Key result
Nitrous oxide and alternative methods of analgesia significantly reduced the risk of unsatisfactory assessment in childbirth participation compared to PCEA or no pharmacological analgesia (OR 0.48).
Why the study?
Adequate labor pain management and a positive childbirth experience improve maternity care quality, motivating exploration of how various labor analgesia methods correlate with childbirth satisfaction.
Do different pharmacological and non-pharmacological methods of labor analgesia improve childbirth satisfaction in pregnant women?
Cross-Sectional (n=321)
No
Do different pharmacological and non-pharmacological methods of labor analgesia improve childbirth satisfaction in pregnant women?
Effect estimate: OR 0.48 (95% CI 0.25-0.93)
p-value: p=0.029
Alternative methods of analgesia and nitrous oxide improve women's participation and sense of capacity during childbirth compared to standard epidural analgesia, though severe pain negatively impacts perceived safety and professional support.
May enhance labor participation with nitrous oxide or alternatives; leaves open causal effects versus PCEA.
Introduction. Woman’s satisfaction with childbirth is associated with adequate labor analgesia [1]. Negative labor experience could increase the risk of poor mother-child connection, breastfeeding problems [2], and decreased desire for elective caesarian section [3]. Effective management of labor pain and positive childbirth experience improve the quality of maternity care [4]. Aim. Explore correlation between different pharmacological/non-pharmacological methods of labor analgesia at ‘’home’’/hospital environment with positive childbirth experience. Methods and materials: There are 321 women who completed questionnaire of childbirth experience. Survey consists of 4 parts: ‘’own capacity’’, ‘’professional support’’, ‘’perceived safety’’, ‘’participation’’. In postpartum period, women were divided into 4 groups with: patient-control epidural analgesia (PCEA) (n=217), nitrous oxide (50:50) (n=18), alternative methods of labor analgesia in ‘’home’’ environment (n=46) and hospital birth without pharmacological analgesia (n=40). Logistic regression was used to analyze the risks. Results. The study shown the risk of unsatisfactory assessment of Childbirth Experience Questionnaire in the sections “perceived safety” (p=0,034, OR=2,03 (95% CІ 1,06–3,86)), ‘’professional support’’ (p=0,006, (OR=2,58 (95% CІ 1,31–5,07)), increased for patients with severe pain (VAS 7 points), compared with patients for VAS <7 points. PCEA is considered to be standard of labor analgesia and is not associated with the risk of unsatisfactory assessment in sections “perceived safety” and ‘’own capacity’’ (p>0,05). Nitrous oxide and alternative methods of analgesia shown higher rates of childbirth satisfaction in the sections ’’participation’’ (p=0,029, OR=0,48 (95% CІ 0,25–0,93), ‘’own capacity’’(р=0,040), and low rates in ‘’professional support’’ (p=0,029, OR=1,91 (95% CІ 1,07–3,41). Conclusions. An effective strategy to increase level of childbirth satisfaction is to provide positive communication with women and to inform about risk of using pharmacological/ non-pharmacological labor analgesia
No takes yet. Share an insight, caveat, or question.
Romanenko et al. (2022) conducted a cross-sectional in Labor pain (n=321). Nitrous oxide and alternative methods of analgesia vs. Patient-controlled epidural analgesia (PCEA) or no pharmacological analgesia was evaluated on Unsatisfactory assessment in the 'participation' section of the Childbirth Experience Questionnaire (OR 0.48, 95% CI 0.25-0.93, p=0.029). Nitrous oxide and alternative methods of analgesia significantly reduced the risk of unsatisfactory assessment in childbirth participation compared to PCEA or no pharmacological analgesia (OR 0.48).
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: