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Patients' preferences for labor analgesic counseling: A qualitative analysis

机译：患者对分娩镇痛咨询的偏好：定性分析

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Abstract Background The decision to use, or not use, neuraxial labor analgesia is complex, with both maternal and fetal considerations. Fears and concerns about neuraxial analgesia may influence analgesic decision‐making. Little is known about patients’ preferences for analgesic counseling. Therefore, the objectives of this qualitative study were to evaluate the sources of information used by patients, the timing and content of antepartum counseling about labor analgesia, and patients’ preferences for such counseling. Methods A semi‐structured interview guide was developed. Survey domains included the sources of information used by patients, the timing and content of antenatal counseling, patients’ perceptions of intrapartum analgesic counseling, and their preferences for analgesic counseling. Interviews occured on postpartum day 1. Interview transcripts were analyzed using content analysis. Results The interviews of 45 women were analyzed. The Internet was the most frequently mentioned source of information (44%). The majority of women (78%) discussed analgesic options with their obstetric providers before delivery. All women were counseled intrapartum by an anesthesiologist, but several women commented on the difficulty of concentrating while laboring. Seventy‐three percent of women stated that they would want counseling on analgesic options from their obstetric provider during the second or third trimester. Conclusions Women prefer to be counseled about labor analgesia by their obstetric providers, as they have an established relationship. Patients would prefer the counseling to occur during pregnancy, before the onset of labor. However, given the frequent use of the Internet, the content and quality of online materials should also be evaluated.
机译：摘要背景使用，或不使用的决定是孕产妇和胎儿的考虑。对神经镇痛的恐惧和担忧可能影响镇痛决策。对患者对镇痛咨询的偏好而言众所周知。因此，这种定性研究的目的是评估患者使用的信息来源，安胃咨询的患者镇痛和患者对此类咨询的偏好。方法制定了半结构性访谈指南。调查域包括患者使用的信息来源，产前咨询，患者对镇痛镇痛咨询的患者的看法，以及它们对镇痛咨询的偏好。在产后第一天发生的访谈1.使用内容分析进行采访转录物。结果分析了45名妇女的访谈。互联网是最常见的信息来源（44％）。大多数女性（78％）在交付前与产科提供者讨论镇痛选项。所有妇女都被麻醉师咨询了脑内疗法，但有几个妇女评论了劳动时难以集中的困难。七十三名妇女认为，他们希望在第二个或第三个三个月期间从其产科提供者咨询镇痛选择。结论妇女更愿意通过其产科提供者咨询劳动力镇痛，因为它们具有既定关系。在劳动开始之前，患者更愿意在怀孕期间发生咨询。但是，考虑到互联网的频繁使用，还应评估在线材料的内容和质量。

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