Birth, Labour Analgesia, Midwife, Pain Management in Pregnant Women, Qualitative Research, Remifentanil
Conditions
Keywords
Labour analgesia, remifentanil for labour analgesia, qualitative research, midwifes experiences with remifentanil, giving birth with remifentanil
Brief summary
Background: Remifentanil is an ultra-short-acting opioid used for labor pain relief in several countries, offering stronger analgesia than nitrous oxide but less than epidural anesthesia. While internationally established, remifentanil has not yet been implemented in Denmark. Objective: This study aims to explore and deepen our understanding of the childbirth experience with remifentanil for pain relief, from both the birthing woman's and the midwife's perspectives. Methods: A qualitative study based on interviews with women who gave birth using remifentanil and the midwives involved in their care.
Detailed description
Background:Remifentanil is an ultra-short-acting opioid used for labor pain relief in several countries, offering stronger analgesia than nitrous oxide but less than epidural anesthesia. While internationally established, remifentanil has not yet been implemented in Denmark. Objective:This study aims to explore and deepen our understanding of the childbirth experience with remifentanil for pain relief, from both the birthing woman's and the midwife's perspectives. Methods: A qualitative study based on semi-structured interviews with women who gave birth using remifentanil and the midwives involved in their care. The analysis will be a thematic content analysis. All Danish or English speaking labouring women and midwifes at North Zealand hospital giving birth/attending birth with remifentanil for labour pain are eligible to be included during the study period. After written consent the interview will be conducted 4-10 days after the birth.
Interventions
None listed
Sponsors
Nordsjaellands Hospital
Study design
Observational model
OTHER
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
1. Women in labor aged 18 years or older who receive remifentanil for pain relief during childbirth at the labor ward in Hillerød. 2. Midwives who participate in childbirths where remifentanil is used as pain relief.
Exclusion criteria
1)Women in labor who do not speak Danish or English.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Experiential understanding of remifentanil-assisted labor from the perspectives of mothers | Interviews conducted within 4-10 days postpartum | The co-primary outcome is the in-depth qualitative description of how women experience the use of remifentanil for labor pain relief. The outcome will be derived through thematic analysis of semi-structured interview data, aiming to identify key themes related to pain relief, side-effects, safety, communication, autonomy, and overall birth experience. No quantitative scale will be used. |
| Experiential understanding of remifentanil-assisted labor from the perspectives of midwives | Time Frame: Interviews conducted within 4-10 days postpartum | Description: The co-primary outcome is the in-depth qualitative description of how midwifes experience the use of remifentanil for labor pain relief. The outcome will be derived through thematic analysis of semi-structured interview data, aiming to identify key themes related to pain relief, side-effects, safety, communication, autonomy, and overall birth experience. No quantitative scale will be used. |
Countries
Denmark
Contacts
STUDY_CHAIRPatricia Duch, MD
Department of Anaesthesia, Copenhagen University Hospital, North Zealand, Hillerød, Denmark
Outcome results
None listed