Dr. Kaitlin Banasiewicz presents research at Southern Nursing Research Society Annual Conference

Dr. Kaitlin Banasiewicz, Director of Patient Safety and Clinical Research at Med Center Health, recently presented her research at the Southern Nursing Research Society (SNRS) Annual Conference. Her podium presentation, “A Grounded Theory Study of Birthing People’s Decision-Making on Childbirth Pain Management,” explored how first-time birthing people make and modify decisions about pain management throughout pregnancy and labor.

Using a constructivist grounded theory approach, Dr. Banasiewicz examined how sociocultural influences such as family, friends, social media, and healthcare providers shape childbirth pain management preferences from the antepartum period through delivery. Her findings revealed that many participants initially desired a natural childbirth experience, often defined as giving birth without an epidural or other pain medications. These preferences were frequently influenced by personal networks and online information. However, during labor, decisions often shifted toward receiving pain medication and/or an epidural. These changes were commonly driven by increasing pain intensity, clinical interventions, and guidance from support persons.

The study highlights gaps in standardized prenatal education related to childbirth pain management. Participants often entered labor without consistent, evidence-based information about available options, as well as the risks and benefits associated with those options. As a result, many made significant pain management decisions in real time during moments of extreme discomfort.

Dr. Banasiewicz’s research underscores the need for earlier, patient-centered education and improved alignment between patient preferences and hospital practices. By strengthening prenatal education and provider-patient communication, healthcare systems can better support informed decision-making and improve the overall birth experience. Her work contributes to ongoing conversations about equity, patient autonomy, and evidence-based practice in maternal health.

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