Pathways to violated expectations of epidural uptake.
Objective: To examine maternal prenatal expectations for epidural uptake with their intrapartum actual epidural uptake followed by maternal postpartum reporting.Background: Childbearing women may or may not expect to have an epidural in childbirth, but the match between expected and actual epidural...
| Publicado en: | Journal of Reproductive & Infant Psychology Vol. 31; no. 4; pp. 413 - 426 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
Sep2013
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104150872&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104150872 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 02646838 RIP jtl: Journal of Reproductive & Infant Psychology issn: 02646838 maglogo: Y pubinfo: dt: Sep2013 vid: 31 iid: 4 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 104150872 91722110 10.1080/02646838.2013.830175 104150872 ppf: 413 ppct: 13 formats: fmt: @attributes: type: P tig: atl: Pathways to violated expectations of epidural uptake. aug: au: Soliday, Elizabeth Sayyam, Jumana Tremblay, Kimberly affil: Department of Psychology, Washington State University Vancouver, USA. sug: subj: Analgesia, Epidural Patient Satisfaction Evaluation Childbirth Pain Human Prospective Studies Northwestern United States Chi Square Test Descriptive Statistics Data Analysis Software Questionnaires Funding Source Adult Female Adult: 19-44 years Female ab: Objective: To examine maternal prenatal expectations for epidural uptake with their intrapartum actual epidural uptake followed by maternal postpartum reporting.Background: Childbearing women may or may not expect to have an epidural in childbirth, but the match between expected and actual epidural uptake has not been examined. The issue is important because childbirth expectations have been associated with actual experiences and later adjustment.Methods: Prospective, longitudinal study of 55 obstetric clinic patients from the US Pacific Northwest region. In the third trimester of pregnancy, participants reported on epidural expectation and fear of childbirth pain. Postpartum reports included birth characteristics, satisfaction, and description of epidural uptake.Results: Of the 21 participants who expected to have an epidural, 18 (86%) did; of those who did not expect one, 6/16 (38%) did not have one. Fourteen (78%) of the 18 who expected to ‘wait and see’ had an epidural. Birth satisfaction was significantly higher in confirmed vs. violated expectation subgroups. Qualitative data identified factors potentially involved in epidural uptake expectancy violations.Conclusions: This study on expected vs. actual epidural uptake has identified specific factors in the pathway to expectancy violation such as late-term pregnancy concerns, labour onset timing, and medical induction, which has important implications for research and counselling on birth options. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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