Jonathan Yu-Sheng Chou* and Raghunanda Narasimhaiah

Department of Anaesthetics, Mount Gambier and Districts Health Service, South Australia, Australia

*Corresponding Author: Jonathan Yu-Sheng Chou, Anaesthetic Registrar, Department of Anaesthetics, Mount Gambier and Districts Health Service, South Australia, Australia.

Received: March 13, 2025; Published: April 07, 2025

Abstract

Background: The childbirth experience is deeply affected by the critical issue of maternal dissatisfaction during labour. This case report analyses multiple factors that lead to dissatisfaction during childbirth with specific attention to the consequences of delayed epidural analgesia.

Case Presentation: This case report involves a 28-year-old woman with her first pregnancy who experienced premature membrane rupture at 39 weeks gestation. Through multiple antenatal visits, healthcare providers failed to document any discussions about pain management choices. The obstetric team-initiated oxytocin induction for the patient after admission to the labour ward as her labour was progressing too slowly. She asked for epidural analgesia when her pain increased but received it later because of multiple factors such as procedural problems and inadequate education on pain relief options. The first epidural insertion faced complications from catheter dislodgement which required a second attempt that proved successful.

Discussion: The case demonstrates the multifaceted nature of epidural analgesia delivery which involves both prompt administration difficulties and patient education challenges. Research suggests that when mothers experience delayed pain relief combined with inadequate information about pain relief options and their delivery methods, satisfaction levels decline. The patient's experience was negatively impacted by insufficient antenatal education on pain management which resulted in heightened anxiety and dissatisfaction.

Conclusion: Proactive informative communication with pain relief options during childbirth directly leads to improved satisfaction with mothers and their labour experience. Active efforts to engage and educate antenatally and prompt anaesthetic procedures during labour are critical to fulfill patient needs and improve their childbirth experience. We advocate for the first line use of epidural analgesia in an attempt to tackle these elements which allows for substantial reductions in maternal dissatisfaction with labour pain management.

 Keywords: Labour Analgesia; Antenatal Education; Epidural Dislodgement; Epidural Analgesia; Maternal Dissatisfaction; Patient Education

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Citation

Citation: Jonathan Yu-Sheng Chou and Raghunanda Narasimhaiah. “Factors Related to Maternal Dissatisfaction During Labour: A Case Report of the Delayed Epidural for Labour Analgesia”.Acta Scientific Medical Sciences 9.5 (2025): 41-45.

Copyright

Copyright: © 2025 Jonathan Yu-Sheng Chou and Raghunanda Narasimhaiah. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.