Higher Socioeconomic Status Improved Epidural Analgesia Awareness among Pregnant Women at a Tertiary-care Academic Hospital in Saudi Arabia Socioeconomic Status and Epidural Analgesia Awareness

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Abeer A. Arab
Musab M. Shaheen https://orcid.org/0000-0002-0427-1057


Socioeconomic, Epidural, Analgesia, Awareness, Pregnancy, Antenatal, Perception


Objective: This study aimed to assess the perception of Saudi pregnant women about the use of epidural analgesia in labor and explore the association between their socioeconomic class and the previous education or experience of epidural analgesia as an option for pain control during labor.
Subject and Methods: This cross-section study was conducted among women attending the obstetric clinic at the King Abdulaziz University Hospital, Jeddah, Saudi Arabia. A convenient sampling technique was used to collect the participants by a trained team of data collectors using a valid questionnaire. Data was processed and analyzed using the SPSS AMOS
Results: A total of 409 women visiting the maternity clinic were enrolled in this study. The mean socioeconomic class score (SES) was (62.7±17.83). Women who had previous health education on epidural analgesia (EPA) had significantly higher SES (65.84±15.8, p<0.001) than those who had not received previous education on EPA. "Friends and relatives" and "social media" were rated as the main sources of education on EPA according to the participants opinion. Low back pains after receiving EPA (55%) and spinal cord injury (25%) were the common perceived EPA complications. The multivariate logistics regression showed significant association between previous exposure to EPA for labor pain control and previous education on EPA. The model showed that women's SES correlated significantly (p<0.001) with women's higher odds of having a previous EPA education.
Conclusion: Although, the perception of the pregnant women about EPA was generally well, education by the anesthetist and obstetrician during the antenatal visit is recommended.

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