Evidence map›Paper›PMID 35534068›Full record

ArticleBMJ open2022

Maternal childbirth experience and pain relief methods: a retrospective 7-year cohort study of 85 488 parturients in Finland.

Johanna Joensuu, Hannu Saarijärvi, Hanna Rouhe, Mika Gissler, Veli-Matti Ulander, Seppo Heinonen, Paulus Torkki, Tomi Mikkola

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 8% of its field
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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
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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

8 authors at 4 institutions in 5 countries.

Johanna JoensuuDepartment of Obstetrics and Gynaecology, Helsinki University Central Hospital, Helsinki, Uusimaa, Finland johanna.joensuu@hus.fi.ORCID 0000-0002-6349-7419
Hannu SaarijärviFaculty of Management and Business, Tampere University, Tampere, Finland.
Hanna RouheDepartment of Obstetrics and Gynaecology, Helsinki University Central Hospital, Helsinki, Uusimaa, Finland.
Mika GisslerKnowledge Brokers, Finnish Institute for Health and Welfare, Helsinki, Uusimaa, Finland.
Veli-Matti UlanderDepartment of Obstetrics and Gynaecology, Helsinki University Central Hospital, Helsinki, Uusimaa, Finland.
Seppo HeinonenDepartment of Obstetrics and Gynaecology, Helsinki University Central Hospital, Helsinki, Uusimaa, Finland.
Paulus TorkkiDepartment of Public Health, University of Helsinki, Helsinki, Uusimaa, Finland.
Tomi MikkolaDepartment of Obstetrics and Gynaecology, Helsinki University Central Hospital, Helsinki, Uusimaa, Finland.
University of Helsinki · FIHelsinki University Hospital · FIKarolinska Institutet · SETampere University · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe aim of this study was to analyse the relation between the used labour pain relief and childbirth experience measured by Visual Analogue Scale (VAS).

designA retrospective cohort study.

settingChildbirth in five Helsinki University Hospital delivery units from 2012 to 2018. PRIMARY OUTCOME MEASURE: Childbirth experience measured by VAS and classified in three groups (negative VAS=1-5, positive VAS=6-8 and highly positive=9-10).

resultsThe use of epidural or non-epidural compared with non-medical pain relief methods decreased the likelihood to experience highly positive childbirth for primiparous (adjusted OR (aOR)

conclusionWhile the use of medical-epidural and non-epidural-pain relief methods were not associated with odds for experiencing negative childbirth in primiparas, using epidural helps to avoid negative experience in multiparas. However, the odds for experiencing highly positive childbirth were decreased if the parturients used any medical pain relief for both primiparas and multiparas. Consequently, the effect of pain relief on the childbirth experience is strongly confounded by indication. Thus, the use of pain relief per se plays a limited role in the complex formation of the overall childbirth experience.

Indexed as

Labor, ObstetricLabor PainCohort StudiesFemaleFinlandHumansParturitionPregnancyRetrospective StudiesAnaesthesia in obstetricsMaternal medicineOBSTETRICS

Identifiers

PMID35534068
PMCPMC9086622
OpenAlexW4280532722

What OpenQuestion holds

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Registered trials

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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.