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Anesthesiology Research and Practice
Volume 2010, Article ID 356789, 8 pages
http://dx.doi.org/10.1155/2010/356789
Research Article

Survey of the Factors Associated with a Woman's Choice to Have an Epidural for Labor Analgesia

1University of South Florida College of Medicine, Tampa, FL 33612, USA
2Department of Anesthesia, Stanford University School of Medicine, Stanford, CA 94305, USA

Received 29 January 2010; Accepted 16 April 2010

Academic Editor: Warwick Kee

Copyright © 2010 Jennifer Harkins et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objectives. The purpose of this study was to determine the factors associated with whether a woman received an epidural in labor and to determine the main source used to obtain information about labor epidurals. Methods. Over a one-month period, we surveyed all patients who labored, the day after their delivery. We used multiple logistic regression to identify potential predictive factors after initial univariate analysis. Results. 320 women who met enrollment criteria delivered during the study period and 94% completed the study. Of the 302 patients surveyed, 80% received an epidural for labor. Univariate analysis showed the following variables were associated with whether women received an epidural ( ): partner preference, prior epidural, language, education, type of insurance, age, duration, and pitocin use. Using computed multiple logistic regression only partner preference and prior epidural were associated with whether women received an epidural. Conclusion. It was not surprising that a previous epidural was predictive of a patient receiving an epidural. The strong association with partner preference and epidural use suggests this is an important factor when counseling pregnant women with regard to their decision to have a labor epidural.