Development of the Labor Pain Relief Attitude Questionnaire for pregnant women (LPRAQ-p)

Abstract

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 a 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.

Application of virtual reality technology combined with moderate perineal protection in natural childbirth

“…Among the four factors of delivery, maternal psychology is one of the important influencing factors [27]. Self-efficacy has been related to decreased pain perception during labour [28]. In this study, the anxiety score of the treatment group was lower than that of the control group, and the self-efficacy score of the treatment group was higher than that of the control group (p < 0.05).…”

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

“…The survey included the Dutch versions of the validated self-report measures: HEXACO-60, Tilburg Pregnancy Distress Scale (TPDS), Mental Health Inventory (MHI-5) and Labour Pain Relief Attitude Questionnaire for pregnant women (LPRAQ-p). ( De Vries et al., 2009 ; CBS 2011 ; VJ Pop et al., 2011 ; Hulsbosch et al., 2020 )…”

“…The questionnaire was developed after focus group discussions and was validated by 861 Dutch childbearing women, showing good psychometric properties: a two-factor structure with acceptable to good internal consistency (α.79 to 0.84) and excellent model fit (CFI = 0.99, NFI = 0.98, TLI = 0.99, RMSEA = 0.02, lower bound = 0.01). ( Hulsbosch et al., 2020 )…”

Terapia de balón para manejo del dolor y sus efectos en el parto

“…Las contracciones uterinas ineficaces podrían afectar la condición de la madre en la forma de miedo, estrés y fatiga. La percepción de dolor está influenciada por factores como la ansiedad, las ideas culturales sobre el parto y las experiencias de partos previos 26 .…”