Knowledge and Acceptance of Labour Analgesia in Pregnant Women

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

doi:10.33314/jnhrc.v16i3.1085

Cited by 7 publications

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“…This could also be the reason why the residents only "sometimes" employed labor analgesia for their patients. Routine counseling to all pregnant females was not given, which could lead to a lack of awareness among the patients similar to the study by Sharma et al [ 12 ], on pregnant females where only 16% had awareness of labor analgesia.…”

Section: Discussionmentioning

confidence: 96%

Knowledge, Attitude, and Practices of Labor Analgesia Amongst Obstetric Residents: A Cross-Sectional Survey

Vijapurkar,

Sandeep,

Kalbande

et al. 2024

Cureus

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Background: Labor analgesia plays a crucial role in ensuring a comfortable and positive birthing experience. It provides physiological benefits to both the mother and the child. Knowledge, awareness, and communication between the anesthesiologist and the obstetrician are essential for the safe conduct of labor analgesia. We conducted this cross-sectional online survey amongst obstetric residents to assess their knowledge, attitude, and practices of labor analgesia. Methods: A structured questionnaire consisting of 19 questions was circulated amongst obstetric residents of various hospitals via electronic mode of communication. The responses were analyzed using statistical methods. Results: Among the obstetric residents that we surveyed, 75.7% of them only sometimes employed labor analgesia for their patients. The most commonly employed methods of pain relief are opioids and non-steroidal anti-inflammatory drugs (NSAID). Most of them feel that pain-free labor is necessary because it makes the whole labor process a pleasurable one. Labor analgesia was mostly advocated at patients' request and demand. The barrier to using labor analgesia was most commonly found to be the non-availability of labor analgesia services. Conclusion: Despite the increasing awareness of labor analgesia there still lies a gap between the attitude toward it and the practice of it. Further education to rectify the misconceptions and barriers needs to be taken for providing beneficial services to pregnant females.

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Section: Discussionmentioning

confidence: 96%

Knowledge, Attitude, and Practices of Labor Analgesia Amongst Obstetric Residents: A Cross-Sectional Survey

Vijapurkar,

Sandeep,

Kalbande

et al. 2024

Cureus

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“…Our findings are in contrast to the global reports. According to the literature worldwide, the level of women’s knowledge about non-pharmacological [ 10 , 18 , 38 , 39 ] and pharmacological [ 18 , 32 , 40 , 41 , 42 ] methods of pain management strategies in labor remains low. Approximately 16.3%–35.3% of the respondents report awareness of at least one technique of non-pharmacological pain relief in labor [ 10 , 18 , 38 , 39 ].…”

Section: Discussionmentioning

confidence: 99%

“…According to the literature worldwide, the level of women’s knowledge about non-pharmacological [ 10 , 18 , 38 , 39 ] and pharmacological [ 18 , 32 , 40 , 41 , 42 ] methods of pain management strategies in labor remains low. Approximately 16.3%–35.3% of the respondents report awareness of at least one technique of non-pharmacological pain relief in labor [ 10 , 18 , 38 , 39 ]. Likewise, their knowledge about the effectiveness and benefits of pharmacological methods also leaves much to be desired [ 18 , 24 , 43 , 44 ].…”

Section: Discussionmentioning

confidence: 99%

Women’s Knowledge about Pharmacological and Non-Pharmacological Methods of Pain Relief in Labor

et al. 2023

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This study aimed to assess knowledge about non-pharmacological pain-relief methods in labor among women who have given birth at least once. This cross-sectional study was conducted using an online survey among 466 adult women. The minimum sample size was estimated based on the number of labor admissions in the year before the study in Poland. The survey included questions about respondents’ sociodemographics and knowledge of pain-relief methods. The knowledge score was calculated using the sum of correct answers. Non-parametric Spearman’s correlation, Kruskal–Wallis and Wilcoxon variance tests were used. Antenatal classes (313/68.9%) and the Internet (248/54.6%) were the most common sources of knowledge. The most popular pharmacological pain-relief methods included epidural anesthesia (386/85.0%) and nitrous oxide (301/66.3%). Massage and breathing techniques were the most commonly known non-pharmacological methods (405/89.2% and 400/88.1%, respectively). The knowledge score about non-pharmacological methods was significantly higher as compared to the pharmacological methods score (rc = 0.85; p < 0.001). Respondents’ age correlated with knowledge about non-pharmacological methods (rs = −0.10,p = 0.026) but did not correlate with knowledge about pharmacological methods. Educational level correlated with knowledge about pharmacological (rs = −0.13,p = 0.007) and non-pharmacological (rs = 0.14, p = 0.003) methods concerning pain relief in labor. No correlation was found between respondents’ knowledge and gravidity, number of vaginal or cesarean deliveries, and hospital referral levels for previous deliveries. Our findings support the need to implement educational programs to increase evidence-based knowledge about pain-relief methods during labor in women.

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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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Knowledge and Acceptance of Labour Analgesia in Pregnant Women

Cited by 7 publications

References 0 publications

Knowledge, Attitude, and Practices of Labor Analgesia Amongst Obstetric Residents: A Cross-Sectional Survey

Knowledge, Attitude, and Practices of Labor Analgesia Amongst Obstetric Residents: A Cross-Sectional Survey

Women’s Knowledge about Pharmacological and Non-Pharmacological Methods of Pain Relief in Labor

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

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