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Predictors associated with low-risk women's pre-labour intention for intrapartum pain relief: a cross-sectional study

Kuipers, Yvonne J.; van Beeck, Elise


Elise van Beeck


Background: Pregnant women have preferences about how they intend to manage labour pain. Unmet intentions can result in negative emotions and/or birth experiences.

Objective: To examine the antenatal level of intention for intrapartum pain relief and the factors that might predict this intention.

Design: A cross-sectional online survey-based study.

Setting and participants: 414 healthy pregnant women in the Netherlands, predominantly receiving antenatal care from the community-based midwife who were recruited via maternity healthcare professionals and social media platforms.

Methods: The attitude towards intrapartum pain relief was measured with the Labour Pain Relief Attitude Questionnaire for pregnant women. Personality traits with the HEXACO-60 questionnaire, general psychological health with the Mental Health Inventory-5 and labour and birth anxiety with the Tilburg Pregnancy Distress Scale. Multiple linear regression was performed with the intention for pain relief as the dependant variable.

Results: The obstetrician as birth companion (p<.001), the perception that because of the impact of pregnancy on the woman’s body, using pain relief during labour is self-evident (p<.001), feeling convinced that pain relief contributes to self-confidence during labour (p=.023), and fear of the forthcoming birth (p=.003) predicted women were more likely to use pain relief. The midwife as birth companion (p=.047) and considering the partner in requesting pain relief
(p=.045) predicted women were less likely to use pain relief.

Conclusion: Understanding the reasons predicting women’s intention of pain management during labour, provides insight in low-risk women’s supportive needs prior to labour and are worth paying attention to during the antenatal perio.d


Kuipers, Y. J., & van Beeck, E. (2022). Predictors associated with low-risk women's pre-labour intention for intrapartum pain relief: a cross-sectional study. International Journal of Nursing Studies, 4,

Journal Article Type Article
Acceptance Date Feb 18, 2022
Online Publication Date Feb 19, 2022
Publication Date 2022-12
Deposit Date Feb 24, 2022
Publicly Available Date Feb 24, 2022
Journal International Journal of Nursing Studies Advances
Print ISSN 0020-7489
Publisher Elsevier
Peer Reviewed Peer Reviewed
Volume 4
Article Number 100070
Keywords Antenatal, Childbirth, Intention, Labour, Maternity services, Pain relief
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