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Parturients' Stated Preferences for Labor Analgesia: A Discrete Choice Experiment.

Publication ,  Journal Article
Ozdemir, S; Chen, T; Tan, CW; Wong, WHM; Tan, HS; Finkelstein, EA; Sng, BL
Published in: Patient Prefer Adherence
2022

OBJECTIVE: The objective was to investigate the extent to which treatment benefits, risks and costs affected parturients' preferences for labor analgesia. METHODS: We recruited 248 healthy parturients prior to labor at an antenatal ward and administered a discrete choice experiment survey. Parturients were asked to choose among four hypothetical forms of labor analgesia: epidural analgesia, pethidine, Entonox and no analgesia, which were defined by: pain score, duration of second stage of labor, risks of instrumental delivery, back pain and permanent nerve injury, and out-of-pocket cost. We used mixed logit model to calculate the relative importance of each attribute (out of 100). RESULTS: Parturients preferred receiving labor analgesia over not receiving analgesia and those who had positive past experience with epidural preferred epidural over other modalities. Out-of-pocket cost (28%), duration of second stage of labor (26%) and pain score following treatment (18%) were the most important attributes. CONCLUSION: Out-of-pocket cost was a major concern. Parturients prioritized having lower pain and shorter labor experience over risks associated with epidural analgesia. Parturients should be presented with realistic range of risks of side-effects so that they can decide how to balance risks against benefits and costs associated with child labor.

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Published In

Patient Prefer Adherence

DOI

ISSN

1177-889X

Publication Date

2022

Volume

16

Start / End Page

983 / 994

Location

New Zealand

Related Subject Headings

  • 4203 Health services and systems
  • 1103 Clinical Sciences
 

Citation

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Ozdemir, S., Chen, T., Tan, C. W., Wong, W. H. M., Tan, H. S., Finkelstein, E. A., & Sng, B. L. (2022). Parturients' Stated Preferences for Labor Analgesia: A Discrete Choice Experiment. Patient Prefer Adherence, 16, 983–994. https://doi.org/10.2147/PPA.S353324
Ozdemir, Semra, Teresa Chen, Chin Wen Tan, Wei Han Melvin Wong, Hon Sen Tan, Eric Andrew Finkelstein, and Ban Leong Sng. “Parturients' Stated Preferences for Labor Analgesia: A Discrete Choice Experiment.Patient Prefer Adherence 16 (2022): 983–94. https://doi.org/10.2147/PPA.S353324.
Ozdemir S, Chen T, Tan CW, Wong WHM, Tan HS, Finkelstein EA, et al. Parturients' Stated Preferences for Labor Analgesia: A Discrete Choice Experiment. Patient Prefer Adherence. 2022;16:983–94.
Ozdemir, Semra, et al. “Parturients' Stated Preferences for Labor Analgesia: A Discrete Choice Experiment.Patient Prefer Adherence, vol. 16, 2022, pp. 983–94. Pubmed, doi:10.2147/PPA.S353324.
Ozdemir S, Chen T, Tan CW, Wong WHM, Tan HS, Finkelstein EA, Sng BL. Parturients' Stated Preferences for Labor Analgesia: A Discrete Choice Experiment. Patient Prefer Adherence. 2022;16:983–994.

Published In

Patient Prefer Adherence

DOI

ISSN

1177-889X

Publication Date

2022

Volume

16

Start / End Page

983 / 994

Location

New Zealand

Related Subject Headings

  • 4203 Health services and systems
  • 1103 Clinical Sciences