Factors associated with choice of delivery with or without epidural analgesia among laboring women: a cross-sectional survey at a tertiary care hospital of a developing country
Abstract
Aims:
The aim of this study was to evaluate the factors responsible for epidural analgesia (EA) refusal among parturient patients.
Methods:
In this prospective cross-sectional study of six months, we included all consenting postpartum patients having a non-operative delivery in the obstetric unit of our hospital. Data were collected on a predesigned questionnaire and included information such as parity, education, reasons for delivering with or without EA, source of information and patient satisfaction. Knowledge regarding EA was assessed from patients delivering without EA.
Results:
From 933 patients enrolled, 730 (78.2%) delivered without EA, and 203 (21.7%) with EA. Only 11 (1.5%) patients refused EA for the reason of having natural birth process. Otherwise common reasons were misconceptions (65.9%) and lack of awareness about EA (20.5%); 70.5% had no knowledge of common side effects of EA. Among patients delivering with EA, 92.6% were offered EA by health care providers and had obstetricians and anesthesiologists as their sources of information.
Conclusions:
Patients in developing countries are laboring without EA, even in centers where there is a provision for it. The main reasons for not availing themselves of EA are lack of awareness and knowledge and misconceptions, rather than the desire to have un-medicated natural birth.
Acknowledgments
The authors wish to acknowledge an Anaesthesia Research Grant for funding the study, Syed Amir Raza for his support in data analysis, Asma Faraz for editing the manuscript and Marium Jamal for the data collection.
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©2016 Walter de Gruyter GmbH, Berlin/Boston
Articles in the same Issue
- Frontmatter
- Editorials
- Editorial
- First 10 years of the International Academy of Perinatal Medicine – which lessons we have learned and what are future challenges
- Recommendation and Guidelines for Perinatal Practice
- Is intrauterine surgery justified? Report from the working group on ultrasound in obstetrics of the World Association of Perinatal Medicine (WAPM)
- Original articles - Obstetrics
- Examiner’s finger-mounted fetal tissue oximetry: a preliminary report on 30 cases
- Values of T/QRS ratio in pregnancies complicated by intrauterine growth restriction
- Cesarean delivery among women with prolonged labor induction
- Maternal and fetal outcomes after uterine fundal pressure in spontaneous and assisted vaginal deliveries
- Impact of maternal age on delivery outcomes following spontaneous labour at term
- Maternal characteristics of pregnancies with intrauterine fetal demise
- Evaluation of standardized, computerized Dawes/Redman heart-rate analysis based on different recording methods and in relation to fetal beat-to-beat heart rate variability
- Perinatal outcomes with isolated oligohydramnios at term pregnancy
- Factors associated with choice of delivery with or without epidural analgesia among laboring women: a cross-sectional survey at a tertiary care hospital of a developing country
- Ultrasonographic assessment of cervical length in pregnancies scheduled for a cesarean delivery: prediction of early spontaneous onset of labor
- Characterization of visceral and subcutaneous adipose tissue transcriptome in pregnant women with and without spontaneous labor at term: implication of alternative splicing in the metabolic adaptations of adipose tissue to parturition
- Classification of stillbirths is an ongoing dilemma
- Out-of-hospital births in the United States 2009–2014
- Congress Calendar
- Congress Calendar
Articles in the same Issue
- Frontmatter
- Editorials
- Editorial
- First 10 years of the International Academy of Perinatal Medicine – which lessons we have learned and what are future challenges
- Recommendation and Guidelines for Perinatal Practice
- Is intrauterine surgery justified? Report from the working group on ultrasound in obstetrics of the World Association of Perinatal Medicine (WAPM)
- Original articles - Obstetrics
- Examiner’s finger-mounted fetal tissue oximetry: a preliminary report on 30 cases
- Values of T/QRS ratio in pregnancies complicated by intrauterine growth restriction
- Cesarean delivery among women with prolonged labor induction
- Maternal and fetal outcomes after uterine fundal pressure in spontaneous and assisted vaginal deliveries
- Impact of maternal age on delivery outcomes following spontaneous labour at term
- Maternal characteristics of pregnancies with intrauterine fetal demise
- Evaluation of standardized, computerized Dawes/Redman heart-rate analysis based on different recording methods and in relation to fetal beat-to-beat heart rate variability
- Perinatal outcomes with isolated oligohydramnios at term pregnancy
- Factors associated with choice of delivery with or without epidural analgesia among laboring women: a cross-sectional survey at a tertiary care hospital of a developing country
- Ultrasonographic assessment of cervical length in pregnancies scheduled for a cesarean delivery: prediction of early spontaneous onset of labor
- Characterization of visceral and subcutaneous adipose tissue transcriptome in pregnant women with and without spontaneous labor at term: implication of alternative splicing in the metabolic adaptations of adipose tissue to parturition
- Classification of stillbirths is an ongoing dilemma
- Out-of-hospital births in the United States 2009–2014
- Congress Calendar
- Congress Calendar