Knowledge Awareness and Attitude of Women toward Epidural Anesthesia during Labor
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% .
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