Impact of Labor Epidural Analgesia on Maternal Satisfaction and Childbirth Expectations in a Tertiary Care Center in Portugal: A Prospective Study
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/13599 |
Resumo: | Introduction: In the current century, increasing importance has been given to the opinions, expectations and experiences of women using healthcare services. The fulfillment of expectations is determined by satisfaction. This study aims to analyze both expectations and satisfaction during childbirth regarding labor epidural analgesia among parturients, with a focus on myths.Material and Methods: A prospective observational study was conducted in parturients at the Centro Hospitalar Universitário Lisboa Norte - Santa Maria Hospital in Lisbon, Portugal, applying a questionnaire to 317 random women. SPSS v22.0 was used for data analysis.Results: Three hundred questionnaires were returned, from women with a mean age of 31. Among the respondents, 46.3% had a college degree and 64% were employed, 46% were primiparas and only 14% had a previous anesthesiology appointment for childbirth purposes. The overall degree of satisfaction surrounding the birth experience was good/excellent for 87% of women. Labor epidural analgesia was performed on 96% of all patients, with an excellent/good outcome for 82.1% and a higher than expected results for 40.7% of them. Regarding the myths, 52.5% believed that epidural analgesia imposes a dose limit and 58.9% that it often causes permanent back pain. The level of education was significantly associated with some myths (p < 0.05), since women with a higher level of education do not believe most of them.Discussion: This study supports the need for an evaluation of the current information that women have about labor epidural analgesia/childbirth. Women’s individual needs can be met by multidisciplinary teams including Anesthesiology specialists.Conclusion: Maternal satisfaction with childbirth and analgesia is a complex and dynamic process that includes and is not limited to the relief of pain. |
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Impact of Labor Epidural Analgesia on Maternal Satisfaction and Childbirth Expectations in a Tertiary Care Center in Portugal: A Prospective StudyImpacto da Analgesia do Trabalho de Parto na Satisfação Materna e Expectativas Relativamente ao Parto num Hospital Terciário em Portugal: Estudo ProspetivoAnalgesiaEpiduralLaborObstetricLabor Pain/psychologyParturition/psychologyPatient SatisfactionAnalgesia EpiduralDor do Parto/psicologiaParto/psicologiaSatisfação do PacienteTrabalho de PartoIntroduction: In the current century, increasing importance has been given to the opinions, expectations and experiences of women using healthcare services. The fulfillment of expectations is determined by satisfaction. This study aims to analyze both expectations and satisfaction during childbirth regarding labor epidural analgesia among parturients, with a focus on myths.Material and Methods: A prospective observational study was conducted in parturients at the Centro Hospitalar Universitário Lisboa Norte - Santa Maria Hospital in Lisbon, Portugal, applying a questionnaire to 317 random women. SPSS v22.0 was used for data analysis.Results: Three hundred questionnaires were returned, from women with a mean age of 31. Among the respondents, 46.3% had a college degree and 64% were employed, 46% were primiparas and only 14% had a previous anesthesiology appointment for childbirth purposes. The overall degree of satisfaction surrounding the birth experience was good/excellent for 87% of women. Labor epidural analgesia was performed on 96% of all patients, with an excellent/good outcome for 82.1% and a higher than expected results for 40.7% of them. Regarding the myths, 52.5% believed that epidural analgesia imposes a dose limit and 58.9% that it often causes permanent back pain. The level of education was significantly associated with some myths (p < 0.05), since women with a higher level of education do not believe most of them.Discussion: This study supports the need for an evaluation of the current information that women have about labor epidural analgesia/childbirth. Women’s individual needs can be met by multidisciplinary teams including Anesthesiology specialists.Conclusion: Maternal satisfaction with childbirth and analgesia is a complex and dynamic process that includes and is not limited to the relief of pain.Introdução: As opiniões, expectativas e experiências das mulheres que utilizam os serviços de saúde têm vindo a alcançar crescente importância. O cumprimento das expectativas é determinado pela satisfação. Este estudo tem como objetivo analisar as expectativas e satisfação das mulheres durante o trabalho de parto em relação à analgesia epidural, com foco principal nos mitos.Material e Métodos: Foi realizado um estudo observacional e prospetivo em grávidas do Centro Hospitalar Universitário Lisboa Norte - Santa Maria Hospital, em Lisboa, Portugal, através da aplicação aleatória de um questionário a 317 mulheres. Foi utilizado o programa SPSS v.22 para análise estatística.Resultados: Foram obtidos 300 questionários, provenientes de mulheres com idade média de 31 anos. Entre as grávidas que responderam ao questionário, 46,3% possuíam diploma universitário e 64% estavam empregadas. Apenas 14% tiveram consulta prévia de Anestesiologia. O grau de satisfação em torno da experiência do parto foi bom/excelente para 87% das mulheres. A analgesia epidural foi realizada em 96% das grávidas, tendo 82,1% considerado a analgesia excelente e 40,7% avaliado como superior ao esperado. Em relação aos mitos, 52,5% acreditam que a técnica epidural apresenta uma dose limite e 58,9% consideram que a técnica acarreta dor permanente nas costas. O nível de escolaridade mostrou-se significativamente associado a alguns mitos (p < 0,05), uma vez que as mulheres com maior grau de escolaridade não acreditam na maioria destes.Discussão: Este estudo demonstra a necessidade da avaliação da informação que as mulheres possuem sobre a analgesia do trabalho de parto. As necessidades individuais devem ser geridas por equipas multidisciplinares que incluamanestesiologistas.Conclusão: A satisfação materna com o parto e respetiva analgesia é um processo complexo e dinâmico, que inclui e não se limita ao alívio da dor.Ordem dos Médicos2021-03-31info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfapplication/pdfapplication/pdfapplication/vnd.openxmlformats-officedocument.wordprocessingml.documentimage/jpeghttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/13599oai:ojs.www.actamedicaportuguesa.com:article/13599Acta Médica Portuguesa; Vol. 34 No. 4 (2021): April; 272-277Acta Médica Portuguesa; Vol. 34 N.º 4 (2021): Abril; 272-2771646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/13599https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/13599/6307https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/13599/12347https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/13599/12348https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/13599/12840https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/13599/12935Direitos de Autor (c) 2021 Acta Médica Portuguesainfo:eu-repo/semantics/openAccessFernandes, SofiaGalacho, JoãoBorrego, AndreiaPereira, DanielaLança, FilipaOrmonde, Lucindo2022-12-20T11:06:56Zoai:ojs.www.actamedicaportuguesa.com:article/13599Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:20:22.482101Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Impact of Labor Epidural Analgesia on Maternal Satisfaction and Childbirth Expectations in a Tertiary Care Center in Portugal: A Prospective Study Impacto da Analgesia do Trabalho de Parto na Satisfação Materna e Expectativas Relativamente ao Parto num Hospital Terciário em Portugal: Estudo Prospetivo |
title |
Impact of Labor Epidural Analgesia on Maternal Satisfaction and Childbirth Expectations in a Tertiary Care Center in Portugal: A Prospective Study |
spellingShingle |
Impact of Labor Epidural Analgesia on Maternal Satisfaction and Childbirth Expectations in a Tertiary Care Center in Portugal: A Prospective Study Fernandes, Sofia Analgesia Epidural Labor Obstetric Labor Pain/psychology Parturition/psychology Patient Satisfaction Analgesia Epidural Dor do Parto/psicologia Parto/psicologia Satisfação do Paciente Trabalho de Parto |
title_short |
Impact of Labor Epidural Analgesia on Maternal Satisfaction and Childbirth Expectations in a Tertiary Care Center in Portugal: A Prospective Study |
title_full |
Impact of Labor Epidural Analgesia on Maternal Satisfaction and Childbirth Expectations in a Tertiary Care Center in Portugal: A Prospective Study |
title_fullStr |
Impact of Labor Epidural Analgesia on Maternal Satisfaction and Childbirth Expectations in a Tertiary Care Center in Portugal: A Prospective Study |
title_full_unstemmed |
Impact of Labor Epidural Analgesia on Maternal Satisfaction and Childbirth Expectations in a Tertiary Care Center in Portugal: A Prospective Study |
title_sort |
Impact of Labor Epidural Analgesia on Maternal Satisfaction and Childbirth Expectations in a Tertiary Care Center in Portugal: A Prospective Study |
author |
Fernandes, Sofia |
author_facet |
Fernandes, Sofia Galacho, João Borrego, Andreia Pereira, Daniela Lança, Filipa Ormonde, Lucindo |
author_role |
author |
author2 |
Galacho, João Borrego, Andreia Pereira, Daniela Lança, Filipa Ormonde, Lucindo |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Fernandes, Sofia Galacho, João Borrego, Andreia Pereira, Daniela Lança, Filipa Ormonde, Lucindo |
dc.subject.por.fl_str_mv |
Analgesia Epidural Labor Obstetric Labor Pain/psychology Parturition/psychology Patient Satisfaction Analgesia Epidural Dor do Parto/psicologia Parto/psicologia Satisfação do Paciente Trabalho de Parto |
topic |
Analgesia Epidural Labor Obstetric Labor Pain/psychology Parturition/psychology Patient Satisfaction Analgesia Epidural Dor do Parto/psicologia Parto/psicologia Satisfação do Paciente Trabalho de Parto |
description |
Introduction: In the current century, increasing importance has been given to the opinions, expectations and experiences of women using healthcare services. The fulfillment of expectations is determined by satisfaction. This study aims to analyze both expectations and satisfaction during childbirth regarding labor epidural analgesia among parturients, with a focus on myths.Material and Methods: A prospective observational study was conducted in parturients at the Centro Hospitalar Universitário Lisboa Norte - Santa Maria Hospital in Lisbon, Portugal, applying a questionnaire to 317 random women. SPSS v22.0 was used for data analysis.Results: Three hundred questionnaires were returned, from women with a mean age of 31. Among the respondents, 46.3% had a college degree and 64% were employed, 46% were primiparas and only 14% had a previous anesthesiology appointment for childbirth purposes. The overall degree of satisfaction surrounding the birth experience was good/excellent for 87% of women. Labor epidural analgesia was performed on 96% of all patients, with an excellent/good outcome for 82.1% and a higher than expected results for 40.7% of them. Regarding the myths, 52.5% believed that epidural analgesia imposes a dose limit and 58.9% that it often causes permanent back pain. The level of education was significantly associated with some myths (p < 0.05), since women with a higher level of education do not believe most of them.Discussion: This study supports the need for an evaluation of the current information that women have about labor epidural analgesia/childbirth. Women’s individual needs can be met by multidisciplinary teams including Anesthesiology specialists.Conclusion: Maternal satisfaction with childbirth and analgesia is a complex and dynamic process that includes and is not limited to the relief of pain. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-03-31 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/13599 oai:ojs.www.actamedicaportuguesa.com:article/13599 |
url |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/13599 |
identifier_str_mv |
oai:ojs.www.actamedicaportuguesa.com:article/13599 |
dc.language.iso.fl_str_mv |
eng |
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eng |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/13599 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/13599/6307 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/13599/12347 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/13599/12348 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/13599/12840 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/13599/12935 |
dc.rights.driver.fl_str_mv |
Direitos de Autor (c) 2021 Acta Médica Portuguesa info:eu-repo/semantics/openAccess |
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Direitos de Autor (c) 2021 Acta Médica Portuguesa |
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openAccess |
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application/pdf application/pdf application/pdf application/vnd.openxmlformats-officedocument.wordprocessingml.document image/jpeg |
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Ordem dos Médicos |
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Ordem dos Médicos |
dc.source.none.fl_str_mv |
Acta Médica Portuguesa; Vol. 34 No. 4 (2021): April; 272-277 Acta Médica Portuguesa; Vol. 34 N.º 4 (2021): Abril; 272-277 1646-0758 0870-399X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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