Effects of different analgesic methods used for vaginal delivery on mothers and fetuses

Babaoğlu, Gülçin; Kılıçaslan, Banu; Yılbaş, Aysun Ankay; Çelebioğlu, Bilge

doi:10.3906/sag-1911-61

Cited by 3 publications

References 28 publications

(38 reference statements)

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Knowledge, attitudes and intentions of the Syrian pregnant women toward labour analgesia, and its associated factors: a cross sectional study in Syria (2022)

Bohsas,

Alibrahim,

Swed

et al. 2023

BMC Health Serv Res

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Background During the reproductive period among pregnant women, the worst pain a woman can experience is labour pain. Untreated labour pain has many detrimental effects on the mother and the fetus. Then, the inadequate levels of awareness and attitudes toward labour analgesia among pregnant women are considered a serious concern that influences no-healthy results for both the mother and the baby. Therefore, this research aimed to define the degree of Awareness, Attitude, and intent to use labour analgesia among pregnant women in Syria. Methods We conducted a cross-sectional study from 7 September to 23 October 2022, in which we included Pregnant Syrian women aged 18 and above. The questionnaire was based on a prior study that included verified and validated scales, which consisted of 23 questions separated into four sections. The sample size was calculated using Fisher’s formula; however, our study included 638 participants. The data was analyzed using IBM SPSS Version 28.0, using descriptive and binary logistic regression methods. Results Among those who had previous deliveries, 39.4% performed a caesarian delivery, and only 1.9% had a delivery at home. Nearly half of the study participants (50.4%) reported adequate knowledge about analgesia for obstetric pain. The inquired pregnant women who had children had more odds of knowledge than participants who had not. Respondents who were childbearing at the health center were more likely to have a good attitude (Adjusted Odds ratio = 4.728, P-value < 0.05, 95%CI: 1.035–21.589) than those who were childbearing at a national referral hospital. Also, the respondents above 31 years were less likely to desire labour analgesia than those aged 18–24. Conclusion Our results revealed that Syrian pregnant women have a moderated awareness, attitudes, and desire regarding labour analgesia, indicating a serious health problem among this population group. It is recommended that local and global health organizations address the current condition relevant to this issue by implementing healthy educational programmes for Syrian women through coordination with obstetric and gynaecological professionals.

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Knowledge, attitudes and intentions of the Syrian pregnant women toward labour analgesia, and its associated factors: a cross sectional study in Syria (2022)

Bohsas,

Alibrahim,

Swed

et al. 2023

BMC Health Serv Res

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Regional and Parenteral Analgesia in Labour

Sacramento

Esteras

Torre

et al. 2022

Obstetric Anesthesia: Clinical Updates

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Labour pain is a complex phenomenon involving subjective psychological factors and physiological neurohormonal factors. Many different factors contribute to the perception of pain: cultural factors, bond, and trust in the delivery team, being able to take their own decisions, relaxation ability, previous labour, anatomical and fetal related factors. Pain relief is one of the elements involved in overall satisfaction but it is not the only one and is important to remember that pharmacological intervention is only a part of it.

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Two Pregnancy Care Models in Poland—A Descriptive–Comparative Study

Gallas,

Gaworska-Krzemińska,

Pogorzelczyk

2023

Clinics and Practice

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Care for a pregnant woman can take various organizational forms. The World Health Organization (WHO) recommends leaders increase research into health systems. The aim of this is to manage the healthcare system in such a way as to provide beneficiaries with access to high-quality services with limited financial resources. The study presented in this paper was conducted using a diagnostic survey on a group of 1697 Polish women in the traditional model of care (TM) and 3216 women in the Coordinated Care for Pregnant Women Program (CCP). Two research tools were used in this study. The first is a survey prepared by the National Health Fund, the second is an author’s survey. The results indicate that most women (85%) receiving care under the CCP received effective pain management, compared to 67% under the traditional care model (p < 0.001). In the CCP, women were significantly more likely to receive midwife assistance in infant care (90%) than women in the traditional care model (60%) (p < 0.001). Significantly more CCP patients want to return to the same hospital for their subsequent childbirth (74%) than women in the traditional model of care (43%) (p < 0.001). In patients’ opinion, the new CCP model is superior in meeting their needs and providing higher-quality services. However, educating women that an obstetrician-gynecologist and a midwife can manage their pregnancy is still necessary. In addition to the CCP program, special attention should be paid to available pain management during childbirth since the use of analgesia is still insufficient in Polish hospitals.

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Effects of different analgesic methods used for vaginal delivery on mothers and fetuses

Cited by 3 publications

References 28 publications

Knowledge, attitudes and intentions of the Syrian pregnant women toward labour analgesia, and its associated factors: a cross sectional study in Syria (2022)

Knowledge, attitudes and intentions of the Syrian pregnant women toward labour analgesia, and its associated factors: a cross sectional study in Syria (2022)

Regional and Parenteral Analgesia in Labour

Two Pregnancy Care Models in Poland—A Descriptive–Comparative Study

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