BACKGROUND: Epidural @entity1337 reduces @entity158 and @entity148 during childbirth. In this randomized controlled trial, we sought to determine whether partner presence during the initiation of epidural @entity1337 reduces stress of both the mother and her partner and their perception of @entity158 . METHODS: Healthy, nulliparous @entity1 who were accompanied by their partners and requested neuraxial @entity1337 were enrolled into the study. The study took place in the Labor and Delivery Unit of a large tertiary hospital in Israel. Upon request for epidural @entity1337 , both partners were assessed for baseline @entity148 (numerical rating scale, 0 to 10), systolic blood pressure, heart rate, estimated contraction @entity158 of parturient (verbal rating scale for @entity158 , 0 to 10), and salivary amylase. After measurements, couples were randomized into 1 of 2 groups: "partner in" and "partner out." Immediately after epidural catheter insertion, @entity148 , arterial blood pressure, heart rate, and salivary amylase were measured again in both partners. Both partners were asked to complete the State Anxiety Inventory questionnaire measuring current @entity148 . The parturient was asked to rate the @entity158 of epidural catheter insertion. The primary outcome measurement was parturient and partner @entity148 as assessed by the numerical rating scale. RESULTS: Eighty-four couples were randomized (partner in 41, partner out 42, protocol violation 1). At baseline there was no difference in self-reported @entity148 of parturients between the partner-in and partner-out groups (median interquartile range 7.5 [6.0 to 9.0] versus 7.0 [3.5 to 8.5]; P = 0.26, difference in medians = -1.0; 95% confidence interval [CI] of difference -2.0 to 1.0). After epidural catheter insertion, parturients in the partner-in group had a higher level of @entity148 than those in the partner-out group (8.0 [7.0 to 10.0] versus 7.0 [5.0 to 9.0]; P = 0.03, difference in medians -1.0; 95% CI of difference -2.0 to 0.0). @entity158 scores during epidural catheter placement were higher in partner-in than in partner-out groups (7.0 [4.0 to 8.0] versus 4.0 [3.0 to 6.0]; P = 0.004, difference in medians = -2.0; 95% CI of difference -3.0 to -1.0). CONCLUSION: Partner presence during epidural catheter insertion for labor @entity1337 did not decrease @entity148 levels. To the contrary, @entity148 and @entity158 of epidural catheter placement were greater if the partner remained in the room.

Partner's presence during initiation of epidural labor XXXX does not decrease maternal stress: a prospective randomized controlled trial.

@entity1 :: ('9606', 'Species') :: ['women'] @entity1337 :: ('MESH:D000699', 'Disease') :: ['analgesia'] @entity148 :: ('MESH:D001008', 'Disease') :: ['anxiety'] @entity158 :: ('MESH:D010146', 'Disease') :: ['maternal pain', 'Pain', 'pain']
@entity1337 :: (MESH:D000699,Disease) :: ['analgesia']
