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What women want? Results from a prospective multicenter study on women’s preference about pain management during labour
The aim of this study was to assess women preference about pain and duration of labour applying a standardized questionnaire. A prospective multicentre large cohort study was carried out in two different University Hospitals. A standardized questionnaire was proposed before active labour and the day...
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Published in: | European journal of obstetrics & gynecology and reproductive biology 2018-09, Vol.228, p.197-202 |
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container_title | European journal of obstetrics & gynecology and reproductive biology |
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creator | Favilli, Alessandro Laganà, Antonio Simone Indraccolo, Ugo Righi, Alessandra Triolo, Onofrio Apolito, Maria D’ Gerli, Sandro |
description | The aim of this study was to assess women preference about pain and duration of labour applying a standardized questionnaire.
A prospective multicentre large cohort study was carried out in two different University Hospitals. A standardized questionnaire was proposed before active labour and the day after delivery in order to investigate whether women preferred low pain intensity for a longer labour duration or greater pain intensity for a shorter labour duration. The studied population was divided and analysed in two groups according to Epidural Analgesia (EA) administration. A multivariable linear regression analysis was performed to assess which variables were able to influence the opinion about the pain perception after birth.
EA group showed an increased risk of episiotomy (p = 0.004), of longer duration of labour (Stage I, p |
doi_str_mv | 10.1016/j.ejogrb.2018.06.038 |
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A prospective multicentre large cohort study was carried out in two different University Hospitals. A standardized questionnaire was proposed before active labour and the day after delivery in order to investigate whether women preferred low pain intensity for a longer labour duration or greater pain intensity for a shorter labour duration. The studied population was divided and analysed in two groups according to Epidural Analgesia (EA) administration. A multivariable linear regression analysis was performed to assess which variables were able to influence the opinion about the pain perception after birth.
EA group showed an increased risk of episiotomy (p = 0.004), of longer duration of labour (Stage I, p < 0.001; Stage II, p = 0.002) and of oxytocin augmentation (P = 0.030). No statistical differences were found about the route of delivery between the two groups. Rates of pre-labour scores significantly differed from rates of post labour scores (p < 0.001). In the multivariable linear regression analysis, pre-labour score was directly related to post-labour score (p = 0.013). The EA was indirectly related to higher pain levels for a longer duration preference (p = 0.001), whereas oxytocic infusion in labour was directly related with preference for higher pain for a shorter duration (p = 0.011).
Patients’ preferences about labour are focused on both pain relief and labour duration. The standardized questionnaire could be a useful tool to screen patients eligible for EA.</description><identifier>ISSN: 0301-2115</identifier><identifier>EISSN: 1872-7654</identifier><identifier>DOI: 10.1016/j.ejogrb.2018.06.038</identifier><identifier>PMID: 29990827</identifier><language>eng</language><publisher>Ireland: Elsevier B.V</publisher><subject>Adult ; Analgesia, Epidural ; Epidural analgesia ; Female ; Humans ; Labor, Obstetric - psychology ; Labour ; Pain ; Pain Management - psychology ; Patient Preference ; Pregnancy ; Prospective Studies ; Questionnaire ; Women preference</subject><ispartof>European journal of obstetrics & gynecology and reproductive biology, 2018-09, Vol.228, p.197-202</ispartof><rights>2018 Elsevier B.V.</rights><rights>Copyright © 2018 Elsevier B.V. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c388t-745e4faae746edd32c19664f57ac64d9f1d144e8c37e3719283f2f3ac1a2b30c3</citedby><cites>FETCH-LOGICAL-c388t-745e4faae746edd32c19664f57ac64d9f1d144e8c37e3719283f2f3ac1a2b30c3</cites><orcidid>0000-0003-1543-2802 ; 0000-0003-1082-3062</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29990827$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Favilli, Alessandro</creatorcontrib><creatorcontrib>Laganà, Antonio Simone</creatorcontrib><creatorcontrib>Indraccolo, Ugo</creatorcontrib><creatorcontrib>Righi, Alessandra</creatorcontrib><creatorcontrib>Triolo, Onofrio</creatorcontrib><creatorcontrib>Apolito, Maria D’</creatorcontrib><creatorcontrib>Gerli, Sandro</creatorcontrib><title>What women want? Results from a prospective multicenter study on women’s preference about pain management during labour</title><title>European journal of obstetrics & gynecology and reproductive biology</title><addtitle>Eur J Obstet Gynecol Reprod Biol</addtitle><description>The aim of this study was to assess women preference about pain and duration of labour applying a standardized questionnaire.
A prospective multicentre large cohort study was carried out in two different University Hospitals. A standardized questionnaire was proposed before active labour and the day after delivery in order to investigate whether women preferred low pain intensity for a longer labour duration or greater pain intensity for a shorter labour duration. The studied population was divided and analysed in two groups according to Epidural Analgesia (EA) administration. A multivariable linear regression analysis was performed to assess which variables were able to influence the opinion about the pain perception after birth.
EA group showed an increased risk of episiotomy (p = 0.004), of longer duration of labour (Stage I, p < 0.001; Stage II, p = 0.002) and of oxytocin augmentation (P = 0.030). No statistical differences were found about the route of delivery between the two groups. Rates of pre-labour scores significantly differed from rates of post labour scores (p < 0.001). In the multivariable linear regression analysis, pre-labour score was directly related to post-labour score (p = 0.013). The EA was indirectly related to higher pain levels for a longer duration preference (p = 0.001), whereas oxytocic infusion in labour was directly related with preference for higher pain for a shorter duration (p = 0.011).
Patients’ preferences about labour are focused on both pain relief and labour duration. The standardized questionnaire could be a useful tool to screen patients eligible for EA.</description><subject>Adult</subject><subject>Analgesia, Epidural</subject><subject>Epidural analgesia</subject><subject>Female</subject><subject>Humans</subject><subject>Labor, Obstetric - psychology</subject><subject>Labour</subject><subject>Pain</subject><subject>Pain Management - psychology</subject><subject>Patient Preference</subject><subject>Pregnancy</subject><subject>Prospective Studies</subject><subject>Questionnaire</subject><subject>Women preference</subject><issn>0301-2115</issn><issn>1872-7654</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNp9kM1q3DAURkVpaCZp36AELbuxoz_L8ialhDQtBAKlpUuhka6nGmx5IskJs8tr9PX6JNXgJMtocxf3fLp8B6GPlNSUUHm-rWE7beK6ZoSqmsiacPUGrahqWdXKRrxFK8IJrRilzTE6SWlLyuO8e4eOWdd1RLF2hfa__5iMH6YRAn4wIX_GPyDNQ064j9OIDd7FKe3AZn8PeCwLbyFkiDjl2e3xFJbsv8e_qaDQQ4RgAZv1NGe8Mz7g0QSzgcJk7ObowwYPh218j456MyT48DRP0a-vVz8vv1U3t9ffL7_cVJYrlatWNCB6Y6AVEpzjzNJOStE3rbFSuK6njgoByvIWeEs7pnjPem4sNWzNieWn6NPyb2lyN0PKevTJwjCYANOcNCNS8aYRpCmoWFBbSqfSRu-iH03ca0r0Qbre6kW6PkjXROoivcTOni7M6xHcS-jZcgEuFgBKz3sPUSfrD56cj0WtdpN__cJ_Q6yYeg</recordid><startdate>20180901</startdate><enddate>20180901</enddate><creator>Favilli, Alessandro</creator><creator>Laganà, Antonio Simone</creator><creator>Indraccolo, Ugo</creator><creator>Righi, Alessandra</creator><creator>Triolo, Onofrio</creator><creator>Apolito, Maria D’</creator><creator>Gerli, Sandro</creator><general>Elsevier B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-1543-2802</orcidid><orcidid>https://orcid.org/0000-0003-1082-3062</orcidid></search><sort><creationdate>20180901</creationdate><title>What women want? Results from a prospective multicenter study on women’s preference about pain management during labour</title><author>Favilli, Alessandro ; Laganà, Antonio Simone ; Indraccolo, Ugo ; Righi, Alessandra ; Triolo, Onofrio ; Apolito, Maria D’ ; Gerli, Sandro</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c388t-745e4faae746edd32c19664f57ac64d9f1d144e8c37e3719283f2f3ac1a2b30c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adult</topic><topic>Analgesia, Epidural</topic><topic>Epidural analgesia</topic><topic>Female</topic><topic>Humans</topic><topic>Labor, Obstetric - psychology</topic><topic>Labour</topic><topic>Pain</topic><topic>Pain Management - psychology</topic><topic>Patient Preference</topic><topic>Pregnancy</topic><topic>Prospective Studies</topic><topic>Questionnaire</topic><topic>Women preference</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Favilli, Alessandro</creatorcontrib><creatorcontrib>Laganà, Antonio Simone</creatorcontrib><creatorcontrib>Indraccolo, Ugo</creatorcontrib><creatorcontrib>Righi, Alessandra</creatorcontrib><creatorcontrib>Triolo, Onofrio</creatorcontrib><creatorcontrib>Apolito, Maria D’</creatorcontrib><creatorcontrib>Gerli, Sandro</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of obstetrics & gynecology and reproductive biology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Favilli, Alessandro</au><au>Laganà, Antonio Simone</au><au>Indraccolo, Ugo</au><au>Righi, Alessandra</au><au>Triolo, Onofrio</au><au>Apolito, Maria D’</au><au>Gerli, Sandro</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>What women want? Results from a prospective multicenter study on women’s preference about pain management during labour</atitle><jtitle>European journal of obstetrics & gynecology and reproductive biology</jtitle><addtitle>Eur J Obstet Gynecol Reprod Biol</addtitle><date>2018-09-01</date><risdate>2018</risdate><volume>228</volume><spage>197</spage><epage>202</epage><pages>197-202</pages><issn>0301-2115</issn><eissn>1872-7654</eissn><abstract>The aim of this study was to assess women preference about pain and duration of labour applying a standardized questionnaire.
A prospective multicentre large cohort study was carried out in two different University Hospitals. A standardized questionnaire was proposed before active labour and the day after delivery in order to investigate whether women preferred low pain intensity for a longer labour duration or greater pain intensity for a shorter labour duration. The studied population was divided and analysed in two groups according to Epidural Analgesia (EA) administration. A multivariable linear regression analysis was performed to assess which variables were able to influence the opinion about the pain perception after birth.
EA group showed an increased risk of episiotomy (p = 0.004), of longer duration of labour (Stage I, p < 0.001; Stage II, p = 0.002) and of oxytocin augmentation (P = 0.030). No statistical differences were found about the route of delivery between the two groups. Rates of pre-labour scores significantly differed from rates of post labour scores (p < 0.001). In the multivariable linear regression analysis, pre-labour score was directly related to post-labour score (p = 0.013). The EA was indirectly related to higher pain levels for a longer duration preference (p = 0.001), whereas oxytocic infusion in labour was directly related with preference for higher pain for a shorter duration (p = 0.011).
Patients’ preferences about labour are focused on both pain relief and labour duration. The standardized questionnaire could be a useful tool to screen patients eligible for EA.</abstract><cop>Ireland</cop><pub>Elsevier B.V</pub><pmid>29990827</pmid><doi>10.1016/j.ejogrb.2018.06.038</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0003-1543-2802</orcidid><orcidid>https://orcid.org/0000-0003-1082-3062</orcidid></addata></record> |
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subjects | Adult Analgesia, Epidural Epidural analgesia Female Humans Labor, Obstetric - psychology Labour Pain Pain Management - psychology Patient Preference Pregnancy Prospective Studies Questionnaire Women preference |
title | What women want? Results from a prospective multicenter study on women’s preference about pain management during labour |
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