Women’s prelabour preference for epidural analgesia: a cross-sectional study among women from the Netherlands and Belgium

Wassen, Martine M L H; Miggiels, Lieke; Devlieger, Roland; Gyselaers, Wilfried; Mertens, H; Hasaart, T. H. M.; Wijnen, Ella J.; Reu, Paul De; Roumen, Frans J.M.E.; Nijhuis, Jan G.; Smits, Luc; Scheepers, Hubertina C.J.

doi:10.3109/0167482x.2012.760541

Cited by 9 publications

(8 citation statements)

References 15 publications

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“…When asked about the type of analgesia preferred, in both groups, most respondents preferred epidural analgesia. The preference for this type of analgesia has been associated with multiparous women, older age and higher levels of education as was reported by Stark [38] and Wassen et al [56]. However, the present study did not reveal any statistically significant relationship between preference for the type of analgesia and the other factors that were accessed.…”

Section: Chose Their Physiciansupporting

confidence: 56%

Mode of Delivery and Labour Analgesia: A Study of Preference in Portuguese Pregnant Women

Costa¹,

Nunes²,

Machado³

2018

J Anesth Clin Res

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Background: Portugal has had one of the highest cesarean rates in Europe, possibly influenced by patient preferences. A reduction in the prevalence of these rates due to safety, quality, and concern with costs is one of the current goals of obstetric care. Fear of pain, often associated with vaginal delivery, is one of the reasons why pregnant women might prefer a cesarean section. Objective: The aim of this study was to identify the type of delivery and anaesthesia/analgesia preferred, as well as the reasons and factors associated with this preference, in a representative sample in order to identify possible modifiable factors possibly involved in increased rates. Methods: A descriptive cross-sectional study was carried out by an anonymous questionnaire to 245 pregnant women from February to April 2018. Respondents were also asked about their preference for peripartum anaesthesia/analgesia and on the sources of information that helped decide their preferences. Results: 22% of respondents would prefer an elective cesarean section. This preference was higher in women with a previous cesarean section. The preference for vaginal delivery was higher in women with more advanced pregnancies. The main reasons that led participants to prefer a vaginal delivery were the quicker postpartum recovery and not wanting to miss the first hours of their child's life. Regarding the preference for an elective cesarean section, the main reasons were fear and convenience. Most pregnant women preferred epidural analgesia. Respondents who selected their doctor (most common source) were more likely to prefer vaginal delivery. Conclusion: A minority of women showed a preference for cesarean delivery. A majority would prefer to have epidural anaesthesia. Despite the high cesarean rates, maternal desire for cesarean section is low, suggesting that this number is due to factors other than the preference of pregnant women.

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Section: Chose Their Physiciansupporting

confidence: 56%

Mode of Delivery and Labour Analgesia: A Study of Preference in Portuguese Pregnant Women

Costa¹,

Nunes²,

Machado³

2018

J Anesth Clin Res

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“…A possible limitation is associated with the nature of the sample; they were well‐educated and roughly represented only urban women in Israel and not the entire population. As the social climate has a great influence on the medical–natural continuum of birth choices (Wassen et al., ), further research should be conducted in other cultures.…”

Section: Discussionmentioning

confidence: 99%

Pregnant Women's Recollections of Early Maternal Bonding: Associations With Maternal–fetal Attachment and Birth Choices

Handelzalts

Preis

Rosenbaum

et al. 2018

Infant Mental Health Journal

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Recollections of own maternal care measured by parental bonding were found to be important in the pregnant woman's construction of herself as a mother. Although these recollections were studied with regard to various variables, there is a dearth of studies associated with pregnancy and childbirth. In this cross-sectional study, 341 pregnant women were recruited. Measures included a Sociodemographics-Obstetric History Questionnaire; the Childbirth Choices Questionnaire (H. Preis, M. Gozlan, U. Dan, & Y. Benyamini, 2018); the Parental Bonding Instrument (G. Parker, H. Tupling, & L.B. Brown, 1979); a question regarding the planned presence of the woman's mother at delivery; and the Maternal-Fetal Attachment Scale (M.S. Cranley, 1981). Parental recollections of Care were associated with fewer natural birth choices (hence, a more "medicalized" delivery), lower maternal-fetal attachment, and a wish for the mother's mother to be present at the birth. Parental recollections of Encouragement of Behavioral Freedom in childhood were associated with more natural choices regarding childbirth. In addition, women with higher scores on the parental bonding Denial of Autonomy factor reported stronger maternal-fetal attachment. Thus, early recollections of experiences with caregivers as manifested in parental bonding may be a possible influence on the transition to motherhood, and working through possible difficulties associated with these recollections may improve adjustment to motherhood.

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“…Factors influencing the choice of epidural analgesia included partners' opinions, outpatient discussions about epidural analgesia, antenatal classes, media, labour pain level, length of labour, maternal exhaustion, lower degree of coping, and positive experiences of epidural recounted by family and friends (Hidaka & Callister, 2012; Morris & Schulman, 2014; Newnham et al., 2017; Wassen et al., 2013; Yoshioka et al., 2012). Onset of painful contractions and attendance at antenatal classes seemed to be associated with increased use of epidural (Echevarria, Grant, Chung, & Lax, 2017).…”

Section: Resultsmentioning

confidence: 99%

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

Borrelli

Evans

Pallotti

et al. 2020

Journal of Advanced Nursing

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Aims To investigate childbearing women's views, experiences and decision‐making related to epidural analgesia in labour. Design Mixed‐methods systematic review. Data Sources A comprehensive literature search was implemented across Medline, CINAHL and EMBASE from 2000 to September 2018. The literature search was undertaken in January 2018 and updated in September 2018. Thirty papers were selected. Results Four overarching synthesized findings were identified: (a) choice; (b) pain management experience; (c) lack of information; and (d) information provision and consent. Review Methods Quality appraisal was conducted using JBI levels of evidence and other established tools. NVivo was used to independently dual code and thematically synthesize qualitative data. A narrative synthesis of the quantitative findings from the included studies was undertaken. The GRADE‐CERQual approach was used to assess confidence in the review findings based on the qualitative data. A set of integrated mixed‐methods synthesized findings was produced. Conclusion Recommendations for practice based on the systematic review findings are that midwives should dedicate time to discuss epidural with women and birth partners, ideally during the second or third trimester of pregnancy, asking women what coping strategies or pain relief they have been considering, if any. The factors which may influence the woman's choice of epidural, including pain threshold, ability to cope with pain, timing of epidural and length of labour should be continuously evaluated during labour. The midwife should remain with women after an epidural has been sited, demonstrating understanding of the woman's choice and providing an opportunity for discussion of plans for the remaining labour and birth. Impact The findings of this systematic review can inform both healthcare professionals and service users on various aspects of the decision‐making process about the use of epidural analgesia in labour. Data can be transferable to similar settings in high‐income countries.

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Women’s prelabour preference for epidural analgesia: a cross-sectional study among women from the Netherlands and Belgium

Cited by 9 publications

References 15 publications

Mode of Delivery and Labour Analgesia: A Study of Preference in Portuguese Pregnant Women

Mode of Delivery and Labour Analgesia: A Study of Preference in Portuguese Pregnant Women

Pregnant Women's Recollections of Early Maternal Bonding: Associations With Maternal–fetal Attachment and Birth Choices

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

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