Magnitude and factors associated with utilization of labor analgesia among obstetric caregivers at public hospitals in Sidama region, Southern Ethiopia

Abstract

Objective: The aim of the study was to assess utilization of labor analgesia and associated factors among obstetric caregivers working at public hospitals of Sidama region.Result: Among 346 respondents 143 (41.3%) 95%CI (36.1-46.2) were utilize labor analgesic, out of them 82(23.7%) were provide non-pharmacological labor analgesia, 60 (17.3%) were provide both pharmacological & non-pharmacological methods. Statically significant factors for utilization of labor analgesia were adequate knowledge [AOR =2.42, 95% CI (1.4-4.5)], higher qualification [AOR=3.9, 95%, CI (1.8-8.5)], availability of drugs [AOR=3.8, 95%CI (1.5-9.9)] and training on labor analgesia [AOR=3.3, 95%CI (1.8-6)]. The overall practice of labor analgesia was low. Adequate knowledge, high qualification, availability of drugs, and training on labor pain managements were factors significantly associated with the current utilization of labor analgesia in the study area.

Labor pain management practices and associated factors in Ethiopia: A systematic review and meta‐analysis

“…Similarly, finding from meta regression of six studies 12,21,31,33,35,39 shows health care providers who had favorable attitude toward labor pain management were almost three times more likely to practices labor pain management than health care providers who had unfavorable attitude (OR: 2.90; 95% CI: 2.03, 4.14; I 2 = 63.8%). Moreover, our analysis of meta regression from four studies 10,33,36,38 shows the odds of practicing labor pain management was more than three times higher among respondents who reported the availability of labor analgesics in their facility as compared to those who reported as unavailable (OR: 3.23; 95% CI: 2.18, 4.79; I 2 = 46.2%). Additionally, findings from two studies 21,36 shows health care providers who had 10 or more years of clinical experience were three and half times higher odds of practicing labor pain management compared with those who had five or less years of clinical experience (OR: 3.45;…”

“…The NOS score for the articles, which are included in this systematic review and meta-analysis, ranged from five to nine. Two of the studies 19,32 scored as satisfactory, 14 studies 12,18,[28][29][30][31][33][34][35][36][37][38][39] were scored as good, two studies 10,21 were scored as very good. Two studies 15,20 scored ≤5 of the quality assessment criteria and were excluded from the final analysis.…”

“…All the included 17 studies were cross-sectional in their study design. The overall data regarding the magnitude of labor pain management practices was obtained from different parts of Ethiopia: four studies from each 10,12,21,28 and Oromia, [29][30][31][32] three studies from South Nations and Nationalities People region (SNNPR), [33][34][35] two studies from each Addis Ababa 36,37 and Sidama, 19,38 one study from each Harari 18 and Tigray 39 regions. The data collection method employed in two of the studies 12,39 was interviewer administered while the remaining 15 studies used self-administered questionnaire.…”

“…In total, 10 studies 10,12,21,29,31,33,35,36,38,39 were used in the metaanalysis of the determinants of labor pain management. Accordingly, four key determinants factors were found to have significant association with labor pain management practices.…”

“…More specifically, meta regression from six studies 10,12,21,29,36,38 shows health care providers who had adequate knowledge were nearly four times more likely to practices labor pain management than their counterparts (OR: 3.74; 95% CI: 2.74, 5.11; I 2 = 53.8%).…”