Awareness, attitude and willingness to receive labour analgesia among pregnant women attending maternity hospitals in Eastern U.P.

Khan, Imran Ahmed; Malik, Najma Iqbal; Mishra, Richa; Tiwari, Harish Chandra; Shahi, Veena

doi:10.1016/j.cegh.2022.101157

Cited by 6 publications

(13 citation statements)

References 18 publications

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“…The study found that 57 (34.1%) participants were aware of labor pain relief methods. This result aligns with previous studies in Debre Tabor Specialized Referral Hospital at 34.5% (44) and in India at 29.4% (37). In contrast, it is higher than studies at the University of Gondar Comprehensive Specialized Hospital (8%) (42) and Remote Island (7.14%) (24).…”

Section: Discussionsupporting

confidence: 90%

“…43.8% experienced mild pain in the previous delivery and saw no need for labor analgesia. This aligns with a study from India (37) The analysis in the recent study showed that factors such as being a housewife, place of residence, awareness, and short labor duration were signi cantly associated with mothers' willingness to use labor pain relief. The multivariable regression result indicated that a housewife was 8.4 times more likely to opt for obstetric labor analgesia compared to government employees.…”

Section: Discussionsupporting

confidence: 87%

“…Research indicates an increasing cesarean rate in Ethiopia, (48), possibly due to government employees opting for cesarean birth to avoid labor pain Similarly, women residing in urban areas showed a signi cantly higher likelihood of being willing to undergo labor analgesia compared to women living in rural areas, with those in urban areas being 2.62 times more likely to consider obstetric analgesia. This outcome aligns with the research carried out at Debre Tabor Specialized Referral Hospital (44) The research ndings indicated that women who were aware of obstetric labor analgesia were nearly twice as likely to consider practicing labor analgesia compared to others (AOR: 1.70, 95% CI: 1.00, 2.60), aligning with similar results in India (37).…”

Section: Discussionsupporting

confidence: 85%

“…In this research, 117 (29.4%) females expressed readiness to undergo obstetric pain relief. Contrastingly, in India, 68% of expectant mothers expressed willingness for labor pain relief during delivery (37). The variation could stem from better education on pain relief techniques in pregnancies and the socioeconomic status of the Indian population.…”

Section: Discussionmentioning

confidence: 97%

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Determinants and willingness to practice obstetric analgesia among women attending antenatal clinic at Dr. Bogalech Gebre Memorial General Hospital Central Ethiopia, 2022

Geltore,

Alemu,

Taye

et al. 2024

Preprint

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Background: Contraction is possibly, the most painful experience which is manifested by most women, and the experience of labor pain is exclusive to individual women, hence then, it is only parturient who can label the extent of pain she is going through. This study aimed to evaluate factors influencing the willingness to receive labor analgesia among women attending the antenatal clinic at Dr. Bogalech Gebre Memorial General Hospital Central Ethiopia in 2022. Methods: A cross-sectional study was conducted involving 398 randomly selected participants. Data was collected using a structured questionnaire through face-to-face interviews from January to March 2023. Information was inputted in EpiData 4.2 and transferred to SPSS version 20 for analysis. Both bivariate and multivariate binary logistic regressions were conducted to determine factors related to pregnant women's willingness to choose labor analgesia. COR and AOR were computed to assess the association between variables. Results: A total of 398 (94%) pregnant women participated in this study. Overall, 117 (29.4%) of the pregnant women had practiced labor pain management. Being a housewife (AOR: 8.35, 95% CI: 2.07, 33.63. p <). Women who live in urban (AOR: 2.60, 95% CI: 1.29, 5.29).Having had (AOR: 1.70, 95% CI: 1.00, 2.60). The short duration of labor time (AOR: 1.84, 95% CI: 1.15, 2.96) was significantly associated factors with willingness to practice labor analgesia. Conclusion and Recommendation: We conclude that the willingness of pregnant mothers' toward obstetric analgesia practice was low in the study area. Being a housewife, residence, awareness, and short duration of labor were statistically significant with the willingness of the mothers to practice labor analgesia. Pregnant women in the present study had poor knowledge of obstetric analgesia methods in general. Hence, all responsible bodies have to work on the provision of appropriate health education specifically labor pain management options, and reducing the worries and misunderstandings of parturient to scale up its methods and practice.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionsupporting

confidence: 87%

Section: Discussionsupporting

confidence: 85%

Section: Discussionmentioning

confidence: 97%

See 2 more Smart Citations

Determinants and willingness to practice obstetric analgesia among women attending antenatal clinic at Dr. Bogalech Gebre Memorial General Hospital Central Ethiopia, 2022

Geltore,

Alemu,

Taye

et al. 2024

Preprint

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“…This information will help them in decision making to consider these options during delivery. 6 Labor ward nurses should also be encouraged to offer labor pain relief services and help willing parturients to avail theses services in compliance with American College of Obstetricians and Gynecologists (ACOG) guidelines. 7 The search for an ideal agent and technique to abolish labor pain has attracted the attention and interest of many researchers.…”

Section: Introductionmentioning

confidence: 99%

Perception, attitude, and practice of labor analgesia among obstetric care providers in Eastern Uttar Pradesh

et al. 2023

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Background: Labor pain is among the foremost severe pain that ladies experience in their lifespan, if inadequately treated can lead to certain complications in labor. Relieving this pain with medical interventions is also full of misconceptions and disagreement among people. Different traditional and pharmacological methods for labor pain relief are utilized by obstetric care providers. Aims and Objectives: The aim of the study was to obtain perception, attitude, and practice of labor analgesia among obstetric care providers in Eastern Uttar Pradesh. Materials and Methods: A cross-sectional online survey was conducted among obstetric care providers practicing in eastern Uttar Pradesh to access the perception, attitude, and practice of labor analgesia. Results: A total of 152 valid responses were obtained from the 250 participants contacted (response rate of 60.8%). The majority (98%) of them were in favor of utilizing some or the other technique of labor pain relief, and 80.3% of the participants were utilizing some of the available methods solely or in combination. Non-pharmacological methods were the most frequently used technique (77.9%). Epidural analgesia was used by only 9.8% of participants. Less awareness among pregnant women, fear of harm to the baby, lack of dedicated supporting staff, and non-availability of anesthesiologists were among the most commonly pointed out as barriers to utilizing labor epidural analgesia. Conclusion: The majority of obstetric care providers were in favor of using some or the other technique of labor analgesia, but there was a large gap between the practice and attitude among health-care service providers regarding labor analgesia. Epidural analgesia was practiced very less due to some myths and scarcity of workforce.

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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

Geltore,

Alemu,

Taye

et al. 2024

BMC Pregnancy Childbirth

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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 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 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 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.

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Awareness, attitude and willingness to receive labour analgesia among pregnant women attending maternity hospitals in Eastern U.P.

Cited by 6 publications

References 18 publications

Determinants and willingness to practice obstetric analgesia among women attending antenatal clinic at Dr. Bogalech Gebre Memorial General Hospital Central Ethiopia, 2022

Determinants and willingness to practice obstetric analgesia among women attending antenatal clinic at Dr. Bogalech Gebre Memorial General Hospital Central Ethiopia, 2022

Perception, attitude, and practice of labor analgesia among obstetric care providers in Eastern Uttar Pradesh

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

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