Knowledge, attitudes, and practices of pregnant women regarding epidural analgesia: a multicentre study from a developing country.

Autor:	Shawahna R; Department of Physiology, Pharmacology and Toxicology, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine.; Clinical Research Center, An-Najah National University Hospital, Nablus, Palestine., Khaskia D; Department of Medicine, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine., Ali D; Department of Medicine, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine., Hodroj H; Department of Medicine, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine., Jaber M; Department of Medicine, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine.; An-Najah National University Hospital, An-Najah National University, Nablus, Palestine., Maqboul I; Department of Medicine, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine.; An-Najah National University Hospital, An-Najah National University, Nablus, Palestine., Hijaz H; Department of Medicine, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine.; An-Najah National University Hospital, An-Najah National University, Nablus, Palestine.
Jazyk:	angličtina
Zdroj:	Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology [J Obstet Gynaecol] 2024 Dec; Vol. 44 (1), pp. 2354575. Date of Electronic Publication: 2024 May 21.
DOI:	10.1080/01443615.2024.2354575
Abstrakt:	Background: Epidural analgesia has emerged as one of the best methods that can be used to reduce labour pain. This study was conducted to assess awareness, attitudes, and practices of pregnant women who visited maternity and antenatal healthcare clinics about epidural analgesia during normal vaginal birth. Methods: This multicentre study was conducted in a cross-sectional design among pregnant women using a pre-tested questionnaire. The study population in this study was pregnant women who visited maternity and antenatal healthcare clinics in Palestine. Results: In this study, a total of 389 pregnant women completed the questionnaire. Of the pregnant women, 381 (97.9%) were aware of the existence of epidural analgesia, 172 (44.2%) had already used epidural analgesia, and 57 (33.1%) experienced complications as a result of epidural analgesia. Of the pregnant women, 308 (79.2%) stated that epidural analgesia should be available during vaginal birth. Of the pregnant women, 243 (62.5%) stated that they would use epidural analgesia if offered for free or covered by insurance. Multivariate logistic regression showed that women who were younger than 32 years, who have used epidural analgesia, and those who stated that epidural analgesia should be available during vaginal birth were 2.78-fold (95% CI: 1.54-5.04), 4.96-fold (95% CI: 2.71-9.10), and 13.57-fold (95% CI: 6.54-28.16) more likely to express willingness to use epidural analgesia, respectively. Conclusions: Pregnant women had high awareness of the existence, moderate knowledge, and positive attitudes towards epidural analgesia for normal vaginal birth. Future studies should focus on educating pregnant women about all approaches that can be used to reduce labour pain including their risks and benefits.
Databáze:	MEDLINE
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