Maternal satisfaction with neuraxial labor analgesia in spontaneous vs. assisted reproductive technology pregnancies: a single-center retrospective cohort study (2023–2024)
Main findingResult — go to the resultOdds ratio 1.36 95% CI 0.95–1.97Authors' conclusion
Maternal satisfaction with neuraxial labor analgesia was not statistically significantly associated with assisted reproductive technology after adjustment for obstetric and intrapartum factors.
Study context
- Population
- Women with term singleton pregnancies delivering with neuraxial labor analgesia, single centre in Japan, March 2023 to December 2024analysed
- Participants
- 1,102 women
- Exposure
- Assisted reproductive technology vs spontaneous conception
- Assisted reproductive technologyn = 230
- Outcome
- Maternal satisfaction with labor epidural analgesia (0-10 scale; higher ≥9 vs lower <9)
- Follow-up
- Postpartum day one
Methodological detailssingle-centre
- Single-centre
Main finding
As reported in the abstract
Odds ratio
1.36
95% CI 0.95–1.97
By group
Spontaneous
10
median · IQR 9–10
Assisted reproductive technology
10
median · IQR 8–10
Assisted reproductive technology vs Spontaneous
OR 1.36 (95% CI 0.95–1.97)
Observational data: associations, not effects.
Further findings
Other factors associated with lower satisfaction
- Higher pain scores, analgesia duration <120 min or ≥ 600 min, and epidural catheter replacement associated with lower satisfaction
Original publication
Maternal satisfaction with neuraxial labor analgesia in spontaneous vs. assisted reproductive technology pregnancies: a single-center retrospective cohort study (2023–2024). Int J Obstet Anesth. Published 29 May 2026. doi:10.
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