Pain relief for childbirth: The preferences of pregnant women,midwives and obstetricians |
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| Authors: | Kelly L Madden Deborah Turnbull Allan M Cyna Pamela Adelson Chris Wilkinson |
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| Institution: | 1. School of Psychology, Faculty of Health Sciences, The University of Adelaide, North Terrace, South Australia, Australia;2. Department of Women''s Anaesthesia at the Women''s and Children''s Hospital, CYWHS, 72 King William Road, North Adelaide, South Australia, Australia;3. Maternal-Fetal Medicine Unit at the Women''s and Children''s Hospital, CYWHS, 72 King William Road, North Adelaide, South Australia, Australia;1. School of Population & Public Health, Faculty of Medicine, University of British Columbia, 2206 East Mall, Vancouver, BC V6T-1Z3, Canada;2. School of Nursing and Midwifery, Curtin University, Perth, WA 6845, Australia;3. Department of Nursing and Midwifery Education and Research, King Edward Memorial Hospital, Bagot Road, Subiaco, WA 6008, Australia;4. Associate Director, Graduate Programs School of Nursing, University of British Columbia, T. 201 2211 Wesbrook Mall, Vancouver, BC V6T 2B5, Canada;1. Department of Rural Health, University of Melbourne, 49 Graham St, Shepparton, Victoria 3632, Australia;2. New Zealand College of Midwives, PO Box 21 106, Christchurch 8143, New Zealand;3. Centre for Health Practice Innovation, Griffith Health Institute, Logan Campus, Griffith University, University Drive, Meadowbrook, Qld 4131, Australia;4. Gold Coast University Hospital, Southport, South East Queensland, Australia;1. Department of Perinatology, Division of Obstetrics and Gynaecology, University Medical Centre Ljubljana, Slajmerjeva 4, 1000 Ljubljana, Slovenia;2. Department of Anesthesiology and Intensive Therapy, University Medical Centre Ljubljana, Zaloska 7, 1000 Ljubljana, Slovenia;3. Institute of Anatomy, Medical Faculty Ljubljana, Vrazov trg 2, 1000 Ljubljana, Slovenia;1. Department of Anesthesiology, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania;2. Taurag? Hospital, Taurag?, Lithuania;1. Imperial College Healthcare NHS Trust, St Mary''s Hospital, Praed Street, London W2 1NY, United Kingdom;2. Florence Nightingale Faculty of Nursing and Midwifery, King''s College London, James Clark Maxwell Building, 57 Waterloo Road, London SE1 8WA, United Kingdom;3. Division of Women''s Health, Faculty of Life Sciences & Medicine, King''s College London, Women''s Health Academic Centre, St. Thomas'' Hospital, London SE1 7EH, United Kingdom;1. School of Health and Related Research, University of Sheffield, Sheffield, UK;2. Institute of Applied Health Research, University of Birmingham, Birmingham, UK;3. Institute of Inflammation and Ageing, University of Birmingham Research Laboratories, Queen Elizabeth Hospital, Birmingham, UK;4. Nottingham Clinical Trials Unit, University of Nottingham, Nottingham, UK |
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| Abstract: | ObjectiveTo compare the personal preferences of pregnant women, midwives and obstetricians regarding a range of physical, psychosocial and pharmacological methods of pain relief for childbirth.MethodSelf-completed questionnaires were posted to a consecutive sample of 400 pregnant women booked-in to a large tertiary referral centre for maternity care in South Australia. A similar questionnaire was distributed to a national sample of 500 obstetricians as well as 425 midwives at: (1) the same hospital as the pregnant women, (2) an outer-metropolitan teaching hospital and (3) a district hospital. Eligible response rates were: pregnant women 31% (n = 123), obstetricians 50% (n = 242) and midwives 49% (n = 210).FindingsOverall, midwives had a greater personal preference for most of the physical pain relief methods and obstetricians a greater personal preference for pharmacological methods than the other groups. Pregnant women's preferences were generally located between the two care provider groups, though somewhat closer to the midwives. All groups had the greatest preference for having a support person for labour with more than 90% of all participants wanting such support. The least preferred method for pregnant women was pethidine/morphine (14%).ConclusionThere are differences in the personal preferences of pregnant women, midwives and obstetricians regarding pain relief for childbirth. It is important that the pain relief methods available in maternity care settings reflect the informed preferences of pregnant women. |
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