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However, empirical evidence regarding their effectiveness in reducing epidural use remains inconclusive. Investigating women\u2019s experiences with relaxation techniques during labour, alongside their use of epidural, may provide further insights into these conflicting results.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To investigate women\u2019s experiences regarding the impact of relaxation practices on labour pain and the utilisation of epidurals, following attendance at an antenatal relaxation class (ARC).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>An exploratory sequential mixed method was used.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Phase 1 explored the experiences of women using qualitative interviews. Phase 2 was a prospective longitudinal cohort study using online surveys completed before and after attending ARC and post-birth.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Of the 17 women interviewed in Phase 1, all 15 who experienced labour reported using \u2018\n                      <jats:bold>relaxation for labour pain<\/jats:bold>\n                      \u2019 which enhanced their ability to\n                      <jats:italic toggle=\"yes\">cope with labour pain<\/jats:italic>\n                      , resulting in\n                      <jats:italic toggle=\"yes\">satisfaction and pride.<\/jats:italic>\n                      However, the effectiveness of these practices in influencing epidural use depended on the \u2018\n                      <jats:bold>space for relaxation<\/jats:bold>\n                      \u2019 shaped by the physical\n                      <jats:italic toggle=\"yes\">surroundings, clinical context<\/jats:italic>\n                      , and\n                      <jats:italic toggle=\"yes\">birth attendants<\/jats:italic>\n                      . Among the 91 women who participated in Phase 2, both the \u2018intended use of epidural\u2019 post-class and the \u2018actual use of epidural\u2019 post-birth were significantly lower than the \u2018intended use of epidural\u2019 pre-class. Women whose labour started spontaneously reported using relaxation techniques at home to manage pain, and most delayed hospitalisation until labour was established.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Educating women on relaxation practices can enhance their ability to cope with labour pain and reduce the use of epidural for pain management.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17455057261435178","type":"journal-article","created":{"date-parts":[[2026,4,8]],"date-time":"2026-04-08T11:18:32Z","timestamp":1775647112000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Effect of relaxation practices on labour pain and choice of epidural: An exploratory mixed-method study"],"prefix":"10.1177","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-6248-5385","authenticated-orcid":false,"given":"Mo","family":"Tabib","sequence":"first","affiliation":[{"name":"School of Health, Robert Gordon University, Aberdeen, UK"},{"name":"School of Health &amp; Social Care, Edinburgh Napier University, Edinburgh, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tracy","family":"Humphrey","sequence":"additional","affiliation":[{"name":"College of Nursing and Health Sciences, Flinders University, Adelaide, SA, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4076-610X","authenticated-orcid":false,"given":"Katrina","family":"Forbes-McKay","sequence":"additional","affiliation":[{"name":"School of Law and Social Sciences, Robert Gordon University, Aberdeen, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,4,8]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"crossref","unstructured":"Buckley SJ. 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