Evidence map›Paper›PMID 37608256›Full record

ArticleBMC pregnancy and childbirth2023

Factors associated with the intention of pregnant women to give birth with epidural analgesia: a cross-sectional study.

Luka Van Leugenhaege, Julie Degraeve, Yves Jacquemyn, Eveline Mestdagh, Yvonne J Kuipers

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC pregnancy and childbirth, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
3.2field-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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. 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

5 authors at 2 institutions in 2 countries.

Luka Van LeugenhaegeDepartment of Health and Life Science, School of Midwifery, AP University of Applied Sciences and Arts Antwerp, Noorderplaats 2, 2000, Antwerp, Belgium. luka.vanleugenhaege@ap.be.ORCID http://orcid.org/0000-0001-9252-4060
Julie DegraeveDepartment of Obstetrics and Gynecology, University Hospital Antwerp UZA, Drie Eikenstraat 655, 2650, Edegem, Belgium.ORCID http://orcid.org/0000-0002-9971-4622
Yves JacquemynDepartment of Obstetrics and Gynecology, University Hospital Antwerp UZA, Drie Eikenstraat 655, 2650, Edegem, Belgium.ORCID http://orcid.org/0000-0003-3172-5672
Eveline MestdaghDepartment of Health and Life Science, School of Midwifery, AP University of Applied Sciences and Arts Antwerp, Noorderplaats 2, 2000, Antwerp, Belgium.ORCID http://orcid.org/0000-0003-0116-0738
Yvonne J KuipersDepartment of Health and Life Science, School of Midwifery, AP University of Applied Sciences and Arts Antwerp, Noorderplaats 2, 2000, Antwerp, Belgium.ORCID http://orcid.org/0000-0002-4200-0522
University of Antwerp · BEAntwerp University Hospital · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn Belgium most women receive epidural analgesia during labour. Although, it offers satisfactory pain relief during labour, the risk on a series of adverse advents has been reported. The objective of this study was to determine factors associated with the intention of pregnant women, anticipating a vaginal birth, of requesting epidural analgesia during labour.

methodsA cross-sectional study, using an online self-report questionnaire was performed, including socio-demographic and personal details. Associated factors were examined with the HEXACO-60 questionnaire, the Mental Health Inventory-5, the Tilburg Pregnancy Distress Scale and the Labour Pain Relief Attitude Questionnaire for pregnant women. The level of intention to request epidural analgesia was based on two questions: Do you intend to ask for epidural analgesia (1) at the start of your labour; (2) at some point during labour? Data were collected predominantly during the second and third trimester of pregnancy. Descriptive analysis and a multiple linear regression analysis were performed.

results949 nulliparous (45.9%) and multiparous (54.1%) pregnant women, living in Flanders (Dutch-speaking part of Belgium) anticipating a vaginal birth completed the questionnaires. Birth-related anxiety (ß 0.096, p < 0.001), the attitude that because of the impact of pregnancy on the body, asking for pain relief is normal (ß 0.397, p < 0.001) and feeling more self-confident during labour when having pain relief (ß 0.034, p < 0.001) show a significant positive relationship with the intention for intrapartum epidural analgesia. The length of the gestational period (ß - 0.056, p 0.015), having a midwife as the primary care giver during pregnancy (ß - 0.048, p 0.044), and considering the partner in decision-making about pain relief (ß - 0.112, p < 0.001) show a significant negative relationship with the intention level of epidural analgesia. The explained variability by the multiple regression model is 54%.

conclusionsA discussion during pregnancy about the underlying reason for epidural analgesia allows maternity care providers and partners to support women with pain management that is in line with women's preferences. Because women's intentions vary during the gestational period, pain relief should be an issue of conversation throughout pregnancy.

Indexed as

Analgesia, EpiduralLabor PainMaternal Health ServicesCross-Sectional StudiesFemaleHumansIntentionParturitionPregnancyPregnant PeopleAnxietyEpidural analgesiaMidwiferyObstetric LabourPersonality inventoryPregnancy

Identifiers

PMID37608256
PMCPMC10463581
OpenAlexW4386069406

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.