Knowledge Awareness and Attitude of Women toward Epidural Anesthesia during Labor
Abstract
Background: Epidural analgesia is a central nerve block technique achieved by injection of a local anesthetic close to the nerves that transmit pain, and is widely used as a form of pain relief in labor. However, it is likely that epidural blocks lengthen labor and result in increased rates of operative vaginal delivery. Although, questions have been raised about its side effects.
Objectives: The aims of this research study are; to predict the common use of epidural analgesia in Palestinian women, to assess its effectiveness on pain relief, and to determine its adverse effects. However, the study designed to measure the knowledge awareness, and attitude of Palestinian women toward epidural anesthesia during labor.
Methods: A cross-sectional study was conducted using an online questionnaire. The study included females (age < 20 - > 40 years old) from all governorates in Palestine. The survey was designed to measure the knowledge awareness and attitude of Palestinian women toward epidural anesthesia during labor. A total of 2685 females participated in the study. SPSS version 22 was used to analyze the data collected.
Results: About 893 women (33%) participated in the research study didn’t use the epidural analgesia and 1792 (67%) women used it, out of 2685 women completed the questionnaire. The research study included Palestinian women in different Governorates in Palestine. 43.2 % (800) of women who participated in this research study mentioned that the epidural injection is painless, 29.3% (543) said that it is painful and others filled it may be painful. In women used epidural injection, the expending of uterus was 1-2 cm in 355 women (20.5%), 2-3 cm in 325 women (18.7%), 3-4 cm in 482 women (27.8 %), 4-5 cm in 355 women (20.5%) and more than 5 cm in 218 women (12.6 %). The percentage of birth pain which anesthetized by epidural analgesia; 621 women (35%) mentioned that the epidural injection anesthetized about 80-100% , 24.5% (434) is 60-80% ,13% (230) is 40-60% , 9.4 (166) is 20-40% and 18.2% (322) is 0-20% .
Keywords:
Epidural Anesthesia, Labor, Delivery, Epidural analgesia, Local anestheticDOI
https://doi.org/10.22270/jddt.v10i5-s.4333References
Melzack R. The myth of painless childbirth. Pain 1984; 321–337.
Morgan BM, Bullpitt CJ, Clifton P, Lewis PJ. Analgesia and satisfaction in childbirth (the Queen Charlotte's 1000 mother survey). Lancet. 1982a; ii: 808–810.
Lowe NK. Pain and discomfort of labour and birth. J Obstet Gynaecol Neonatal Nurs. 1996; 25: 82–92.
Lowe NK. Differences in first and second stage labour pain between nulliparous and multiparous women. J Psychosom Obstet Gynecol. 1992; 13: 243–53.
Ranta P, Jouppila R. The intensity of labour pain in grand multiparas. Acta Obstet Gynecol Scand 1996; 75: 250–4.
Christiansen P, Klostergaard KM, Terp MR, Poulsen C, Agger AO, Rasmussen KL. Long‐memory of labour pain. Ugeskrift for Laeger. 2002; 164(42):4927‐9
Thornton JG. Reducing likelihood of instrumental delivery with epidural anaesthesia. Lancet 2001; 358(9275):2.
Anim-Somuah M., Smyth R., Cyna A., Cuthbert A. Epidural versus non-epidural or no analgesia for pain management in labour, (intervention review) Cochrane Database Syst. Rev. 2018; 5:6–34.
Rota A., Antolinib L., Colciagob E., Nespolic A., Borrellid E., Fumagalli S. Timing of hospital admission in labour: Latent versus active phase, mode of birth and intrapartum interventions. A correlational study. Women Birth. 2018; 31:313–318. doi: 10.1016/j.wombi.2017.10.001.
Canadian Institute of Health Information. Highlights of 2008–2009: Selected indicators describing the birthing process in Canada. [Accessed 2010 Sep 3]. Available from: http://www.cihi.ca.
Bucklin BA, Hawkins JL, Anderson JR, Ullrich FA. Obstetric anesthesia workforce survey: Twenty-year update. Anesthesiology. 2005; 103:645–653.
Published
Abstract Display: 1058 
PDF Downloads: 1025 How to Cite
Issue
Section
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0). that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
How to Cite
.