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| Survey on the willingness to choose analgesia delivery of primiparas and analysis of its related influence factors |
| Lujiang County Traditional Chinese Medicine Hospital, Hefei, Anhui Province, 231500 |
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Abstract To understand the willingness of primiparas to choose the analgesia delivery, and to analyze its related influencing factors. Methods: A total of 198 primiparas admitted to the hospital from October 2020 to February 2024 were selected as the study subjects. The general information questionnaire was used to investigate these primiparas at their last prenatal examination. According to whether the primiparous had the willingness to choose analgesia delivery or not, these primiparas were divided into the group A (primiparas with the willingness to choose analgesia delivery) and group B (primiparas without the willingness to choose analgesia delivery). The fear of childbirth scale (CAQ) was used to understand the fear of childbirth of the primiparas. The pain threshold of the primiparas was measured by hand-held pressure gauge. Univariate and multivariate logistic regression analysis were used to determine the related influencing factors of the willingness to choose analgesia delivery of the primiparas. Results: A total of 198 questionnaires were distributed, and 187 questionnaires were effectively recovered, with the effective recovery rate of 94.4%. Among 187 primiparas, 92 (49.2%) primiparas had the willingness to choose analgesia delivery before delivery, and 95 (50.8%) primiparas had no the willingness to choose painless labor before delivery. Multivariate logistic regression analysis showed that the higher education level, the occupation and the spouse 's consent of the primiparas had the positive impacts on their willingness to choose analgesic delivery, and the high pain threshold of the primiparas had the negative impact (all P<0.05). Conclusion: There is still much room for the improvement on the choice rate of the analgesia delivery intention of the primiparous. The factors affecting the choice intention of the analgesia delivery of the primiparous may be their education level, occupation, spouse’s consent and pain threshold, so the clinical measures should be taken as soon as possible to promote the application of analgesia delivery of the primiparas.
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