Predictors of Recommendation and Acceptance of Intrapartum Epidural Analgesia

Exploring Factors Influencing Patient Request for Epidural Analgesia on Admission to Labor and Delivery in a Predominantly Latino Population

“…We think that a well informed patient will have less fear of this type of analgesia. In agreement with our results, Sheiner et al [10] reported in 447 consecutive laboring patients, a strong association between high education level and epidural analgesia acceptance (OR 90.09, 95% CI 27.02-257.06). In our sample we did not find an association between any of the questions that intended to measure acculturation and the desire to get an epidural.…”

Spinal versus general anesthesia in cesarean sections: the effects on postoperative pain perception

“…In our study, most patients in the regional anesthesia group were Jewish; these results correlate with previously published data from our region [19,20]. Sheiner et al [19] compared epidural analgesia to parenteral administration of meperidine during labor.…”

A survey of attitudes of expectant first-time fathers and mothers toward epidural analgesia for labor

“…Also since our hospital both offers and encourages epidural analgesia for every nulliparous woman and has an anesthesiologist readily available day and night, our results may differ from other hospitals in Israel where there is a relative shortage of anesthesiologists. 8 The rate of epidural use in our sample was higher than we might expect on the basis of the opinions expressed at admission and onset of labor. This was true for both mothers and fathers.…”

“…Sheiner et al demonstrated that the rates of epidural analgesia during labor were higher in older parturients with a higher level of education. 8 However, their study was not limited to nulliparous women and found nulliparity a strong predictive factor in epidural use. Furthermore, unlike the present study, not all parturients were offered epidural analgesia.…”