///2009 Abstract Details
2009 Abstract Details2018-05-01T17:45:11+00:00

Factors that Determine if a Laboring Parturient Receives Labor Epidural Analgesia

Abstract Number: 76
Abstract Type: Original Research

Newell A Daly DO1 ; Brian W Paitsel MD2; Peter Pan MD3

Background: We designed a patient survey to give us a better understanding of information sources and factors influencing a womans decision whether or not to receive labor epidural analgesia and their satisfaction with the decision after delivery. We are also studying the impact of cultural and socioeconomic factors and their influence on this process.

Methods: All parturients admitted to the labor and delivery floor at our institution are administered a questionnaire by either an Anesthesiology resident or fellow. Parturients basic epidural knowledge is assessed as well as their initial inclination towards receiving one. Demographic, cultural and socioeconomic information is obtained either during the Anesthesiologist interview or nurse admission interview. Patients are asked the 3 most important factors influencing their initial decision of whether or not to receive an epidural, as well as sources of information concerning their knowledge of epidurals. Parturients are then assigned into 1 of 4 groups:

1.)Want and receive a labor epidural

2.)Initially dont want an epidural but later change mind and receive one

3.)Want an epidural, but do not receive one

4.)Initially dont want an epidural and do not receive one

After initial epidural placement is completed, women in group 1 are again asked the 3 most important factors in their decision to get an epidural and their satisfaction with this decision. Women in group 2 are asked the 3 most important factors that changed their mind about getting an epidural and their satisfaction with this decision. These patients who received an epidural for analgesia are seen shortly after delivery by a resident or fellow or postoperatively the next day by an attending to determine if the patient is still satisfied with her decision to receive labor epidural analgesia.

Women who do not receive an epidural are interviewed again shortly after delivery by a resident or fellow or postoperatively the next day by an attending to identify the 3 most important factors in her decision to decline or not receive an epidural, as well as the type of delivery and satisfaction with her decision.

Results: Approximately 1000 patient data will be utilized for statistical analysis between ethnic groups and correlation with socioeconomic factors, as well as identifying key factors and sources for a parturients decision.

Analysis: Pearson product moment correlation analysis will be used to calculate the degree of correlation between decision and various factors. Incidence and proportion data will be analyzed and compared between groups using Chi-square or Fisher Exact tests as appropriate.

Discussion: With this information we hope to better allocate resources to convey correct information regarding epidurals to patients and thus help them have an informed decision as to their labor analgesia.

SOAP 2009