Trial reportBMC pregnancy and childbirth2010
Assisting informed decision making for labour analgesia: a randomised controlled trial of a decision aid for labour analgesia versus a pamphlet.
Trial report in BMC pregnancy and childbirth, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 9 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
25 citing papers in PubMed, 9 syntheses or guidelines pooled it.
- Decision aids for people facing health treatment or screening decisions.The Cochrane database of systematic reviews · 2024Pooled it
- Effects of consumers and health providers working in partnership on health services planning, delivery and evaluation.The Cochrane database of systematic reviews · 2021Pooled it
- Pooled it
- Pooled it
- Interventions for increasing the use of shared decision making by healthcare professionals.The Cochrane database of systematic reviews · 2018Pooled it
- Decision aids for people facing health treatment or screening decisions.The Cochrane database of systematic reviews · 2017Pooled it
- Interventions to promote informed consent for patients undergoing surgical and other invasive healthcare procedures.The Cochrane database of systematic reviews · 2013Pooled it
- Providing information about options in patient decision aids.BMC medical informatics and decision making · 2013Pooled it
- Intracutaneous or subcutaneous sterile water injection compared with blinded controls for pain management in labour.The Cochrane database of systematic reviews · 2012Pooled it
- Effect of a decision aid on the choice of pregnant women whether to have epidural anesthesia or not during labor.PloS one · 2020Trial
- Trial
- Decision aids for respite service choices by carers of people with dementia: development and pilot RCT.BMC medical informatics and decision making · 2012Trial
- Development and evaluation of an Instagram version (prototype) of decision-making aid for women on the methods of pharmacological and non-pharmacological pain relief during childbirth.BMC medical informatics and decision making · 2025Article
- Women's perspectives of decision-making for labour and birth: a qualitative antenatal-postnatal paired interview study.BMJ open · 2025Article
- Prenatal labor analgesia education program on outcomes for primiparas: study protocol for a randomized controlled trial.BMC public health · 2025Article
- The effectiveness of decision-making support methods during pregnancy regarding epidural analgesia in labor: A scoping review.European journal of midwifery · 2025Article
- Preferences for childbirth delivery and pain relief methods among pregnant women in Vietnam.Frontiers in medicine · 2024Article
- A Review of Decision Aids for Patients Considering More Than One Type of Invasive Treatment.The Journal of surgical research · 2019Review
- Increased Access to Professional Interpreters in the Hospital Improves Informed Consent for Patients with Limited English Proficiency.Journal of general internal medicine · 2017Article
- Pain relief in labour: a qualitative study to determine how to support women to make decisions about pain relief in labour.BMC pregnancy and childbirth · 2014Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMost women use some method of pain relief during labour. There is extensive research evidence available of pharmacological pain relief during labour; however this evidence is not readily available to pregnant women. Decision aids are tools that present evidence based information and allow preference elicitation.
methodsWe developed a labour analgesia decision aid. Using a RCT design women either received a decision aid or a pamphlet. Eligible women were primiparous, > or = 37 weeks, planning a vaginal birth of a single infant and had sufficient English to complete the trial materials. We used a combination of affective (anxiety, satisfaction and participation in decision-making) and behavioural outcomes (intention and analgesia use) to assess the impact of the decision aid, which were assessed before labour.
results596 women were randomised (395 decision aid group, 201 pamphlet group). There were significant differences in knowledge scores between the decision aid group and the pamphlet group (mean difference 8.6, 95% CI 3.70, 13.40). There were no differences between decisional conflict scores (mean difference -0.99 (95% CI -3.07, 1.07), or anxiety (mean difference 0.3, 95% CI -2.15, 1.50). The decision aid group were significantly more likely to consider their care providers opinion (RR 1.28 95%CI 0.64, 0.95). There were no differences in analgesia use and poor follow through between antenatal analgesia intentions and use.
conclusionsThis decision aid improves women's labour analgesia knowledge without increasing anxiety. Significantly, the decision aid group were more informed of labour analgesia options, and considered the opinion of their care providers more often when making their analgesia decisions, thus improving informed decision making.
trial registrationTrial registration no: ISRCTN52287533.
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