Evaluation of an Information Pamphlet for Women Considering Epidural Analgesia in Labour

Munro, Sarah; Hui, Amber; Gemmell, Emily; Torabi, Nahal; Johnston, Angela S.; Janssen, Patricia A.

doi:10.1016/j.jogc.2017.06.028

Cited by 12 publications

(9 citation statements)

References 20 publications

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“…Their work predicts that the volume of information presented may affect uptake and use of a PtDA. Both Munro et al 75 and Martin 91 in a second larger ( N = 272) head-to-head comparison of a complete information, long-format (24-page) versus an essential content, short-format (2-page) PtDA also detected no difference in the change in knowledge or patients’ intention to intensify therapy. 91 This supports the premise that patients should be able to choose the format (including volume) of information they desire to support their decision making.…”

Section: Discussionmentioning

confidence: 90%

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Providing Balanced Information about Options in Patient Decision Aids: An Update from the International Patient Decision Aid Standards

et al. 2021

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Background The objective of this International Patient Decision Aids Standard (IPDAS) review is to update and synthesize theoretical and empirical evidence on how balanced information can be presented and measured in patient decision aids (PtDAs). Methods A multidisciplinary team conducted a scoping review using 2 search strategies in multiple electronic databases evaluating the ways investigators defined and measured the balance of information provided about options in PtDAs. The first strategy combined a search informed by the Cochrane Review of the Effectiveness of Decision Aids with a search on balanced information. The second strategy repeated the search published in the 2013 IPDAS update on balanced presentation. Results Of 2450 unique citations reviewed, the full text of 168 articles was screened for eligibility. Sixty-four articles were included in the review, of which 13 provided definitions of balanced presentation, 8 evaluated mechanisms that may introduce bias, and 42 quantitatively measured balanced with methods consistent with the IPDAS criteria in PtDAs. The revised definition of balanced information is, “Objective, complete, salient, transparent, evidence-informed, and unbiased presentation of text and visual information about the condition and all relevant options (with important elements including the features, benefits, harms and procedures of those options) in a way that does not favor one option over another and enables individuals to focus attention on important elements and process this information.” Conclusions Developers can increase the balance of information in PtDAs by informing their structure and design elements using the IPDAS checklist. We suggest that new PtDA components pertaining to balance be evaluated for cognitive bias with experimental methods as well by objectively evaluating patients’ and content experts’ beliefs from multiple perspectives.

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Section: Discussionmentioning

confidence: 90%

“…Although underpowered ( N = 40), there was no significant difference in pre–post knowledge change. 75…”

Section: Resultsmentioning

confidence: 99%

Providing Balanced Information about Options in Patient Decision Aids: An Update from the International Patient Decision Aid Standards

et al. 2021

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“…Previous teams have implemented alternative methods to inform about epidural analgesia. Written information, notably in the form of illustrated booklets has been associated with improvement of women’s knowledge [ 15 , 16 ]. Despite their practicality and ease of implementation, written brochures have important limitations, such as not being adapted to the pre-existing individual knowledge and expectations of patients, or of being poorly read [ 17 ].…”

Section: Discussionmentioning

confidence: 99%

Epidural analgesia information sessions provided by anesthetic nurses: impact on satisfaction and anxiety of parturient women a prospective sequential study

et al. 2022

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Background Information on epidural analgesia delivered to parturient women is frequently incomplete, making it difficult for expectant mothers to make an appropriate choice for their delivery. We assessed the impact of a multimodal information session on epidural analgesia delegated to anesthetic nurses on new-mothers’ satisfaction. Methods We performed a prospective sequential study including parturient women who gave birth with epidural analgesia. During the first period, information on epidural analgesia was delivered by anesthetists during the scheduled anesthesia consultation, according to French standard-of-care. Then, a dedicated information session about epidural analgesia provided by anesthetic nurses was implemented. The primary endpoint was the satisfaction of women with the quality of information received. Main secondary endpoints were knowledge of women about epidural analgesia, anxiety before epidural catheter placement, and satisfaction with delivery. Results 259 and 298 women were included during the first and second periods respectively, among whom 178 and 188 were analyzed. Information on epidural analgesia delivered by anesthetic nurses was associated with improvement of new-mothers’ satisfaction with information received (9 (8–10) vs. 10 (9–10) – p < 0.001). Moreover, information delivered by anesthetic nurses was associated with decreased anxiety before epidural catheter placement (4 (1–8) vs. 3 (1–6) – p = 0.006) and increased satisfaction with delivery (8 (7–10) vs. 9 (8–10) – p = 0.01). Women’s knowledge on epidural analgesia was durably increased when information was delivered by anesthetic nurses compared to conventional information by anesthetists. After adjustment, the only variable associated with both new mothers’ satisfaction with information and delivery was the information session taught by anesthetic nurses. Conclusions Information sessions on epidural analgesia delivered by anesthetic nurses was associated with improved satisfaction of women with their delivery. Such information sessions may be used in maternity wards to improve new-mothers’ childbirth experience.

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“…Em um país desenvolvido (Canadá), estudo qualitativo envolvendo parturientes de maternidade de uma comunidade rural mostrou que as gestantes desejavam aprender mais sobre opções de alívio da dor do parto vaginal para fazer uma escolha informada. A maioria das participantes do mencionado estudo expressou o desejo de um parto sem medicamentos, mas enfatizou que tinha "a mente aberta" para considerar a opção de analgesia farmacológica (Munro et al, 2018).…”

Section: Discussionunclassified

“…Por outro lado, a tomada de decisão da escolha do tipo de parto geralmente se dá em dois momentos; primeiro, durante o período pré-natal, quando as gestantes formam uma preferência; e então durante o trabalho de parto, onde fazem uma escolha real. Devido à incerteza do trabalho de parto e do parto, as mulheres geralmente sentem que suas necessidades muitas vezes não podem ser previstas com antecedência (Munro et al, 2018) e tendem a mudar ao longo da gestação, havendo associação com os vínculos sociais da gestante (Domingues et al, 2014).…”

Section: Discussionunclassified

Conhecimento de puérperas sobre analgesia do parto normal em maternidade pública no interior do Rio Grande do Norte, Brasil

Ramalho

Muñoz

2021

RSD

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Objetivo: Avaliar o conhecimento de puérperas sobre a analgesia de parto vaginal, e a associação entre a existência desta informação e a decisão e o desfecho quanto ao tipo de parto no Hospital Universitário Ana Bezerra (HUAB), em Santa Cruz, Rio Grande do Norte, Brasil. Metodologia: O modelo deste estudo foi descritivo e transversal, de abordagem quantitativa. A amostra foi composta por puérperas atendidas na maternidade do HUAB. Os dados foram coletados por meio de entrevistas diretas, com preenchimento de questionário estruturado, assim como revisão de prontuários. Resultados: Foram entrevistadas 99 puérperas. Observou-se que 78,8% tiveram parto normal e houve relação estatisticamente significativa deste tipo de parto normal com maior nível de escolaridade, renda maior que um salário-mínimo e trabalho remunerado. Verificou-se que apenas 22,2% sabiam da disponibilidade da analgesia para o parto vaginal. A decisão da gestante sobre o tipo de parto também se associou com a ocorrência de parto vaginal, mas não houve associação entre conhecimento da existência de analgesia do parto na maternidade com a decisão materna ou com a realização do parto vaginal. Conclusão: O grau de conhecimento sobre disponibilidade de analgesia para o parto foi baixo, compatível com resultados de outros países em desenvolvimento. O conhecimento materno sobre a disponibilidade de alívio da dor do parto se relacionou com nível de escolaridade, renda e trabalho remunerado, mas não se associou com a decisão materna pelo parto vaginal ou com a realização deste tipo de parturição.

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Evaluation of an Information Pamphlet for Women Considering Epidural Analgesia in Labour

Abstract: An illustrated information pamphlet can significantly increase women's knowledge of benefits and risks of epidural analgesia, but it is not associated with change of preference. Women prefer to receive comprehensive information prenatally to support informed choices in labour.

Cited by 12 publications

References 20 publications

Providing Balanced Information about Options in Patient Decision Aids: An Update from the International Patient Decision Aid Standards

Providing Balanced Information about Options in Patient Decision Aids: An Update from the International Patient Decision Aid Standards

Epidural analgesia information sessions provided by anesthetic nurses: impact on satisfaction and anxiety of parturient women a prospective sequential study

Conhecimento de puérperas sobre analgesia do parto normal em maternidade pública no interior do Rio Grande do Norte, Brasil

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