| Title |
Pharmacological pain relief and fear of childbirth in low risk women; secondary analysis of the RAVEL study
|
|---|---|
| Published in |
BMC Pregnancy and Childbirth, August 2018
|
| DOI | 10.1186/s12884-018-1986-8 |
| Pubmed ID | |
| Authors |
Sabine L. M. Logtenberg, Corine J. Verhoeven, Katrien Oude Rengerink, Anne-Marie Sluijs, Liv M. Freeman, François G. Schellevis, Ben Willem Mol |
| Abstract |
Fear of childbirth may reduce the womens' pain tolerance during labour and may have impact on the mother-infant interaction. We aimed to assess (1) the association between fear of childbirth antepartum and subsequent request for pharmacological pain relief, and (2) the association between the used method of pain relief and experienced fear of childbirth as reported postpartum in low risk labouring women. Secondary analysis of the RAVEL study, a randomised controlled trial comparing remifentanil patient controlled analgesia (PCA) and epidural analgesia to relieve labour pain. The RAVEL study included 409 pregnant women at low risk for obstetric complications at 18 midwifery practices and six hospitals in The Netherlands (NTR 3687). We measured fear of childbirth antepartum and experienced fear of childbirth reported postpartum, using the Wijma Delivery Expectancy/Experience Questionnaire. Women with fear of childbirth antepartum more frequently requested pain relief compared to women without fear of childbirth antepartum, but this association did not reach statistical significance (adjusted odds ratio (aOR2.0; 95% confidence interval (CI) 0.8-4.6). Women who received epidural analgesia more frequently reported fear of childbirth postpartum compared to women who did not receive epidural analgesia (aOR3.5; CI 1.5-8.2), while the association between remifentanil-PCA and fear of childbirth postpartum was not statistically significant (aOR1.7; CI 0.7-4.3). Women with fear of childbirth antepartum more frequently requested pain relief compared to women without fear of childbirth antepartum, but this association was not statistically significant. Women who received pharmacological pain relief more frequently reported that they had experienced fear of childbirth during labour compared to women who did not receive pain relief. Based on our data epidural analgesia with continuous infusion does not seem to be preferable over remifentanil-PCA as method of pain relief when considering fear of childbirth postpartum. Netherlands Trial Register 3687 ; Register date: 5 Nov 2012. |
X Demographics
The data shown below were collected from the profiles of 2 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United States | 1 | 50% |
| Netherlands | 1 | 50% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 1 | 50% |
| Scientists | 1 | 50% |
Mendeley readers
The data shown below were compiled from readership statistics for 88 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 88 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 16 | 18% |
| Student > Bachelor | 15 | 17% |
| Student > Ph. D. Student | 6 | 7% |
| Researcher | 4 | 5% |
| Student > Doctoral Student | 4 | 5% |
| Other | 15 | 17% |
| Unknown | 28 | 32% |
| Readers by discipline | Count | As % |
|---|---|---|
| Nursing and Health Professions | 28 | 32% |
| Medicine and Dentistry | 15 | 17% |
| Psychology | 7 | 8% |
| Unspecified | 2 | 2% |
| Environmental Science | 1 | 1% |
| Other | 4 | 5% |
| Unknown | 31 | 35% |
Attention Score in Context
This research output has an Altmetric Attention Score of 9. 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 29 April 2023.
All research outputs
#3,899,526
of 24,138,997 outputs
Outputs from BMC Pregnancy and Childbirth
#1,026
of 4,495 outputs
Outputs of similar age
#72,646
of 337,737 outputs
Outputs of similar age from BMC Pregnancy and Childbirth
#21
of 84 outputs
Altmetric has tracked 24,138,997 research outputs across all sources so far. Compared to these this one has done well and is in the 83rd percentile: it's in the top 25% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 4,495 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 9.0. This one has done well, scoring higher than 77% of its peers.
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We're also able to compare this research output to 84 others from the same source and published within six weeks on either side of this one. This one has done well, scoring higher than 75% of its contemporaries.