of conversation throughout pregnancy.

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