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Women´s preferences and received pain relief in childbirth: A prospective longitudinal study in a northern region of Sweden
Department of Women and Children's Health, Uppsala University, Uppsala, Sweden.
Mid Sweden University, Faculty of Human Sciences, Department of Health Sciences. Department of Women and Children's Health, Uppsala University, Uppsala, Sweden.ORCID iD: 0000-0001-6985-6729
2015 (English)In: Sexual & Reproductive HealthCare, ISSN 1877-5756, E-ISSN 1877-5764, Vol. 6, no 2, 74-81 p.Article in journal (Refereed) Published
Abstract [en]

Background

A range of alternatives in pain management during childbirth are available in the western countries. Women's preferences for and use of pain relief methods during labour is not fully investigated. The aim of this study was to describe what pain relief methods pregnant women preferred when asked in late pregnancy and to identify factors associated with preferred and received pain relief methods.

Methods

A prospective longitudinal study in a northern region of Sweden (n = 936). Data were collected by three questionnaires. Odds ratios with a 95% confidence interval were calculated between preferred and received pain relief methods for several explanatory variables.

Findings

The most preferred pain relief methods were also the most common received pain relief methods; nitrous oxide, bathing, breathing techniques, epidural analgesia and massage. The strongest factors for using different pain relief methods were primiparity and preferences. Women who used epidural analgesia, regardless of preference, were two to four times more likely to have a less positive birth experience.

Conclusions

Women's preferences for a certain pain relief method were largely met. Greater differences were seen between background factors and preferences than the received pain relief methods. Preferences and primiparity were the most important factors for actually using pain relief. Epidural analgesia was associated with a less positive birth experience.

Place, publisher, year, edition, pages
2015. Vol. 6, no 2, 74-81 p.
Keyword [en]
Birth experience, Labour pain, Pain management, Preference, Pregnancy
National Category
Nursing
Identifiers
URN: urn:nbn:se:miun:diva-23553DOI: 10.1016/j.srhc.2014.10.001ISI: 000356114400006Scopus ID: 2-s2.0-84929509166OAI: oai:DiVA.org:miun-23553DiVA: diva2:767169
Note

Available online from 12th Oct 2014.

Available from: 2014-12-01 Created: 2014-12-01 Last updated: 2017-06-30Bibliographically approved

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CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf