A survey of antenatal and peripartum provision of information on analgesia and anaesthesia. (30th June 2019)

• Record Type: Journal Article
• Authors: Brinkler, R.; Edwards, Z.; Abid, S.; Oliver, C. M.; Lo, Q.; Stewart, A.
• Other Names: Abayalingam Mayavan investigator.; Abid Sonia investigator.; Afzal Safeena investigator.; Aly Hagar investigator.; Kasi Anandan Theanu investigator.; Ariyanayagam Rachel investigator.; Armstrong Sarah investigator.; Ashiru Gloria investigator.; Barrett Stephen investigator.; Baytug Beki investigator.; Black Rebecca investigator.; Bowman Sara investigator.; Brayshaw Samantha investigator.; Brinkler Rebecca investigator.; Brocklesby Sonia investigator.; Cain Joshua investigator.; Casey Philippa investigator.; Chambers Kyron investigator.; Chan Carolyn investigator.; Chapman Rachel investigator.; Cheah Clarissa investigator.; Cheesman Kate investigator.; Cohen Jolyon investigator.; Cole Abigail investigator.; Combeer Andrew investigator.; Cowie Vanessa investigator.; Dabrowicz Adrian investigator.; Desai Neel investigator.; Donovan Clare investigator.; Doraiswami Mano investigator.; El Amin Olivia investigator.; Edwards Zara investigator.; Ellimah Tracey investigator.; Evans Matt investigator.; Fawcett Eric investigator.; Fletcher Lydia investigator.; Forman Emma investigator.; Fulton Laura investigator.; Gardener Kate investigator.; George Richard investigator.; Gorur Paavan investigator.; Gowripalann T investigator.; Greenslade Tessa investigator.; Hamlyn Lorraine investigator.; Hawkins Rik investigator.; Herrmann Rosie investigator.; Hilton James investigator.; Hutchinson Jenna investigator.; Kelliher Leigh investigator.; Kelly Jenna investigator.; King Kathryn investigator.; Lim Soo‐Ming investigator.; Mahinthan Vijeta investigator.; Mahmood Noman investigator.; Major Jonathan investigator.; Masood Nadia investigator.; Matthews Laura investigator.; McHugh Barry investigator.; Milne Suzie investigator.; Miltsios Konstantinos investigator.; Monks David investigator.; Moores Rachel investigator.; Nicklin Angela investigator.; Panesar Navjot investigator.; Papageorgiou Con investigator.; Patel Roshan investigator.; Pathmabaskaran Selvaranee investigator.; Perinpanayagam Jasmina investigator.; Peake Megan investigator.; Pritchard Naomi investigator.; Powell Katy investigator.; Qureshi Jibran investigator.; Redington Katie investigator.; Richards Nicci investigator.; Rintoul Edward investigator.; Robson Michael investigator.; Routley Catriona investigator.; Salota Vishal investigator.; Samuel Matt investigator.; Sapsford Mark investigator.; Schwartz Nuala investigator.; Sellers Claudie investigator.; Shareiff Imran investigator.; Sharifi Laurence investigator.; Shonfeld Adam investigator.; Stewart Adi investigator.; Story Heather investigator.; Sudunagunta Srinath investigator.; Suppiah Puvan investigator.; Tamilselvan Perumal investigator.; Thompson Harry investigator.; Turner Will investigator.; Uzkalniene Vilma investigator.; Veglio Ella investigator.; Webb Alice investigator.; Waiting James investigator.; Wedgewood Tom investigator.; Westcott Lucy investigator.; Wickham Alex investigator.; Wilson Lauren investigator.; Wimble Katie investigator.; Wong Rhiannon investigator.; Wong Sam investigator.; Wray Sarah investigator.; Zafar Saeed investigator.;
• Is Part Of: Anaesthesia. Volume 74:Number 9(2019)
• Page Start: 1101
• Page End: 1111
• Publication Date: 2019-06-30
• Subjects: anaesthesia: epidural -- anaesthesia: obstetric -- anaesthesia: spinal -- caesarean section -- labour -- patient care -- questionnaire -- satisfaction; Anesthesia -- Periodicals; 617.96
• DOI: 10.1111/anae.14745
• Languages: English
• ISSNs: 0003-2409

Abstract

Summary: Pregnant women should receive information about what they might expect to experience during their delivery. Despite this, research shows many women are inadequately prepared for anaesthetic interventions during labour. We surveyed 903 postnatal women across 28 Greater London hospitals about: the analgesic and anaesthetic information that they recalled receiving during pregnancy and delivery; their confidence to make decisions on analgesia; and their satisfaction with the analgesia used. Wide variation was observed between hospitals. Overall, 67 of 749 (9.0%) women recalled receiving antenatal information covering all aspects of labour analgesia, and 108 of 889 (12.1%) covering anaesthesia for caesarean section. Regarding intrapartum information, 256 of 415 (61.7%) respondents recalled receiving thorough information before epidural insertion for labour analgesia, and 102 of 370 (27.6%) before anaesthesia for caesarean section. We found that 620 of 903 (68.7%) women felt well enough informed to be confident in their analgesic choices, and 675 of 903 (74.8%) stated that their analgesia was as expected or better. Receiving information verbally, regardless of provider, was the factor most strongly associated with respondents recalling receiving full information: odds ratio (95%CI) for labour analgesia 20.66 (8.98–47.53; p < 0.0001); epidural top‐up for caesarean section 5.93 (1.57–22.35; p = 0.01); and general anaesthesia for caesarean section 12.39 (2.18–70.42; p = 0.01). A large proportion of respondents did not recall being fully informed before an anaesthetic intervention. Collaboration with current antenatal service providers, both in promoting information delivery and providing resources to assist with delivery, could improve the quality of information offered and women's retention of that information.