| Title |
Protocol for a randomised controlled trial of a decision aid for the management of pain in labour and childbirth [ISRCTN52287533]
|
|---|---|
| Published in |
BMC Pregnancy and Childbirth, December 2004
|
| DOI | 10.1186/1471-2393-4-24 |
| Pubmed ID | |
| Authors |
Christine L Roberts, Camille H Raynes-Greenow, Natasha Nassar, Lyndal Trevena, Kirsten McCaffery |
| Abstract |
BACKGROUND: Women report fear of pain in childbirth and often lack complete information on analgesic options prior to labour. Preferences for pain relief should be discussed before labour begins. A woman's antepartum decision to use pain relief is likely influenced by her cultural background, friends, family, the media, literature and her antenatal caregivers. Pregnant women report that information about analgesia was most commonly derived from hearsay and least commonly from health professionals. Decision aids are emerging as a promising tool to assist practitioners and their patients in evidence-based decision making.Decision aids are designed to assist patients and their doctors in making informed decisions using information that is unbiased and based on high quality research evidence. Decision aids are non-directive in the sense that they do not aim to steer the user towards any one option, but rather to support decision making which is informed and consistent with personal values. METHODS/DESIGN: We aim to evaluate the effectiveness of a Pain Relief for Labour decision aid, with and without an audio-component, compared to a pamphlet in a three-arm randomised controlled trial. Approximately 600 women expecting their first baby and planning a vaginal birth will be recruited for the trial.The primary outcomes of the study are decisional conflict (uncertainty about a course of action), knowledge, anxiety and satisfaction with decision-making and will be assessed using self-administered questionnaires. The decision aid is not intended to influence the type of analgesia used during labour, however we will monitor health service utilisation rates and maternal and perinatal outcomes. This study is funded by a competitive peer-reviewed grant from the Australian National Health and Medical Research Council (No. 253635). DISCUSSION: The Pain Relief for Labour decision aid was developed using the Ottawa Decision Support Framework and systematic reviews of the evidence about the benefits and risks of the non-pharmacological and pharmacological methods of pain relief for labour. It comprises a workbook and worksheet and has been developed in two forms - with and without an audio-component (compact disc). The format allows women to take the decision aid home and discuss it with their partner. |
Mendeley readers
The data shown below were compiled from readership statistics for 152 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Canada | 1 | <1% |
| Unknown | 151 | 99% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 34 | 22% |
| Researcher | 20 | 13% |
| Student > Bachelor | 15 | 10% |
| Student > Ph. D. Student | 12 | 8% |
| Other | 11 | 7% |
| Other | 25 | 16% |
| Unknown | 35 | 23% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 58 | 38% |
| Nursing and Health Professions | 19 | 13% |
| Psychology | 19 | 13% |
| Social Sciences | 6 | 4% |
| Neuroscience | 4 | 3% |
| Other | 11 | 7% |
| Unknown | 35 | 23% |
Attention Score in Context
This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 14 November 2013.
All research outputs
#20,210,424
of 22,731,677 outputs
Outputs from BMC Pregnancy and Childbirth
#3,780
of 4,168 outputs
Outputs of similar age
#136,795
of 139,999 outputs
Outputs of similar age from BMC Pregnancy and Childbirth
#2
of 2 outputs
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So far Altmetric has tracked 4,168 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 8.8. This one is in the 1st percentile – i.e., 1% of its peers scored the same or lower than it.
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