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  • Pregnant Women Aware...

Pregnant Women Aware of epidural analgesia, had positive attitude towards it and willing to use it, claims study

Written By : Dr Monish Raut |Medically Reviewed By : Dr. Kamal Kant Kohli Published On 2024-09-05T21:00:41+05:30  |  Updated On 5 Sept 2024 2:30 PM IST
Routes of oxytocin administration for preventing postpartum haemorrhage after vaginal birth
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Epidural analgesia is considered one of the most effective methods for relieving labor pain. Recent research aimed to evaluate the knowledge, attitudes, and behaviors of pregnant women attending maternity and antenatal healthcare clinics regarding the use of epidural analgesia for normal vaginal delivery. This study examined pregnant women's awareness, attitudes, and practices regarding the use of epidural analgesia during normal vaginal birth in Palestine. The researchers conducted a multi-center cross-sectional survey among 389 pregnant women visiting maternity and antenatal healthcare clinics. The key findings are: 1. Awareness: The vast majority (97.9%) of pregnant women were aware of the existence of epidural analgesia for normal birth.

The main sources of information were other women who used it before and gynecologists/obstetricians. 2. Usage and Complications: 44.2% of the women had used epidural analgesia before, and 33.1% of them experienced complications as a result. 3. Attitudes: 79.2% of the women stated that epidural analgesia should be available during vaginal birth, and 62.5% said they would use it if offered for free or covered by insurance. 4. Knowledge: Knowledge levels were moderate, with most women knowing that epidural analgesia is effective in reducing labor pain, but many lacking knowledge about its potential adverse effects. 5. Predictors of Knowledge and Willingness: Higher knowledge scores were associated with having used epidural analgesia and experiencing complications. Willingness to use epidural analgesia was predicted by younger age, previous use, and agreement that it should be available.

Conclusion

The researchers conclude that pregnant women had high awareness but moderate knowledge about epidural analgesia. They had positive attitudes, with many willing to use it if made more accessible. The study highlights the need for future educational efforts to inform pregnant women about various pain management approaches and their associated risks and benefits.

Key Points

Here are the 6 key points from the research paper: 1. Awareness: The vast majority (97.9%) of pregnant women were aware of the existence of epidural analgesia for normal birth, with the main sources of information being other women who used it before and gynecologists/obstetricians. 2. Usage and Complications: 44.2% of the women had used epidural analgesia before, and 33.1% of them experienced complications as a result. 3. Attitudes: 79.2% of the women stated that epidural analgesia should be available during vaginal birth, and 62.5% said they would use it if offered for free or covered by insurance. 4. Knowledge: Knowledge levels were moderate, with most women knowing that epidural analgesia is effective in reducing labor pain, but many lacking knowledge about its potential adverse effects. 5. Predictors of Knowledge and Willingness: Higher knowledge scores were associated with having used epidural analgesia and experiencing complications. Willingness to use epidural analgesia was predicted by younger age, previous use, and agreement that it should be available. 6. Conclusion: The researchers concluded that pregnant women had high awareness but moderate knowledge about epidural analgesia. They had positive attitudes, with many willing to use it if made more accessible. The study highlights the need for future educational efforts to inform pregnant women about various pain management approaches and their associated risks and benefits.

Reference

Ramzi Shawahna, Dana Khaskia, Donya Ali, Hajar Hodroj, Mohammad Jaber, Iyad Maqboul & Hatim Hijaz (2024) Knowledge, attitudes, and practices of pregnant women regarding epidural analgesia: a multicentre study from a developing country, Journal of Obstetrics and Gynaecology, 44:1, 2354575, DOI: 10.1080/01443615.2024.235457

Awarenessbirthepidural analgesiaknowledgepregnancywomen
Dr  Monish  Raut
Dr Monish Raut

    MBBS, MD (Anaesthesiology), FNB (Cardiac Anaesthesiology)

    Dr Monish Raut is a practicing Cardiac Anesthesiologist. He completed his MBBS at Government Medical College, Nagpur, and pursued his MD in Anesthesiology at BJ Medical College, Pune. Further specializing in Cardiac Anesthesiology, Dr Raut earned his FNB in Cardiac Anesthesiology from Sir Ganga Ram Hospital, Delhi.

    Dr. Kamal Kant Kohli
    Dr. Kamal Kant Kohli

    Dr Kamal Kant Kohli-MBBS, DTCD- a chest specialist with more than 30 years of practice and a flair for writing clinical articles, Dr Kamal Kant Kohli joined Medical Dialogues as a Chief Editor of Medical News. Besides writing articles, as an editor, he proofreads and verifies all the medical content published on Medical Dialogues including those coming from journals, studies,medical conferences,guidelines etc. Email: drkohli@medicaldialogues.in. Contact no. 011-43720751

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