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Vragenlijst onderzoek met betrekking tot opvattingen ten aanzien van de ruggenprik en angst voor de bevalling in een Nederlandse tweedelijns- en eerstelijns populatie en vergelijking met een Belgische populatie.


- candidate number8599
- NTR NumberNTR2580
- ISRCTNISRCTN wordt niet meer aangevraagd.
- Date ISRCTN created
- date ISRCTN requested
- Date Registered NTR29-okt-2010
- Secondary IDs08-T-26 MEC number Atrium Medical Centre Parkstad
- Public TitleVragenlijst onderzoek met betrekking tot opvattingen ten aanzien van de ruggenprik en angst voor de bevalling in een Nederlandse tweedelijns- en eerstelijns populatie en vergelijking met een Belgische populatie.
- Scientific TitleBeliefs about Epidural Analgesia: Results of a Dutch hospital population, a midwifery population and a Belgian hospital population.
- ACRONYM
- hypothesisThe expectation is that fear of childbirth and additional pain are important reasons for choosing analgesia, or at least influence the choice. An expected reason for not choosing analgesia is that it could be detrimental for the (unborn) child.
It is also expected that there will be a difference between the Dutch and Belgian population, because in the Netherlands a conservative approach of labor pain is more common. Besides, we expect a difference between the Dutch first line (independant midwife clinics) and Dutch second line (hospital population).
- Healt Condition(s) or Problem(s) studiedEpidural analgesia, Cultural differences
- Inclusion criteriaPatients in order to be eligible for the trial, women have to:
1. Be 18 years or older;
2. Bear a singleton child in cephalic presentation;
3. Be under supervision (second line) for their pregnancy in one of the participating centres (Orbis Medisch Centrum Sittard, VieCuri Venlo, Catharina Ziekenhuis Eindhoven, UZ Leuven en ZOL Genk) or by midwifes in participating centres;
4. Have no contraindications for vaginal labour;
5. Gestational age 36-42 weeks.
- Exclusion criteriaPatient in order not to be eligible for the trial, women have to:
1. Be younger than 18 years;
2. Bear twin pregnancy;
3. Have contraindications for vaginal labour;
4. Gestational age less than 36 weeks.
- mec approval receivedyes
- multicenter trialyes
- randomisedno
- groupParallel
- TypeSingle arm
- Studytypeobservational
- planned startdate 25-okt-2010
- planned closingdate11-mrt-2011
- Target number of participants600
- InterventionsEach women with a gestational age of 36-42 weeks is asked to participate. After informed consent is achieved, the woman fill in 4 questionnaires:
1. General medical questionnaire;
2. BEAQ: Beliefs about epidural analgesia questionnaire;
3. PCS: Pain catastrophizing scale;
4. Information about the epidural analgesia questionnaire.
- Primary outcomeThe primary outcome of this trial is to observe why women prefer, or not, epidural analgesia and the influence of pain catastrophizing thinking.
- Secondary outcomeSecondary outcomes of this trial are cultural differences and differences between first and secondary line.
- Timepoints1. Okt-dec 2010: Inclusion;
2. Dec 2010-march 2011: Data-analysis and rapportage.
- Trial web siteN/A
- statusopen: patient inclusion
- CONTACT FOR PUBLIC QUERIESDr. Martine M.L.H. Wassen
- CONTACT for SCIENTIFIC QUERIESDr. Martine M.L.H. Wassen
- Sponsor/Initiator Maastricht University Medical Center (MUMC+)
- Funding
(Source(s) of Monetary or Material Support)
Maastricht University Medical Center (MUMC+)
- PublicationsN/A
- Brief summaryOBJECTIVE:
Epidural analgesia (EA) is an effective method to reduce labour pain, but is not frequently applied in the Netherlands. In this proposal, we determine the beliefs and characteristics of women about epidural analgesial. Besides we want to gain insight in the influence of pain catastrophizing on the experienced pain and fear for labour.

STUDY DESIGN:
Multicentre prospective trial.

STUDY POPULATION:
Term nulliparous and multiparous women with a child in cephalic presentation, and without contraindications for vaginal labour or EA. Patients will be recruited in 3 hospitals in the Netherlands, 2 hospitals in Belgium and 4 midwifery clinics.

INTERVENTIONS:
Women will be asked to fill in 4 questionnaires: A general medical questionnaire, the BEAQ, the PCS and information about epidural analgesia.

OUTCOME MEASURES:
The primary outcome of this trial is to observe why women prefer, or not, epidural analgesia and the influence of pain catastrophizing thinking. Secondary outcomes of this trial are cultural differences and differences between first and secondary line.

SAMPLE SIZE CALCULATION AND DATA ANALYSIS:
The expectation is that fear of childbirth and additional pain are important reasons for choosing analgesia, or at least influence the choice. An expected reason for not choosing analgesia is that it could be detrimental for the (unborn) child.
It is also expected that there will be a difference between the Dutch and Belgian population, because the Netherlands acts conservative and childbirth pain as normal as possible (it belongs') is experienced.
- Main changes (audit trail)
- RECORD29-okt-2010 - 7-nov-2010


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