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

Main Article Content

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

Keywords

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

Abstract

Objectives: This study aimed to assess the perception of pregnant Saudi 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: Th is 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 IBM® SPSS® Amos.
Results: A total of 409 women visiting the maternity clinic were enrolled in this study. The mean socioeconomic class score was (62.7 ± 17.83). Women who had previous health education on epidural analgesia had a significantly higher score (65.84 ± 15.8, p < 0.001) than those who had not. "Friends and relatives" and "social media" were rated as the main sources of education according to the participants’ opinion. Low back pains after receiving epidural analgesia (55%) and spinal cord injury (25%) were the common perceived complications. The multivariate logistics regression showed significant association between previous exposure to epidural analgesia for labor pain control and previous education on epidural analgesia. The model showed that women's socioeconomic class score correlated significantly (p < 0.001) with women's higher odds of having a previous epidural analgesia education.
Conclusion: Although, the perception of pregnant women regarding epidural analgesia was generally positive, education by the anesthetist and obstetrician during the antenatal visit is recommended.

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