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The Painless Push ( is an engaging and interactive patient education website that is tailored to the New Mexican population to provide patients evidence-based information about pain relief options for labor and delivery. We hypothesized that having an increased knowledge base and understanding of pain relief options during labor and delivery may help patients feel more prepared for delivery, more comfortable with their various pain relief options, and overall more satisfied with the experience of child birth. In review of the current literature, it was identified there has not been a validated tool developed to analyze this experience

In a systematic review of women’s experience of childbirth[1], it was identified that maternal satisfaction of childbirth experience was multi-dimensional and depended mostly on four identified measures: their personal expectations, support from caregivers, patient-caregiver relationship and maternal involvement and feelings of control in decision making. Using results of an additional systematic review evaluating patient-satisfaction measures throughout the field of Anesthesia[2], we developed a Likert multipoint scale to qualitatively measure 10 statements to be assessed in the early post-partum period evaluating their satisfaction of their child birth experience. Items surveyed included elements pertaining to their personal expectations, support from caregivers, patient-caregiver relationship and maternal involvement and feelings of patient choice in pain management and autonomy in decision making. Additionally, we assessed their satisfaction with the information they received, their feelings of safety in regard to pain relief options, and if they were pain free were also measured. We are currently in the process of early data collection and hope to identify if our educational website holds any impact on maternal satisfaction. The evaluation tool and website is available in both English and Spanish. We further hope to identify if prior differences in satisfaction with pain relief in labor between Hispanic and non-Hispanic women are abated when primary-language specific information is provided to patients.

[1] Hodnett E. Pain and women's satisfaction with the experience of childbirth: a systematic review. American Journal of Obstetrics and Gynecology. 2002;186(5):172.

[2] Barnett SF, Alagar RK, Grocott MP, Giannaris S, Dick JR, Moonesinghe SR. Patient-satisfaction measures in anesthesia: qualitative systematic review. Anesthesiology. 2013;119:452-478.


Presented at the University of New Mexico Health Science 2020 Annual Quality Improvement and Patient Safety Symposium



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