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

Orbach‐Zinger, Sharon; Bardin, Ron; Berestizhevsky, Y.; Sulkes, Jaqueline; David, Yehuda Ben; Elchayuk, S.; Peleg, David; Eidelman, Leonid A.

doi:10.1016/j.ijoa.2008.01.012

Cited by 15 publications

(10 citation statements)

References 9 publications

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“…Although it may be remarkable that partner preference was so influential, this finding has been reported. In a study that measured a patient's and partner's desire for the patient to get a labor epidural, patients had higher desire scores [11]. This desire of partners for the patient to forego an epidural may be significant in some cases.…”

Section: Discussionmentioning

confidence: 99%

Survey of the Factors Associated with a Woman's Choice to Have an Epidural for Labor Analgesia

Harkins

Carvalho

Evers

et al. 2010

Anesthesiology Research and Practice

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Objectives. The purpose of this study was to determine the factors associated with whether a woman received an epidural in labor and to determine the main source used to obtain information about labor epidurals. Methods. Over a one-month period, we surveyed all patients who labored, the day after their delivery. We used multiple logistic regression to identify potential predictive factors after initial univariate analysis. Results. 320 women who met enrollment criteria delivered during the study period and 94% completed the study. Of the 302 patients surveyed, 80% received an epidural for labor. Univariate analysis showed the following variables were associated with whether women received an epidural (P < .01): partner preference, prior epidural, language, education, type of insurance, age, duration, and pitocin use. Using computed multiple logistic regression only partner preference and prior epidural were associated with whether women received an epidural. Conclusion. It was not surprising that a previous epidural was predictive of a patient receiving an epidural. The strong association with partner preference and epidural use suggests this is an important factor when counseling pregnant women with regard to their decision to have a labor epidural.

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Section: Discussionmentioning

confidence: 99%

Survey of the Factors Associated with a Woman's Choice to Have an Epidural for Labor Analgesia

Harkins

Carvalho

Evers

et al. 2010

Anesthesiology Research and Practice

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“…The first theme identified related to women's experiences regarding whether or not they felt they had a choice in having an epidural. The rates of women planning/not planning on using epidural analgesia before going into labour vary within the available evidence (Mahomed, Chin, & Drew, 2015; Orbach‐Zinger et al., 2008; Yoshioka, Yeo, & Fetters, 2012). Women who did not plan to have an epidural often had a wait and see or see how far I can get attitude, leaving all options open throughout the ongoing labour with informal birth plans (Morris & Schulman, 2014; Newnham, McKellar, & Pincombe, 2017; Raynes‐Greenow et al., 2007).…”

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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“…Previous studies found different results regarding the association of age and education level with the request for EA during labor. Some studies found no signi cant association for both age and education level (56,57). Other studies reported a similar relation between age and receiving EA (16,17), but an opposite relation between education level and receiving EA (16,58,59).…”

Section: Discussionmentioning

confidence: 96%

Development of the Labor Pain Relief Attitude Questionnaire for Pregnant Women (LPRAQ-p)

Hulsbosch

Nyklı́ček

Potharst

et al. 2020

Preprint

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Background: Receiving epidural analgesia during labor can possibly have negative consequences for mother and child. Yet, the use of epidural analgesia rapidly increased in the Netherlands over the last decade. Since antenatal plans for labor pain relief have been related to epidural analgesia use during labor, the aim of the current study was to develop a Labor Pain Relief Attitude Questionnaire for pregnant women (LPRAQ-p).Methods: Three focus group interviews were conducted with pregnant women, new mothers and caregivers and 13 candidate items were derived. Psychometric properties were tested with explorative factor analysis in sample I (N = 429) and a subsequent confirmatory factor analysis in a different sample II (N = 432).Results: The explorative factor analysis suggested a two-factor seven-item solution: a ‘women’s perception’ and ‘social environment’ subscale. The confirmatory factor analysis confirmed an excellent six-item model fit with appropriate internal consistency. Higher scores on the six-item LPRAQ-p indicate greater willingness for request of pain relief medication during labor. Two-tailed t-tests showed that women with elevated levels of depression and pregnancy-specific distress symptoms, nulliparous women and multiparous women with complications during previous delivery had greater willingness for request of pain relief medication during labor. Linear regression showed that the most important association with higher scores on the LPRAQ-p were high pregnancy-specific distress symptoms.Conclusions: This study showed the LPRAQ-p to be a valid instrument to evaluate attitude towards labor pain relief in pregnant women. High scores on this questionnaire are associated with high levels of pregnancy-specific distress symptoms.

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

Cited by 15 publications

References 9 publications

Survey of the Factors Associated with a Woman's Choice to Have an Epidural for Labor Analgesia

Survey of the Factors Associated with a Woman's Choice to Have an Epidural for Labor Analgesia

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

Development of the Labor Pain Relief Attitude Questionnaire for Pregnant Women (LPRAQ-p)

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