Determinants and willingness to practice obstetric analgesia among women attending antenatal clinic at Dr. Bogalech Gebre Memorial General Hospital Central Ethiopia: a cross-sectional study.


Journal

BMC pregnancy and childbirth
ISSN: 1471-2393
Titre abrégé: BMC Pregnancy Childbirth
Pays: England
ID NLM: 100967799

Informations de publication

Date de publication:
10 Jul 2024
Historique:
received: 02 03 2024
accepted: 03 07 2024
medline: 11 7 2024
pubmed: 11 7 2024
entrez: 10 7 2024
Statut: epublish

Résumé

Labor pain is uniquely experienced and described by the woman giving birth, and it is often considered one of the most excruciating experiences for many women. This study aimed to evaluate factors associated with the willingness to receive labor analgesia among women attending the antenatal clinic at Dr. Bogalech Gebre Memorial General Hospital Central Ethiopia in 2022. An institution-based, cross-sectional study was conducted from January to March 2022. Data were collected using semi-structured questionnaires by a convenience sampling technique. Data was entered in EpiData 4.2 and exported to SPSS version 20 for analysis. Both Bivariable and multivariable logistic regressions were conducted to determine factors associated with pregnant women's willingness to choose labor analgesia. Crude odds ratio (COR) and adjusted odds ratio (AOR) were computed to assess the association between variables. A total of 398 pregnant women have participated in the study with a response rate of 94%. Nearly 30%, (29.4%) of the pregnant women had a willingness to practice labor pain management. Being a housewife (AOR: 8.35, 95% CI: 2.07, 33.63). Women who live in urban (AOR: 2.60, 95% CI: 1.29, 5.29). Having had awareness about labor analgesia (AOR: 1.70, 95% CI: 1.00, 2.60) and the short duration of labor time (AOR: 1.84, 95% CI: 1.15, 2.96) were statistically significant with a willingness to practice labor analgesia. We conclude that the willingness of pregnant mothers' toward obstetric analgesia practice was low in the study area. Being a housewife, urban residence, awareness about labor analgesia, and short duration of labor were statistically significant with the willingness of the mothers to practice labor analgesia. To increase willingness to use labor analgesia, authorities should prioritize delivering health education on pain management choices to address concerns and promote effective methods and practices.

Sections du résumé

BACKGROUND BACKGROUND
Labor pain is uniquely experienced and described by the woman giving birth, and it is often considered one of the most excruciating experiences for many women. This study aimed to evaluate factors associated with the willingness to receive labor analgesia among women attending the antenatal clinic at Dr. Bogalech Gebre Memorial General Hospital Central Ethiopia in 2022.
METHODS METHODS
An institution-based, cross-sectional study was conducted from January to March 2022. Data were collected using semi-structured questionnaires by a convenience sampling technique. Data was entered in EpiData 4.2 and exported to SPSS version 20 for analysis. Both Bivariable and multivariable logistic regressions were conducted to determine factors associated with pregnant women's willingness to choose labor analgesia. Crude odds ratio (COR) and adjusted odds ratio (AOR) were computed to assess the association between variables.
RESULTS RESULTS
A total of 398 pregnant women have participated in the study with a response rate of 94%. Nearly 30%, (29.4%) of the pregnant women had a willingness to practice labor pain management. Being a housewife (AOR: 8.35, 95% CI: 2.07, 33.63). Women who live in urban (AOR: 2.60, 95% CI: 1.29, 5.29). Having had awareness about labor analgesia (AOR: 1.70, 95% CI: 1.00, 2.60) and the short duration of labor time (AOR: 1.84, 95% CI: 1.15, 2.96) were statistically significant with a willingness to practice labor analgesia.
CONCLUSION CONCLUSIONS
We conclude that the willingness of pregnant mothers' toward obstetric analgesia practice was low in the study area. Being a housewife, urban residence, awareness about labor analgesia, and short duration of labor were statistically significant with the willingness of the mothers to practice labor analgesia. To increase willingness to use labor analgesia, authorities should prioritize delivering health education on pain management choices to address concerns and promote effective methods and practices.

Identifiants

pubmed: 38987713
doi: 10.1186/s12884-024-06674-x
pii: 10.1186/s12884-024-06674-x
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

470

Informations de copyright

© 2024. The Author(s).

Références

Obstetricians, ACo. Gynecologists. ACOG practice bulletin 209: obstetric analgesia and anesthesia. Obstet Gynecol. 2019;133(3):e208–25.
doi: 10.1097/AOG.0000000000003132
Sehmbi H, D’Souza R, Bhatia A. Low back pain in pregnancy: investigations, management, and role of neuraxial analgesia and anaesthesia: a systematic review. Gynecol Obstet Invest. 2017;82(5):417–36.
doi: 10.1159/000471764 pubmed: 28514779
Ali M, Sultan SF, Kumar A, Ghouri N, Knowledge. Attitude and Practices of Labor Analgesia amongst healthcare workers and patients: a single center cross sectional study. Pakistan J Med Sci. 2020;36(1):S4.
Benfield R, Heitkemper MM, Newton ER. Culture, bathing and hydrotherapy in labor: an exploratory descriptive pilot study. Midwifery. 2018;64:110–4.
doi: 10.1016/j.midw.2018.06.005 pubmed: 29961561 pmcid: 7104660
Abasiattai AM, Olatunbosun O, Edubio MN. Awareness and desirability of antenatal attendees about analgesia during childbirth in a university teaching hospital in southern Nigeria. Int J Rep Contra Obstet Gynecol. 2016;5(5):1540–4.
doi: 10.18203/2320-1770.ijrcog20161320
Long Q, Kingdon C, Yang F, Renecle MD, Jahanfar S, Bohren MA, et al. Prevalence of and reasons for women’s, family members’, and health professionals’ preferences for cesarean section in China: a mixed-methods systematic review. PLoS Med. 2018;15(10):e1002672.
doi: 10.1371/journal.pmed.1002672 pubmed: 30325928 pmcid: 6191094
Fuglenes D, Aas E, Botten G, Øian P, Kristiansen IS. Why do some pregnant women prefer cesarean? The influence of parity, delivery experiences, and fear. Am J Obstet Gynecol. 2011;205(1):45. e1-. e9.
doi: 10.1016/j.ajog.2011.03.043
Jones L, Othman M, Dowswell T, Alfirevic Z, Gates S, Newburn M et al. Pain management for women in labour: an overview of systematic reviews. Cochrane Database Syst Reviews. 2012(3).
Lawani LO, Eze JN, Anozie OB, Iyoke CA, Ekem NN. Obstetric analgesia for vaginal birth in contemporary obstetrics: a survey of the practice of obstetricians in Nigeria. BMC Pregnancy Childbirth. 2014;14(1):1–6.
doi: 10.1186/1471-2393-14-140
Umoiyoho A, Inyang-Etoh E, Shittu O. Mothers’ perception of the need for Social Companionship during Labour in the University of Uyo Teaching Hospital, Uyo, Akwa Ibom State, Nigeria. Nigerian Med Practitioner. 2011;59(5–6):62–7.
Brennan F, Lohman D, Gwyther L. Access to pain management as a human right. Am J Public Health. 2019;109(1):61–5.
doi: 10.2105/AJPH.2018.304743 pubmed: 32941757 pmcid: 6301399
Burci GL. The World Health Organization at 70: challenges and Adaptation: introductory notes. Int Organ law Rev. 2019;16(2):229–41.
doi: 10.1163/15723747-01602001
Organization WH. World Health statistics 2016 [OP]: Monitoring Health for the Sustainable Development Goals (SDGs). World Health Organization; 2016.
Bulletins-Obstetrics C. Practice bulletin 177: obstetric analgesia and anesthesia. Obstet Gynecol. 2017;129(4):e73–89.
doi: 10.1097/AOG.0000000000002018
Organization WH. WHO recommendations on intrapartum care for a positive childbirth experience. World Health Organization; 2018.
Anim-Somuah M, Smyth RM, Cyna AM, Cuthbert A. Epidural versus non‐epidural or no analgesia for pain management in labour. Cochrane Database Syst Reviews. 2018(5).
Barakzai A, Haider G, Yousuf F, Haider A, Muhammad N. Awareness of women regarding analgesia during labour. J Ayub Med Coll Abbottabad. 2010;22(1):73–5.
pubmed: 21409909
Rachmawati IN. Maternal reflection on labour pain management and influencing factors. Br J Midwifery. 2012;20(4):263–70.
doi: 10.12968/bjom.2012.20.4.263
Steel A, Adams J, Sibbritt D, Broom A, Gallois C, Frawley J. Managing the pain of labour: factors associated with the use of labour pain management for pregnant A ustralian women. Health Expect. 2015;18(5):1633–44.
doi: 10.1111/hex.12155 pubmed: 24304970
Mędrzycka-Dabrowska W, Czyż-Szypenbejl K, Pietrzak J. A review of randomized trials comparisons of epidural with parenteral forms of pain relief during labour and its impact on operative and cesarean delivery rate. Ginekologia Polska. 2018;89(8):460–7.
doi: 10.5603/GP.a2018.0079 pubmed: 30215467
McCauley M, Stewart C, Kebede B. A survey of healthcare providers’ knowledge and attitudes regarding pain relief in labor for women in Ethiopia. BMC Pregnancy Childbirth. 2017;17:1–6.
doi: 10.1186/s12884-017-1237-4
Bandyopadhyay KH, Afzal M, Mishra AK, Paul A. Labor epidural analgesia: past, present and future. Indian J Pain. 2014;28(2):71–81.
doi: 10.4103/0970-5333.132843
Ogboli-Nwasor E, Adaji S, Bature S, Shittu O. Pain relief in labor: a survey of awareness, attitude, and practice of health care providers in Zaria, Nigeria. J pain Res. 2011:227–32.
Prakash A, Yadav A, Karim H, Sahoo S, Jena P, Aman K. Knowledge, awareness and acceptance of labor analgesia among antenatal women in a remote island: a questionnaire based study. Br J Med Med Res. 2017;21(10):1–7.
doi: 10.9734/BJMMR/2017/33980
Smith CA, Levett KM, Collins CT, Armour M, Dahlen HG, Suganuma M. Relaxation techniques for pain management in labour. Cochrane Database Syst Reviews. 2018(3).
Thomson G, Feeley C, Moran VH, Downe S, Oladapo OT. Women’s experiences of pharmacological and non-pharmacological pain relief methods for labour and childbirth: a qualitative systematic review. Reproductive Health. 2019;16:1–20.
doi: 10.1186/s12978-019-0735-4
Souza MA, Guida JP, Cecatti JG, Souza JP, Gulmezoglu AM, Betran AP et al. Analgesia during labor and vaginal birth among women with severe maternal morbidity: secondary analysis from the WHO multicountry survey on maternal and newborn health. BioMed research international. 2019;2019.
Mousa O, Abdelhafez AA, Abdelraheim AR, Yousef AM, Ghaney AA, El Gelany S. Perceptions and practice of labor pain-relief methods among health professionals conducting delivery in minia maternity units in Egypt. Obstetrics and gynecology international. 2018;2018.
Aziato L, Kyei AA, Deku G. Experiences of midwives on pharmacological and non-pharmacological labour pain management in Ghana. Reproductive Health. 2017;14:1–8.
doi: 10.1186/s12978-017-0398-y
Visser GH, Ayres-de-Campos D. FIGO consensus guidelines on intrapartum fetal monitoring: adjunctive technologies. Int J Gynecol Obstet. 2015;131(1):25–9.
doi: 10.1016/j.ijgo.2015.06.021
Wakgari N, Mekonnen M, Lema B, Negasu A, Lulu B, Abebe E. Labour pain management practices among obstetric care providers in Hawassa city, Ethiopia. Afr J Midwifery Women’s Health. 2020;14(2):1–12.
doi: 10.12968/ajmw.2018.0031
Imarengiaye CO. Trends in pain relief in labour: implications for obstetric analgesia service in Nigeria. Niger Postgrd Med J. 2005;12(3):193–202.
doi: 10.4103/1117-1936.175283
Bitew A, Workie A, Seyum T, Demeke T. Utilization of obstetric analgesia in labor pain management and associated factors among obstetric care givers in Amhara Regional State Referral hospitals, Northwest Ethiopia: a hospital-based cross-sectional study. J Biomed Sci. 2016;5(2):3.
doi: 10.4172/2254-609X.100029
Sahile E, Yemaneh Y, Alehegn A, Nigussie W, Salahuddin M, Yekoye A et al. Practice of Labour Pain Management Methods and Associated Factors among Skilled attendants Working at General Hospitals in Tigray Region, North Ethiopia: Hospital Based Cross-sectional Study Design. Health Sci J. 2017;11(4).
Geltore TE, Taye A, Kelbore AG. Utilization of obstetric analgesia in labor pain management and associated factors among obstetric caregivers in public health facilities of Kembata Tembaro Zone, Southern Ethiopia. J pain Res. 2018:3089–97.
Khan IA, Malik N, Mishra R, Tiwari HC, Shahi V. Awareness, attitude and willingness to receive labour analgesia among pregnant women attending maternity hospitals in Eastern UP. Clin Epidemiol Global Health. 2022;18:101157.
doi: 10.1016/j.cegh.2022.101157
Wong CA. Advances in labor analgesia. Int J women’s health. 2010:139–54.
Nabukenya MT, Kintu A, Wabule A, Muyingo MT, Kwizera A. Knowledge, attitudes and use of labour analgesia among women at a low-income country antenatal clinic. BMC Anesthesiol. 2015;15:1–6.
doi: 10.1186/s12871-015-0078-9
Kapadia S, Parmar K, Solanki N, Patadia K. Knowledge, awareness and attitude of antenatal women towards labor pain and labor pain relief. BJKines. 2013;5(1):11–4.
Karuga R, Nekyon D, Mung’ayi V. Knowledge, attitude and use of labour pain relief methods among women attending antenatal clinic in Nairobi. East Afr Med J. 2008;85(9):438–41.
doi: 10.4314/eamj.v85i9.117084 pubmed: 19537416
GK P, Sameera L. Awareness of labour analgesia among antenatal women in semi urban area. Int J Reprod Contracept Obstet Gynecol. 2019;5(8):2613.
Workie MM, Chekol WB, Fentie DY, Ahmed SA, Bizuneh YB. Assessment of awareness, attitude and desire for labor analgesia and associated factors among pregnant women in Ethiopia: a cross-sectional study. Pain Therapy. 2021;10:363–76.
doi: 10.1007/s40122-020-00212-1 pubmed: 33108609
Haso T, Horeto A, Abdu S, Neme A. Utilization of non-pharmacological labor pain management methods and associated factors among women gave birth at Jimma medical center, Jimma, Southwest Ethiopia. Clin Mother Child Health S. 2021;18:1000003.
Mezemir RO. Trends and associated factors of cesarean section rate in Ethiopia:evidence from 2000–2019 Ethiopia demographic and health survey data. PLoS ONE. 3023;18(3):e0282951.
doi: 10.1371/journal.pone.0282951
Negash ASaTTA TT. Awareness, attitude and associated factors of labor analgesia among pregnant women attending antenatal care: a cross sectional study. Int J Surg Open. 2021;36.
Hollander MvHE, van Dillen J, van Pampus M, de Miranda E. Preventing traumatic childbirth experiences. Women’s Perceptions Views Arch Women’s Ment Health. 2017;20(4):515–23.
doi: 10.1007/s00737-017-0729-6

Auteurs

Teketel Ermias Geltore (TE)

Department of Midwifery, College of Medicine and Health Science, Wachemo University, Durame Campus, Durame, Ethiopia. teketelermias@gmail.com.
Teketel Ermias Geltore, PO Box 667, Wachemo, Ethiopia. teketelermias@gmail.com.

Getachew Alemu (G)

Department of Medical Laboratory Science, College of Medicine and Health Science, Wachemo University, Durame Campus, Durame, Ethiopia.

Ayanos Taye (A)

Nursing Department, School of Nursing and Midwifery, College of Health Sciences and Medicine, Jimma University, Jimma, Ethiopia.

Eden Sileshi (E)

Department of Midwifery, College of Medicine and Health Science, Wachemo University, Durame Campus, Durame, Ethiopia.

Merkin Bekele (M)

Department of Midwifery, College of Medicine and Health Science, Wachemo University, Durame Campus, Durame, Ethiopia.

Lakew Lafebo Foto (LL)

School of Public Health, Institute of Health Science, BuleHora University, BuleHora, Ethiopia.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH