Awareness, Perceptions, and Desirability of Epidural Analgesia Among Pregnant Women in King Fahad University Hospital, Al Khobar

Sulmi, Eman S Al; Yousef, Manar; Almuslim, Jenan A; Muslim, Rawan A Al; Amailo, Zahra A; Alabbad, Fatimah A

doi:10.7759/cureus.20146

Cited by 7 publications

(28 citation statements)

References 9 publications

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“…Those who were unaware were more likely to refuse EA in the next delivery, while those who were aware were more likely to request it. This finding is in line with the AlKhobar study [10].…”

Section: Discussionsupporting

confidence: 92%

“…Regarding the awareness score, more than half of the participants scored four and above (60.93%), which was considered to be a good score. This result is similar to the results of previous Saudi studies [10][11]. However, some other Saudi studies have shown a lack of awareness about EA [2,4,6].…”

Section: Discussionsupporting

confidence: 92%

“…The first factor was age; women aged 25-35 were more likely to accept taking EA. This matched the results of a recent study in Alkhobar, wherein it was found that age played a role in the preference for EA; women aged 30-35 were more likely to prefer EA [10]. Furthermore, a study in Jeddah demonstrated the same result wherein women aged less than 20 or more than 35 were found less likely to prefer EA [4].…”

Section: Discussionsupporting

confidence: 86%

“…The second factor was income; those with an income of less than 5000SR were more likely to refuse to take EA, which was also significantly noticed in a previous study conducted in Lebanon [9]. Surprisingly, in the Alkhobar study, women with low income preferred EA [10]. The third factor was parity; a study in Paris reported an inverse relationship between parity and preference for EA, i.e., women with more children were less likely to choose to deliver with EA [13].…”

Section: Discussionsupporting

confidence: 50%

“…One of the reasons for the same was attributed to the fact that the information women had about EA stemmed from their family and friends, and not from a healthcare worker [2]. Conversely, in a study conducted in AlKhobar in 2021, with 209 participants from King Fahad University Hospital, findings revealed that most women were aware of EA for labor pain relief [10].…”

Section: Introductionmentioning

confidence: 99%

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Factors Affecting Opinion of Women Regarding the Use of Epidural Anesthesia During Labor in the Eastern Region of Saudi Arabia

Mousa¹,

Albukhaytan²,

AlMusalami³

et al. 2022

Cureus

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ObjectivesEpidural anesthesia (EA) is one of the most popular and efficient techniques for labor pain relief. Women's preferences and awareness about EA have been investigated worldwide through various studies. The level of awareness varies from region to region in Saudi Arabia. Consequently, the aim of this study is to understand the views of women regarding EA in the eastern region of Saudi Arabia and how this affects decision-making with regard to EA. MethodsThis cross-sectional study was conducted in the eastern region of Saudi Arabia from July-September, 2021, through a self-administered online questionnaire. The study included Saudi females aged 18 years and older living in the eastern region of Saudi Arabia. Data were analyzed using IBM SPSS Statistics for Windows, Version 25.0 (Released 2017; IBM Corp., Armonk, New York, United States). A p-value less than 0.05 was considered statistically significant. ResultsA total of 499 participants were included in the study. Nearly half of them were between the age of 25-35 years (46.9%, n = 234). The mean of the awareness score was 3.66 with SD = 1.491. It was observed that age was related to awareness. Women older than 45 years of age were found to be less aware. Additionally, the number of children these women had further affected their awareness; those who had four children or more tended to be less aware. The effect of regular antenatal care visits was clear, as pregnant women who maintained regular antenatal care visits showed more awareness. As for income, there was a notable increase in awareness with an increase in income. Participants who had had a previous delivery with EA were found to be more aware. Likewise, educational status also impacted their awareness. Women with a high school certificate or below were found to be less aware. Lastly, it was observed that a majority of the participants chose not to request an EA upon their next delivery (60.5%, n = 302). ConclusionThe results demonstrated that awareness of EA in the study area is acceptable. The most important predictors for awareness about EA were age, educational status, income, number of children, regular antenatal visits, and previous delivery with EA. It was concluded that women who were aware were more likely to take EA.

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“…Those who were unaware were more likely to refuse EA in the next delivery, while those who were aware were more likely to request it. This finding is in line with the AlKhobar study [10].…”

Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 86%

Section: Discussionsupporting

confidence: 50%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Factors Affecting Opinion of Women Regarding the Use of Epidural Anesthesia During Labor in the Eastern Region of Saudi Arabia

Mousa¹,

Albukhaytan²,

AlMusalami³

et al. 2022

Cureus

View full text Add to dashboard Cite

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Epidural analgesia use during labour in maternity hospitals across China: A prospective case-control questinnaire survey

Zheng,

Tao,

Shen

et al. 2023

Preprint

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Background Specialised maternity hospitals respond to over 90% of labour analgesia requests in their localities within China. We administered a questionnaire survey to determine the predictors of labour analgesia use in two of these hospitals, with the aim of further enhancing epidural analgesia utilisation during labour. Methods This prospective case-control multi-centre questionnaire survey included a total of 640 postpartum women with 374 women who received epidural analgesia and 266 women who did not receive epidural analgesia. The questionnaire contained 20 questions and was distributed through WeChat from July 2022 to September 2022. The responses to the questionnaires were uploaded to the cloud storage space, and only the statistician had access to the original data. Multivariate logistic regression analysis was used to screen variables related to the receipt of epidural labour analgesia. Binary logistic regression was used to identify predictors related to the administration of epidural labour analgesia from a set of selected variables. Results Binary logistic regression results of the survey data showed that multi-parity (odds ratio [OR] 2.805, 95% confidence interval [CI] 1.792 to 4.393, P < 0.001), late arrival of anaesthesiologist (OR 2.728, 95% CI 1.180–6.306, P = 0.019), and rapid progress in first stage of labour (OR 11.709, 95% CI 7.449–18.404, P < 0.001) prevented women from receiving epidural labour analgesia, while women’s preference (OR 0.035, 95% CI 0.013–0.097, P < 0.001) and family agreement to epidural analgesia prior to labour (OR 0.091, 95% CI 0.016–0.551, P = 0.006) promoted its use. Conclusions To address the factors that may hinder or promote the use of epidural labour analgesia in maternal specialised hospitals, pregnant women should be screened for the risk of rapid progression in the first stage of labour and be provided latent-phase labour analgesia. Moreover, in cases where anaesthesiologists are unavailable or when women have contraindications to epidural analgesia, inhalation nitrous oxide analgesia and intravenous remifentanil analgesia should be considered as alternative options. It is recommended that hospitals provide professional, comprehensive, and free antenatal education on labour analgesia to pregnant women and their families to further promote the use of epidural analgesia. Trial registration: http://www.chictr.org.cn ChiCTR2200055621; January 15, 2022.

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Awareness, preconception, and fear of epidural analgesia among childbearing women in Saudi Arabia: An observational cross-sectional study

et al. 2023

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Background: Labor pain is one of the most excruciatingly painful sensations a woman can have. A woman's attitude toward childbirth might be influenced by her lack of understanding of the birth process and the pain she experiences throughout labor and delivery. The control of pain is an important aspect of appropriate obstetrical care. Our study aims to measure the level of awareness, preconception, and fear of epidural analgesia (EDA) among childbearing women. Methods: An observational cross-sectional, hospital-based study was conducted using a self-administered questionnaire. The study included all pregnant women who were attending an obstetrical clinic for routine antenatal follow-up at King Khalid university hospital in Riyadh, Saudi Arabia, during the month of August 2022. They were asked about five main parts that tapped their awareness, preconception, and fear of EDA. Data were analyzed by SPSS version 26 using descriptive methods, including mean, frequency, and percentage, and also Pearson's correlation coefficient for regression analysis to find the correlation between socio-demographics and awareness and between awareness and fear. Results: Participants in our study included 202 childbearing women. Most women, about 113 (55.9%), participating in the study were aged between 25 and 34 years old. The majority of the participants of this study were Saudi, about 196 (97.0%). In terms of education, 120 (59.4%) of the participants graduated from university. One hundred and forty two (70.3%) of the participants had a monthly income of less than 10000. When it comes to parity, the majority of participants, about 102 (50.5%), have had more than two pregnancies. The average percentage of awareness among the participants showed 45.9%, with an insignificant very moderate correlation between parity and awareness (r = -0.088, P = 0.107); women's knowledge, income, and age were also insignificantly related to awareness. Also, the result showed a moderate level of fear with an average percentage of 44.6% among the participants, with a moderate correlation between awareness and fear with a value of (r = 0.184, P = 0.004). Conclusion: This study results demonstrate a good level of desirability toward using EDA for labor pain, yet there is a limited level of preconceptions and a low level of awareness and knowledge about EDA. In addition, the results showed that the average percentage of fear is 44.6%. Therefore, we suggest that more awareness, knowledge, and guidance about EDA should be provided to pregnant women through antenatal clinics. Furthermore, educational campaigns should be made to dispel misconceptions and fears about EDA.

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Awareness, Perceptions, and Desirability of Epidural Analgesia Among Pregnant Women in King Fahad University Hospital, Al Khobar

Abstract: Background: Childbirth is a normal life event that is considered to have the most severe pain faced by women in their lifetime. However, this pain can be managed in many ways such as using epidural analgesia (EDA).

Cited by 7 publications

References 9 publications

Factors Affecting Opinion of Women Regarding the Use of Epidural Anesthesia During Labor in the Eastern Region of Saudi Arabia

Factors Affecting Opinion of Women Regarding the Use of Epidural Anesthesia During Labor in the Eastern Region of Saudi Arabia

Epidural analgesia use during labour in maternity hospitals across China: A prospective case-control questinnaire survey

Awareness, preconception, and fear of epidural analgesia among childbearing women in Saudi Arabia: An observational cross-sectional study

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