Knowledge and Acceptance of Labour Analgesia in Pregnant Women

Sharma, Mona; Dhungel, Saurya; Niroula, Sujata; Karki, Manan

doi:10.3126/jnhrc.v16i3.21428

Cited by 8 publications

(9 citation statements)

References 17 publications

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“…Such results are in contrast with the data obtained in our study, whose respondents first of all underlined the fear of dangerous complications connected with pharmacologically induced labor analgesia. It is worth adding that women in developing countries indicated that their main source of knowledge about pharmacological methods of labor analgesia was their doctor [29]. On the other hand, the results of our study were quite different.…”

Section: Discussioncontrasting

confidence: 79%

Pain Relief During Labor – What Do We Know and What Should We Know? Research Based on the Student Population in Warsaw

et al. 2020

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The aim: Women of reproductive age often think of motherhood and labor with fear of intense labor pain. The anxiety they experience can lead to their postponing pregnancy. There are not many studies in the literature that research the knowledge young women have about the analgesia of labor. The aim of the present work was to evaluate the state of awareness about the possible methods of labor analgesia among women of childbearing age. Material and methods: An Internet survey was conducted among 160 women. It consisted of questions on the pharmacological and non-pharmacological methods of labor analgesia. Most of the respondents were not medical university students (96.2%). Correct answers ranged between 11.3% and 97.5% of the total responses. Results: The greatest number of incorrect answers were given to the question regarding contraindications to labor anesthesia (only 11.3% of answers were correct). There was also a low percentage of correct answers to questions about the risk of spinal cord injury during the procedure of inducing anesthesia (18.8% of correct answers), the motor activity of a woman after analgesia (22.5%) and the reimbursement of anesthesia (29.4%). Nearly 40% of the respondents did not know the correct answer to the question about the possibility of breastfeeding after anesthesia. The problem of aalgesia during twin delivery also posed a challenge. Over half of the respondents (54.1%) incorrectly answered the question about the occurrence of complications among women who want to become pregnant again after the procedure of labor anesthesia. Moreover, 70.6% of the women surveyed considered non-pharmacological methods of labor anesthesia to be safer compared to pharmacological analgesia. The most commonly mentioned methods of non-pharmacological labor pain relief included breathing techniques and water birth. Conclusions: The study shows that women

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Section: Discussioncontrasting

confidence: 79%

Pain Relief During Labor – What Do We Know and What Should We Know? Research Based on the Student Population in Warsaw

et al. 2020

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“…Although awareness of painless labor was low, the majority (65.9% (95% CI 61.2-70.2%) of participants said they wanted to have labor analgesia for their next delivery. This was lower than studies in Uganda (87.7%) and in Nepal (72.2%) [16,24], but higher than studies by Prakash et al (16.43%) [15] and Yadav et al (13.5%) [25]. The most common reason given by women for not selecting labor analgesia for their next delivery was that it was against the will of God (35%).…”

Section: Discussionmentioning

confidence: 58%

Assessment of Awareness, Attitude and Desire for Labor Analgesia and Associated Factors Among Pregnant Women in Ethiopia: A Cross-Sectional Study

et al. 2020

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Introduction: Labor pain is the worst imaginable pain that women experience during their childbearing years. Untreated labor pain has numerous negative consequences, for both the mother and her fetus. Low levels of awareness and attitudes among pregnant women about labor analgesia is a major challenge that affects outcomes for both the mother and fetus. Therefore, this study aimed to assess the awareness of, attitude towards and desire for labor analgesia and its associated factors among pregnant women who visited an antenatal care facility. Methods: An institution-based, cross-sectional study was conducted from February to March 2019. Data were collected using semi-structured questionnaires by a convenience sampling technique. Data were entered using EpiData 4.2 and exported to SPSS version 20 software for analysis. Both bivariate and multivariate binary logistic regression analysis were used to identify factors associated with awareness, attitude and desire for labor analgesia among pregnant women. Crude odds ratio (COR) and adjusted odds ratio (AOR) were calculated to show the strength of association. Results: A total of 410 participants were included. Thirty-three (8%) of the pregnant women who visited the antenatal care facility were found to have an awareness of labor analgesia. In multivariate analysis, the likelihood of having awareness of labor analgesia was 7.227 times (AOR: 7.227, 95%, CI 2.406-21.720) greater among parous versus nulliparous mothers. The odds of having awareness of labor analgesia were 3.133 times (AOR: 3.133, 95%; CI 1.144-8.581) greater among government employees than among housewives. The odds of having a good attitude towards labor analgesia were 6.488 times (AOR: 6.488, 95% CI 1.894-22.227) higher in government employees than in farmers. Women in the age group of 25-31 years were 1.815 times more likely to want labor analgesia for their next delivery (AOR: 1.815, 95% CI 1.103-2.989). Conclusions: The awareness of labor analgesia among pregnant women was low. There is a need for teamwork by all stakeholders in health sectors to improve attitudes and increase the desire for labor analgesia among pregnant women who visit antenatal care facilities.

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“…In labor, alternative methods of pain management appear less common than in menstruation or MA; the focus is on tolerating pain rather than on pain management. In these countries, it is possible that use of pain medications is related to limited knowledge of analgesic options, restricted availability, high cost, provider unwillingness to prescribe medications for these indications, and lack of cultural acceptance of pain medication [23–25].…”

Section: Discussionmentioning

confidence: 99%

Experiences with pain of early medical abortion: qualitative results from Nepal, South Africa, and Vietnam

Grossman

Raifman²,

Bessenaar

et al. 2019

BMC Women's Health

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Background Medical abortion (MA) has become an increasingly popular choice for women even where surgical abortion services are available. Pain is often cited by women as one of the worst aspects of the MA experience, yet we know little about women’s experience with pain management during the process, particularly in low resource settings. The aim of this study is to better understand women’s experiences of pain with MA and strategies for improving quality of care. Methods This qualitative study was conducted as part of a three-arm randomized, controlled trial in Nepal, Vietnam, and South Africa to investigate the effect of prophylactic pain management on pain during MA through 63 days’ gestation. We purposively sampled seven parous and seven nulliparous women with a range of reported maximum pain levels from each country, totaling 42 participants. Thematic content analysis focused on MA pain experiences and management of pain compared to menstruation, labor, and previous abortions. Results MA is relatively less painful compared to giving birth and relatively more painful than menstruation, based on four factors: pain intensity, duration, associated symptoms and side effects, and response to pain medications. We identified four types of pain trajectories: minimal overall pain, brief intense pain, intermittent pain, and constant pain. Compared to previous abortion experiences, MA pain was less extreme (but sometimes longer in duration), more private, and less frightening. There were no distinct trends in pain trajectories by treatment group, parity, or country. Methods of coping with pain in MA and menstruation are similar in each respective country context, and use of analgesics was relatively uncommon. The majority of respondents reported that counseling about pain management before the abortion and support during the abortion process helped ease their pain and emotional stress. Conclusions Pain management during MA is increasingly essential to ensuring quality abortion care in light of the growing proportion of abortions completed with medication around the world. Incorporating a discussion about pain expectations and pain management strategies into pre-MA counseling and providing access to information and support during the MA process could improve the quality of care and experiences of MA patients. Trial registration Australian New Zealand Clinical Trials Registry ACTRN12613000017729, registered January 8, 2013.

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Knowledge and Acceptance of Labour Analgesia in Pregnant Women

Cited by 8 publications

References 17 publications

Pain Relief During Labor – What Do We Know and What Should We Know? Research Based on the Student Population in Warsaw

Pain Relief During Labor – What Do We Know and What Should We Know? Research Based on the Student Population in Warsaw

Assessment of Awareness, Attitude and Desire for Labor Analgesia and Associated Factors Among Pregnant Women in Ethiopia: A Cross-Sectional Study

Experiences with pain of early medical abortion: qualitative results from Nepal, South Africa, and Vietnam

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