Evidence map›Paper›PMID 29603114›Full record

Trial reportQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2018

Maternal quality of life in routine labor epidural analgesia versus labor analgesia on request: results of a randomized trial.

A A S van den Bosch, M Goossens, K Bonouvrié, B Winkens, J G Nijhuis, F J M E Roumen, M M L H Wassen

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Epidural versus non-epidural or no analgesia for pain management in labour.The Cochrane database of systematic reviews · 2018
    Pooled it
  3. Article
  4. Article
  5. Quality of Life During Pregnancy from 2011 to 2021: Systematic Review.International journal of women's health · 2022
    Review
  6. Article
  7. Women's Quality of Life at 6 Weeks Postpartum: Influence of the Discomfort Present in the Puerperium.International journal of environmental research and public health · 2019
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

A A S van den BoschDepartment of Obstetrics and Gynecology, GROW School for Oncology and Developmental Biology, Maastricht University Medical Center+, PO Box 5800, 6202, Maastricht, AZ, The Netherlands.ORCID 0000-0003-0319-4798
M GoossensDepartment of Rehabilitation Research & Clinical Psychological Sciences, Maastricht University, PO Box 616, 6200, Maastricht, MD, The Netherlands.
K BonouvriéThe Department of Pediatrics, Antwerp University Hospital, Wilrijkstraat 10, 2650, Edegem, Belgium.
B WinkensDepartment of Methodology and Statistics, Maastricht University, PO Box 616, 6200, Maastricht, MD, The Netherlands.
J G NijhuisDepartment of Obstetrics and Gynecology, GROW School for Oncology and Developmental Biology, Maastricht University Medical Center+, PO Box 5800, 6202, Maastricht, AZ, The Netherlands.
F J M E RoumenDepartment of Obstetrics and Gynecology, Zuyderland Medical Center Heerlen-Sittard, PO Box 4446, 6401, Heerlen, CX, The Netherlands.
M M L H WassenDepartment of Obstetrics and Gynecology, Zuyderland Medical Center Heerlen-Sittard, PO box 5500, 6130, Sittard, MB, The Netherlands. m.wassen@zuyderland.nl.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe purpose of this study was to evaluate the changes in maternal quality of life (QOL) from pregnancy to 6 weeks after delivery between routine labor epidural analgesia (EA) and pain relief on maternal request only.

methods\Women delivering of a singleton in cephalic presentation beyond 36 + 0 weeks' gestation were randomly allocated to EA as a routine during labor (routine EA group), or to any kind of analgesia on request only (control group). The Short Form health survey (SF-36) was used to assess women's QOL before randomization, and 6 weeks postpartum. Data were analyzed according to the intention to treat principle.

resultsA total of 488 women were included, and antepartum as well as postpartum SF-36 questionnaires were filled in by 356 (73.0%) women, 176 (49.4%) in the routine EA group, and 180 (50.6%) in the control group. Changes from the QOL antepartum to the QOL 6 weeks postpartum were comparable between both groups, also in the subgroup of women in the control group who gave birth without any pain medication (n = 41, 22.8%). Maternal age and the incidence of adverse events related to EA, which were both higher in the routine EA group, had no influence on the changes in QOL. Differences in request for pain relief were comparable with other studies.

conclusionRoutine administration of EA during labor and pain relief on maternal request only are associated with comparable changes of women's QOL antepartum to 6 weeks postpartum.

Indexed as

AdultAnalgesia, EpiduralAnalgesia, ObstetricalAnesthesia, EpiduralCesarean SectionDelivery, ObstetricFemaleHumansLabor, ObstetricLabor PainPain ManagementParityPregnancyQuality of LifeSurveys and QuestionnairesAnalgesiaChildbirthEpiduralLaborQuality of lifeRandomized trial

Identifiers

PMID29603114

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.