Skip to main content
Journal cover image

Anesthesia and analgesia-related preferences and outcomes of women who have birth plans.

Publication ,  Journal Article
Pennell, A; Salo-Coombs, V; Herring, A; Spielman, F; Fecho, K
Published in: Journal of midwifery & women's health
July 2011

This study described anesthesia and analgesia-related preferences and outcomes of women who used a birth plan for labor and birth.A prospective cohort study was conducted (N = 63). Data were abstracted from medical records, birth plans, and a follow-up survey. Descriptive statistics were used for analysis.Women who elected birth plans were primarily white, college-educated, primigravida, and under the care of a certified nurse-midwife. One-third of births were induced, 10% required instrumentation, and 29% were cesarean births. Nearly every birth was associated with at least 1 labor and birth complication, although most complications were minor. Analgesic preferences were reported to be the most important birth plan request. Greater than 50% of women requested to avoid epidural analgesia; however, 65% of women received epidural analgesia. On follow-up, greater than 90% of women who received epidural analgesia reported being pleased. The majority of women agreed that the birth plan enhanced their birth experiences, added control, clarified their thoughts, and improved communication with their health care providers.Anesthesia and analgesia-related preferences were an important component of the birth plans. The majority of women favorably viewed the use of a birth plan, whether or not preferences were fulfilled or complications occurred.

Duke Scholars

Altmetric Attention Stats
Dimensions Citation Stats

Published In

Journal of midwifery & women's health

DOI

EISSN

1542-2011

ISSN

1526-9523

Publication Date

July 2011

Volume

56

Issue

4

Start / End Page

376 / 381

Related Subject Headings

  • Surveys and Questionnaires
  • Prospective Studies
  • Pregnancy Outcome
  • Pregnancy
  • Patient Participation
  • Patient Care Planning
  • Obstetrics & Reproductive Medicine
  • Labor, Obstetric
  • Humans
  • Health Knowledge, Attitudes, Practice
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Pennell, A., Salo-Coombs, V., Herring, A., Spielman, F., & Fecho, K. (2011). Anesthesia and analgesia-related preferences and outcomes of women who have birth plans. Journal of Midwifery & Women’s Health, 56(4), 376–381. https://doi.org/10.1111/j.1542-2011.2011.00032.x
Pennell, Angela, Victoria Salo-Coombs, Amy Herring, Fred Spielman, and Karamarie Fecho. “Anesthesia and analgesia-related preferences and outcomes of women who have birth plans.Journal of Midwifery & Women’s Health 56, no. 4 (July 2011): 376–81. https://doi.org/10.1111/j.1542-2011.2011.00032.x.
Pennell A, Salo-Coombs V, Herring A, Spielman F, Fecho K. Anesthesia and analgesia-related preferences and outcomes of women who have birth plans. Journal of midwifery & women’s health. 2011 Jul;56(4):376–81.
Pennell, Angela, et al. “Anesthesia and analgesia-related preferences and outcomes of women who have birth plans.Journal of Midwifery & Women’s Health, vol. 56, no. 4, July 2011, pp. 376–81. Epmc, doi:10.1111/j.1542-2011.2011.00032.x.
Pennell A, Salo-Coombs V, Herring A, Spielman F, Fecho K. Anesthesia and analgesia-related preferences and outcomes of women who have birth plans. Journal of midwifery & women’s health. 2011 Jul;56(4):376–381.
Journal cover image

Published In

Journal of midwifery & women's health

DOI

EISSN

1542-2011

ISSN

1526-9523

Publication Date

July 2011

Volume

56

Issue

4

Start / End Page

376 / 381

Related Subject Headings

  • Surveys and Questionnaires
  • Prospective Studies
  • Pregnancy Outcome
  • Pregnancy
  • Patient Participation
  • Patient Care Planning
  • Obstetrics & Reproductive Medicine
  • Labor, Obstetric
  • Humans
  • Health Knowledge, Attitudes, Practice