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

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...

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Main Authors: Ramzi Shawahna, Dana Khaskia, Donya Ali, Hajar Hodroj, Mohammad Jaber, Iyad Maqboul, Hatim Hijaz
Format: Article
Language:English
Published: Taylor & Francis Group 2024-12-01
Series:Journal of Obstetrics and Gynaecology
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Online Access:https://www.tandfonline.com/doi/10.1080/01443615.2024.2354575
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author Ramzi Shawahna
Dana Khaskia
Donya Ali
Hajar Hodroj
Mohammad Jaber
Iyad Maqboul
Hatim Hijaz
author_facet Ramzi Shawahna
Dana Khaskia
Donya Ali
Hajar Hodroj
Mohammad Jaber
Iyad Maqboul
Hatim Hijaz
author_sort Ramzi Shawahna
collection DOAJ
description 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.
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spelling doaj-art-31ac1837d26345a7a8d1db55999c2e282025-01-09T12:13:17ZengTaylor & Francis GroupJournal of Obstetrics and Gynaecology0144-36151364-68932024-12-0144110.1080/01443615.2024.2354575Knowledge, attitudes, and practices of pregnant women regarding epidural analgesia: a multicentre study from a developing countryRamzi Shawahna0Dana Khaskia1Donya Ali2Hajar Hodroj3Mohammad Jaber4Iyad Maqboul5Hatim Hijaz6Department of Physiology, Pharmacology and Toxicology, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, PalestineDepartment of Medicine, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, PalestineDepartment of Medicine, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, PalestineDepartment of Medicine, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, PalestineDepartment of Medicine, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, PalestineDepartment of Medicine, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, PalestineDepartment of Medicine, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, PalestineBackground 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.https://www.tandfonline.com/doi/10.1080/01443615.2024.2354575Awarenessbirthepidural analgesiaknowledgepregnancywomen
spellingShingle Ramzi Shawahna
Dana Khaskia
Donya Ali
Hajar Hodroj
Mohammad Jaber
Iyad Maqboul
Hatim Hijaz
Knowledge, attitudes, and practices of pregnant women regarding epidural analgesia: a multicentre study from a developing country
Journal of Obstetrics and Gynaecology
Awareness
birth
epidural analgesia
knowledge
pregnancy
women
title Knowledge, attitudes, and practices of pregnant women regarding epidural analgesia: a multicentre study from a developing country
title_full Knowledge, attitudes, and practices of pregnant women regarding epidural analgesia: a multicentre study from a developing country
title_fullStr Knowledge, attitudes, and practices of pregnant women regarding epidural analgesia: a multicentre study from a developing country
title_full_unstemmed Knowledge, attitudes, and practices of pregnant women regarding epidural analgesia: a multicentre study from a developing country
title_short Knowledge, attitudes, and practices of pregnant women regarding epidural analgesia: a multicentre study from a developing country
title_sort knowledge attitudes and practices of pregnant women regarding epidural analgesia a multicentre study from a developing country
topic Awareness
birth
epidural analgesia
knowledge
pregnancy
women
url https://www.tandfonline.com/doi/10.1080/01443615.2024.2354575
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