ArticleBMC pregnancy and childbirth2026
Knowledge, attitude and practice of labor neuraxial analgesia in pregnant women and their partners: a cross-sectional survey in China.
Article in BMC pregnancy and childbirth, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundLabor neuraxial analgesia (NA) is considered the gold standard for labor pain management worldwide, yet its use remains low in China. This study aimed to evaluate the barriers and facilitators regarding the use of NA from the perspectives of pregnant women and their partners.
methodsA cross-sectional survey using a knowledge-attitude-practice (KAP) questionnaire was conducted in 13 hospitals from April to December 2022. A total of 1,164 pairs of pregnant women and their partners attending prenatal care clinics were recruited using a convenience sampling technique. Data were analyzed using univariate analysis and multivariable linear regression.
resultsBoth pregnant women and their partners exhibited a lack of knowledge about NA, and online information and communicating with others were the primary ways to learn about NA. Multivariable regression indicated education level (B = 1.33, 95% confidence interval [CI]: 0.94-1.73), gestational age (B = 1.29, 95% CI: 0.96-1.63), hospital level 2 (B = 1.73, 95% CI: 0.73-2.73), level 3 (B = 2.11, 95% CI: 1.25-2.97), and parity (B = 1.32, 95% CI: 0.68-1.97) influenced pregnant women's knowledge. Similarly, education level (B = 1.04, 95% CI: 0.66-1.42) and gestational age (B = 0.68, 95% CI:0.33-1.03) were positively associated with their partners' knowledge. For pregnant women, annual income (B = 1.39, 95% CI: 0.72-2.05) and parity (B = -1.43, 95% CI: -2.71- -0.15) affected attitudes, while gestational age (B = 0.67, 95% CI: 0.23-1.11), annual income (B = 1.18, 95% CI: 0.57-1.79) and parity (B = -1.43, 95% CI: -2.61- -0.26) affected in practice. For partners, hospital level and age positively influenced attitudes and practice towards NA. Most concerns regarding NA were attributed to inadequate awareness and misconception about the safety of NA.
conclusionsKnowledge regarding NA was found to be inadequate among both pregnant women and their partners, while annual income, parity, hospital level and age were the influencing factors regarding attitudes and practice. Online hospital-based educational programs incorporating tailored information about NA could potentially improve the decision-making process of NA in China.
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