Epidural analgesia for labor pain: whose choice?
Abstract Objective . To test the hypothesis that the decision to use epidural analgesia during labor is influenced not only by the woman and her background but also by the local cultural practice in the delivery unit. Design. Population‐based cohort study. Setting. All delivery units in Sweden. Popu...
Published in: | Acta Obstetricia et Gynecologica Scandinavica |
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Online Access: | http://dx.doi.org/10.3109/00016340903280974 https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.3109%2F00016340903280974 https://onlinelibrary.wiley.com/doi/pdf/10.3109/00016340903280974 https://onlinelibrary.wiley.com/doi/full-xml/10.3109/00016340903280974 https://obgyn.onlinelibrary.wiley.com/doi/pdf/10.3109/00016340903280974 |
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crwiley:10.3109/00016340903280974 2024-06-23T07:55:25+00:00 Epidural analgesia for labor pain: whose choice? SCHYTT, ERICA WALDENSTRÖM, ULLA 2010 http://dx.doi.org/10.3109/00016340903280974 https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.3109%2F00016340903280974 https://onlinelibrary.wiley.com/doi/pdf/10.3109/00016340903280974 https://onlinelibrary.wiley.com/doi/full-xml/10.3109/00016340903280974 https://obgyn.onlinelibrary.wiley.com/doi/pdf/10.3109/00016340903280974 en eng Wiley http://onlinelibrary.wiley.com/termsAndConditions#vor Acta Obstetricia et Gynecologica Scandinavica volume 89, issue 2, page 238-242 ISSN 0001-6349 1600-0412 journal-article 2010 crwiley https://doi.org/10.3109/00016340903280974 2024-06-04T06:39:48Z Abstract Objective . To test the hypothesis that the decision to use epidural analgesia during labor is influenced not only by the woman and her background but also by the local cultural practice in the delivery unit. Design. Population‐based cohort study. Setting. All delivery units in Sweden. Population. A nationwide sample of 2,529 women. Methods . Data were collected by questionnaires in early pregnancy and two months after birth, and from the Swedish Medical Birth Register. Logistic regression analysis was conducted, adjusted for gestational age, induction of labor and infant birthweight. Main outcome measures. Epidural analgesia during labor. Results . The odds of having an epidural analgesia were more than twice as high in the Stockholm region (odds ratio (OR) 2.4; 95% confidence interval (CI) 1.7–3.4) and three times higher in middle‐north Sweden (OR 3.0; 95% CI 1.7–5.3) compared with the south of Sweden. Of the maternal factors, nulliparity was the strongest predictor (OR 6.3; 95% CI 5.1–7.9), followed by a prenatal belief that epidural analgesia would be needed (OR 3.5; 95% CI 2.8–4.4). Conclusion . The hypothesis of the study was confirmed. The woman and her background as well as the local cultural practice in the delivery unit matter with regard to the use of epidural analgesia. Article in Journal/Newspaper North Sweden Wiley Online Library Acta Obstetricia et Gynecologica Scandinavica 89 2 238 242 |
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Abstract Objective . To test the hypothesis that the decision to use epidural analgesia during labor is influenced not only by the woman and her background but also by the local cultural practice in the delivery unit. Design. Population‐based cohort study. Setting. All delivery units in Sweden. Population. A nationwide sample of 2,529 women. Methods . Data were collected by questionnaires in early pregnancy and two months after birth, and from the Swedish Medical Birth Register. Logistic regression analysis was conducted, adjusted for gestational age, induction of labor and infant birthweight. Main outcome measures. Epidural analgesia during labor. Results . The odds of having an epidural analgesia were more than twice as high in the Stockholm region (odds ratio (OR) 2.4; 95% confidence interval (CI) 1.7–3.4) and three times higher in middle‐north Sweden (OR 3.0; 95% CI 1.7–5.3) compared with the south of Sweden. Of the maternal factors, nulliparity was the strongest predictor (OR 6.3; 95% CI 5.1–7.9), followed by a prenatal belief that epidural analgesia would be needed (OR 3.5; 95% CI 2.8–4.4). Conclusion . The hypothesis of the study was confirmed. The woman and her background as well as the local cultural practice in the delivery unit matter with regard to the use of epidural analgesia. |
format |
Article in Journal/Newspaper |
author |
SCHYTT, ERICA WALDENSTRÖM, ULLA |
spellingShingle |
SCHYTT, ERICA WALDENSTRÖM, ULLA Epidural analgesia for labor pain: whose choice? |
author_facet |
SCHYTT, ERICA WALDENSTRÖM, ULLA |
author_sort |
SCHYTT, ERICA |
title |
Epidural analgesia for labor pain: whose choice? |
title_short |
Epidural analgesia for labor pain: whose choice? |
title_full |
Epidural analgesia for labor pain: whose choice? |
title_fullStr |
Epidural analgesia for labor pain: whose choice? |
title_full_unstemmed |
Epidural analgesia for labor pain: whose choice? |
title_sort |
epidural analgesia for labor pain: whose choice? |
publisher |
Wiley |
publishDate |
2010 |
url |
http://dx.doi.org/10.3109/00016340903280974 https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.3109%2F00016340903280974 https://onlinelibrary.wiley.com/doi/pdf/10.3109/00016340903280974 https://onlinelibrary.wiley.com/doi/full-xml/10.3109/00016340903280974 https://obgyn.onlinelibrary.wiley.com/doi/pdf/10.3109/00016340903280974 |
genre |
North Sweden |
genre_facet |
North Sweden |
op_source |
Acta Obstetricia et Gynecologica Scandinavica volume 89, issue 2, page 238-242 ISSN 0001-6349 1600-0412 |
op_rights |
http://onlinelibrary.wiley.com/termsAndConditions#vor |
op_doi |
https://doi.org/10.3109/00016340903280974 |
container_title |
Acta Obstetricia et Gynecologica Scandinavica |
container_volume |
89 |
container_issue |
2 |
container_start_page |
238 |
op_container_end_page |
242 |
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