Managing the pain of labour: factors associated with the use of labour pain management for pregnant Australian women

Steel, Amie, Adams, Jon, Sibbritt, David, Broom, Alex, Gallois, Cindy and Frawley, Jane (2013) Managing the pain of labour: factors associated with the use of labour pain management for pregnant Australian women. Health Expectations, 18 5: 1633-1644. doi:10.1111/hex.12155

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Author Steel, Amie
Adams, Jon
Sibbritt, David
Broom, Alex
Gallois, Cindy
Frawley, Jane
Title Managing the pain of labour: factors associated with the use of labour pain management for pregnant Australian women
Journal name Health Expectations   Check publisher's open access policy
ISSN 1369-6513
1369-7625
Publication date 2013-12-04
Year available 2013
Sub-type Article (original research)
DOI 10.1111/hex.12155
Open Access Status DOI
Volume 18
Issue 5
Start page 1633
End page 1644
Total pages 12
Place of publication Chichester, West Sussex, United Kingdom
Publisher Wiley-Blackwell Publishing
Language eng
Formatted abstract
Background Despite high rates of women's use of intrapartum pain management techniques, little is known about the factors that influence such use.

Objective Examine the determinants associated with women's use of labour pain management.

Design Cross-sectional survey of a substudy of women from the ‘young’ cohort of the Australian Longitudinal Study of Women's Health (ALSWH).

Setting and participants Women aged 31–35 years who identified as being pregnant or recently given birth in the 2009 ALSWH survey (n = 2445) were recruited for the substudy. The substudy survey was completed by 1835 women (RR = 79.2%).

Main variables studied Determinants examined included pregnancy health and maternity care [including complementary and alternative medicine (CAM)] for their most recent pregnancy and any previous pregnancies. Participants' attitudes and beliefs related to both CAM and maternity care were also included in the analysis.

Main outcome measures The outcome measures examined were the use of both pharmacological and non-pharmacological pain management techniques (NPMT).

Results Differences were seen in the effects of demographics, health service utilization, health status, use of CAM, and attitudes and beliefs upon use of intrapartum pain management techniques across all categories. The only variable that was identified as a determinant for use of all types of pain management techniques was a previous caesarean section (CS).

Discussion and conclusions The effect of key determinants on women's use of pain management techniques differs significantly, and, other than CS, no one determinant is clearly influential in the use of all pain management options.
Keyword Complementary and alternative medicine
Determinants
Obstetric anaesthesia
Obstetric analgesia
Pregnancy
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ
Additional Notes Article first published online: 4 DEC 2013

 
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Created: Sun, 25 May 2014, 19:29:27 EST by Professor Cindy Gallois on behalf of School of Social Science