Evidence map›Paper›PMID 40351136›Full record

ArticleAnaesthesia2025

Patient perception of consent processes for epidural analgesia in induction of labour: a qualitative study.

Danna Nitzani, Jacqueline Nicholls, Katherine Maslowski, Robert Craig, Sohail Bampoe, Melissa Whitten, Anne Lanceley

Abstract read
In one paragraph

Article in Anaesthesia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. Trial
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.

Danna NitzaniDepartment of Reproductive Health, UCL EGA Institute for Women's Health, University College London, London, UK.
Jacqueline NichollsDepartment of Reproductive Health, UCL EGA Institute for Women's Health, University College London, London, UK.
Katherine MaslowskiDepartment of Reproductive Health, UCL EGA Institute for Women's Health, University College London, London, UK.
Robert CraigDepartment of Anaesthesia and Perioperative Medicine, University College London Hospitals NHS Foundation Trust, London, UK.
Sohail BampoeCentre for Perioperative Medicine, University College London, London, UK.
Melissa WhittenWomen's Health Division, University College London Hospitals NHS Foundation Trust, London, UK.
Anne LanceleyDepartment of Women's Cancer, EGA Institute for Women's Health, University College London, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionWomen undergoing induction of labour often utilise epidural analgesia. Obtaining consent for labour epidural presents a unique challenge for the obstetric anaesthetist, who must comply with the legal standards of consent. This study explores how women perceive the consent process for epidural analgesia during induction of labour.

methodsThis was a qualitative, single-centre, interview-based study. Fourteen women who received an epidural for labour analgesia were interviewed using a semi-structured interview guide. Data were analysed using thematic analysis.

resultsFour themes described women's experience of the consent process. Understanding alternatives, risks and benefits; for example, time constraints hindering the effective communication of information around epidural analgesia, including alternative analgesic options. Timing of information; for example, the value of information was diminished by pain, fatigue and the imminence of the procedure. Timing of consent; for example, physiological and psychological demands of labour negatively impacted patients' ability to engage with the consent process. Anaesthetists' assessment of patient understanding; for example, confirmation of patient understanding by anaesthetists was lacking. DISCUSSION: Women's experiences of the consent process for induction of labour suggest that in the context of the pain and exhaustion of labour, inadequate and untimely information provision and dialogue between women and their anaesthetists can undermine the implementation of lawful consent.

Indexed as

Analgesia, EpiduralAnalgesia, ObstetricalInformed ConsentLabor, InducedAdultFemaleHumansPregnancyQualitative Researchconsentepidural analgesiainduction of labour

Identifiers

PMID40351136
PMCPMC12434448

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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.