Parturient satisfaction with labour epidural and factors affecting satisfaction scores: experiences from a tertiary centre in Southern India

dc.contributor.authorGeorge, Leah Rajuen_US
dc.contributor.authorMani, Thenmozhien_US
dc.contributor.authorRai, Ektaen_US
dc.date.accessioned2020-10-16T08:01:47Z
dc.date.available2020-10-16T08:01:47Z
dc.date.issued2020-01
dc.description.abstractBackground: Labour analgesia though widely practised is still not routinely administered to all parturients in India. We conducted this historical observational cross-sectional study to assess parturient knowledge and factors affecting satisfaction in those who received epidural labour analgesia; aiming at improving the services.Methods: All parturients requesting epidural labour analgesia have the catheter sited and the drug administered as per institutional protocols. A feedback form is given to these parturients, postnatally. The form consists of questions regarding her knowledge of and experience with labour analgesia, including her satisfaction score on a scale of 0 to 10. Author collected these forms and analyzed them along with information from the labour epidural register and the discharge summary.Results: The mean satisfaction score was 7.1 (SD- 2.28). 46 parturients (31.08%) had ‘low satisfaction’ (<7 score) and 102 parturients (68.9%) had ‘high satisfaction’ (≥7 score). The timing of initiation of epidural analgesia within the parturients expectations and adequate analgesia were two factors that were found to affect satisfaction scores, with statistically significant values (p=0.002 and p=0.006 respectively). Those with a very short or very long duration of labour analgesia, were more likely to give less satisfaction scores (p=0.023 and p=0.002). Only 30% of parturients had heard of labour analgesia in the past.Conclusions: In this setting good analgesia and receiving it on time are of utmost importance in those receiving epidural labor analgesia, emphasising the need for adequate analgesia and prompt initiation of the same.en_US
dc.identifier.affiliationsDepartment of Anaesthesia, Christian Medical College and Hospital, Vellore, Tamil Nadu, Indiaen_US
dc.identifier.affiliationsDepartment of Biostatistics, Christian Medical College and Hospital, Vellore, Tamil Nadu, Indiaen_US
dc.identifier.citationGeorge Leah Raju, Mani Thenmozhi, Rai Ekta. Parturient satisfaction with labour epidural and factors affecting satisfaction scores: experiences from a tertiary centre in Southern India. International Journal of Reproduction, Contraception, Obstetrics and Gynecology. 2020 Jan; 9(1): 383-388en_US
dc.identifier.issn2320-1770
dc.identifier.issn2320-1789
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/207368
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber1en_US
dc.relation.volume9en_US
dc.source.urihttps://dx.doi.org/10.18203/2320-1770.ijrcog20196052en_US
dc.subjectEpidural analgesiaen_US
dc.subjectLabour analgesiaen_US
dc.subjectPatient satisfactionen_US
dc.subjectSatisfaction scoresen_US
dc.titleParturient satisfaction with labour epidural and factors affecting satisfaction scores: experiences from a tertiary centre in Southern Indiaen_US
dc.typeJournal Articleen_US
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