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Nulliparas' Preferences for Epidural Analgesia: Their Effects on Actual Use in Labor by Alisa B. Goldberg; Amy Cohen; Ellice Lieberman is a Medicine article available to read on EtoBox.

What is Nulliparas' Preferences for Epidural Analgesia: Their Effects on Actual Use in Labor about?

Background: __Few studies have directly examined the reasons for choices of pain relief during labor. The purpose of this study was to investigate if women's preferences for epidural analgesia in labor have an impact on the use of intrapartum epidural analgesia.__ Methods: __Nulliparous women attending childbirth classes completed questionnaires about their antenatal preferences for the use of intrapartum epidural analgesia. Data on actual use of analgesia was obtained by chart review. The analysis included 303 women with either spontaneous or induced labor at term.__ Results: __The 185 women who planned to receive epidural analgesia had a markedly higher rate of epidural use (91%) than the 110 women who hoped to avoid it (57%) ( p= 0.001). Of 237 epidurals administered, 169 (71%) were planned during the antenatal period. Among women receiving epidural analgesia, those planning to receive it tended to have more frequent early administration (≤ 3 cm cervical dilation) than women who unsuccessfully tried to avoid epidural use (54% vs. 24%, p= 0.003).__ Conclusion: __In our population of nulliparas, a woman's antenatal plan to receive epidural analgesia is strongly associated with her

Who reads Nulliparas' Preferences for Epidural Analgesia: Their Effects on Actual Use in Labor?

Author

Alisa B. Goldberg; Amy Cohen; Ellice Lieberman

Publisher

John Wiley and Sons; Wiley (Blackwell Publishing); Blackwell Publishing Inc.; Wiley (ISSN 0730-7659)

Published

1999

Language

EN

Field

Medicine (Health Sciences)