Factors affecting womens’ attitude towards labor epidural analgesia in a culturally diverse population: a prospective patient-reported outcome study
Authors' conclusion
In our cohort, the most important factors for delivering with LEA when not intending to were previous delivery with LEA and partner presence.
Study context
- Population
- Pregnant women in a culturally diverse population in northern Israel (Galilee Medical Center), February–July 2024
- Participants
- 455 women
- Outcome
- Intention to deliver with labor epidural analgesia (LEA) and factors influencing decision-making
Methodological detailssurvey, pre- and post-labor questionnaires, single-centre
- Survey
- Pre- and post-labor questionnaires
- Single-centre
Main finding
As reported in the abstract
- Labor epidural analgesia (LEA) rate among participants
- 83.5% (380/455)
- Intended to deliver with LEA
- 257 (56.5%)
- Not intending LEA but eventually delivered with LEA
- 66.7% (132/198)
- Intention to deliver with LEA associated with nulliparity
- P=0.024
- Intention to deliver with LEA associated with childbirth preparation course
- P=0.002
- Intention to deliver with LEA associated with internet as source of information
- P=0.016
- Intention to deliver with LEA associated with previous delivery with LEA
- P <0.001
- Not intending but delivering with LEA associated with nulliparity
- P=0.033
- Not intending but delivering with LEA associated with partner presence
- P <0.001
- Not intending but delivering with LEA associated with labor induction
- P=0.044
- Not intending but delivering with LEA associated with previous delivery with LEA
- P <0.001
Observational data: associations, not effects.
Further findings
Participant ethnicity and religion
- Arab
- 297 (65.3%)
- Jewish
- 158 (34.7%)
- Muslim
- 180 (39.6%)
- Druze
- 92 (20.2%)
- Christian
- 25 (5.5%)
Original publication
Factors affecting womens’ attitude towards labor epidural analgesia in a culturally diverse population: a prospective patient-reported outcome study. Int J Obstet Anesth. Published 10 January 2025. doi:10.
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