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Background <p>Labor neuraxial analgesia (NA) is considered the gold standard for labor pain management worldwide, yet its use remains low in China. This study aimed to evaluate the barriers and facilitators regarding the use of NA from the perspectives of pregnant women and their partners.</p> Methods <p>A cross-sectional survey using a knowledge-attitude-practice (KAP) questionnaire was conducted in 13 hospitals from April to December 2022. A total of 1,164 pairs of pregnant women and their partners attending prenatal care clinics were recruited using a convenience sampling technique. Data were analyzed using univariate analysis and multivariable linear regression.</p> Results <p>Both pregnant women and their partners exhibited a lack of knowledge about NA, and online information and communicating with others were the primary ways to learn about NA. Multivariable regression indicated education level (B = 1.33, 95% confidence interval [CI]: 0.94–1.73), gestational age (B = 1.29, 95% CI: 0.96–1.63), hospital level 2 (B = 1.73, 95% CI: 0.73–2.73), level 3 (B = 2.11, 95% CI: 1.25–2.97), and parity (B = 1.32, 95% CI: 0.68–1.97) influenced pregnant women’s knowledge. Similarly, education level (B = 1.04, 95% CI: 0.66–1.42) and gestational age (B = 0.68, 95% CI:0.33–1.03) were positively associated with their partners’ knowledge. For pregnant women, annual income (B = 1.39, 95% CI: 0.72–2.05) and parity (B = -1.43, 95% CI: -2.71– -0.15) affected attitudes, while gestational age (B = 0.67, 95% CI: 0.23–1.11), annual income (B = 1.18, 95% CI: 0.57–1.79) and parity (B = -1.43, 95% CI: -2.61– -0.26) affected in practice. For partners, hospital level and age positively influenced attitudes and practice towards NA. Most concerns regarding NA were attributed to inadequate awareness and misconception about the safety of NA.</p> Conclusions <p>Knowledge regarding NA was found to be inadequate among both pregnant women and their partners, while annual income, parity, hospital level and age were the influencing factors regarding attitudes and practice. Online hospital-based educational programs incorporating tailored information about NA could potentially improve the decision-making process of NA in China.</p>

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Knowledge, attitude and practice of labor neuraxial analgesia in pregnant women and their partners: a cross-sectional survey in China

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年6月23日

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  • Min Du,
  • Linjia Zhong,
  • Ping Hu,
  • Minli Huang,
  • Shuzhen Wu,
  • Hongfei Dai,
  • Zijing Zhang,
  • Zhenyan Han,
  • Lingling Wu

摘要

Background

Labor neuraxial analgesia (NA) is considered the gold standard for labor pain management worldwide, yet its use remains low in China. This study aimed to evaluate the barriers and facilitators regarding the use of NA from the perspectives of pregnant women and their partners.

Methods

A cross-sectional survey using a knowledge-attitude-practice (KAP) questionnaire was conducted in 13 hospitals from April to December 2022. A total of 1,164 pairs of pregnant women and their partners attending prenatal care clinics were recruited using a convenience sampling technique. Data were analyzed using univariate analysis and multivariable linear regression.

Results

Both pregnant women and their partners exhibited a lack of knowledge about NA, and online information and communicating with others were the primary ways to learn about NA. Multivariable regression indicated education level (B = 1.33, 95% confidence interval [CI]: 0.94–1.73), gestational age (B = 1.29, 95% CI: 0.96–1.63), hospital level 2 (B = 1.73, 95% CI: 0.73–2.73), level 3 (B = 2.11, 95% CI: 1.25–2.97), and parity (B = 1.32, 95% CI: 0.68–1.97) influenced pregnant women’s knowledge. Similarly, education level (B = 1.04, 95% CI: 0.66–1.42) and gestational age (B = 0.68, 95% CI:0.33–1.03) were positively associated with their partners’ knowledge. For pregnant women, annual income (B = 1.39, 95% CI: 0.72–2.05) and parity (B = -1.43, 95% CI: -2.71– -0.15) affected attitudes, while gestational age (B = 0.67, 95% CI: 0.23–1.11), annual income (B = 1.18, 95% CI: 0.57–1.79) and parity (B = -1.43, 95% CI: -2.61– -0.26) affected in practice. For partners, hospital level and age positively influenced attitudes and practice towards NA. Most concerns regarding NA were attributed to inadequate awareness and misconception about the safety of NA.

Conclusions

Knowledge regarding NA was found to be inadequate among both pregnant women and their partners, while annual income, parity, hospital level and age were the influencing factors regarding attitudes and practice. Online hospital-based educational programs incorporating tailored information about NA could potentially improve the decision-making process of NA in China.