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

Sahile, Ermias; Yemaneh, Yayehyirad; Alemu, Addisu Alehegn; Nigussie, Wondwossen; Salahuddin, M.; Yekoye, Abere; Gebeyehu, Negiso

doi:10.21767/1791-809x.1000516

Cited by 36 publications

(55 citation statements)

References 10 publications

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“…The present study showed that 45.8% of obstetric caregivers had inadequate knowledge about labour pain relief methods. Our finding is lower than the findings reported from Tigray, Ethiopia (60.1%) and Ibadan, Nigeria (66.7%), respectively [13,17]. This difference might be explained in terms of difference in study setting and socio-demographic characteristics of study participants.…”

Section: Knowledge Of Obstetric Caregivers Towards Labour Pain Reliefcontrasting

confidence: 90%

“…The current study showed that the overall use of labour pain relief methods among obstetric caregivers was reported to be 34.4% (30.4% non-pharmacological and 8.4% pharmacological) methods, respectively. This finding is inconsistent with earlier studies' findings from different parts of Ethiopia: Tigray, 43.3% [13], Addis Ababa, 47.5% [19] and Amhara, 40.1% [14]. The reasons might be the preceding studies were conducted in public hospitals where better knowledge of labour pain relief methods and drug availability are potentially high.…”

Section: Use Of Labour Pain Relief Methods Among Obstetric Caregiverscontrasting

confidence: 75%

“…A Structured pretested self-administered questionnaire was used to collect the data. The questionnaire was adapted from reviewed literature [13][14][15], and with some amendments into the local context. The questionnaire consisted of seven parts: the first part was used to assess socio-demographic characteristics of obstetric caregivers while the rest were used to assess the knowledge, attitude, use, preference of labour pain relief methods and institutional factors affecting the use of labour pain relief method.…”

Section: Data Collection Tools and Proceduresmentioning

confidence: 99%

“…Knowledge about labour pain relief methods were measured by a 10-item knowledge questionnaire adapted from previous studies [13][14][15]. The scale for assessing knowledge were from 0 to 10 scores.…”

Section: Measurementmentioning

confidence: 99%

“…Use of labor pain relief method was measured by the following question: Obstetric care provider who answered "yes" for the question "Have you ever provide any labor pain relief method in the past one month? Attitude towards labor pain relief method: A seven (7) item response options (Yes/No) were adapted from prior studies [13,14]. The total score were computed for each respondent and it ranges from 0 to 14 scores.…”

Section: Measurementmentioning

confidence: 99%

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Knowledge, and use of labour pain relief methods and associated factors among obstetric caregivers at public health centers of East Gojjam zone, Amhara region, Ethiopia: a facility based cross- sectional study

Bishaw

Sendo

Abebe

2020

BMC Pregnancy Childbirth

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Background The study was conducted in public health centers of East Gojjam Zone, Amhara region, Ethiopia. The purpose of this study was to assess knowledge, and use of labour pain relief methods and associated factors among obstetric caregivers in the study setting. Methods A facility-based cross-sectional study design was conducted from March 1–30, 2018. The study was conducted among three hundred and nine sampled obstetric caregivers. Structured questionnaire was used to collect the data. The data were entered into Epi-data version 4.2 Software for cleaning and exported to SPSS version 23.0 for data analysis. Multivariate logistic regression was carried out for variables with a p-value < 0.25 in bivariate logistic regression to determine significant relationships between the dependent and independent variables. Statistical significance was determined at 95% confidence interval (CI) and p-value below 0.05. Result The overall use of labour pain relief methods reported was 34.4%, (30.4% non-pharmacological and 8.4 pharmacological, respectively). More than half of the study participants (54.2%) had adequate knowledge about labour pain relief methods. In multivariate analysis, being a midwifery profession [AOR =2.814, 95% CI = (1.574–5.031)], having positive attitude [AOR = 4.370, 95% CI = (2.523–7.567)], and professionals with a medium level of education [AOR = 3.450, 95% CI = (1.993–5.971)] were factors significantly associated with knowledge of obstetric caregivers about labour pain relief methods. In multivariate analysis, knowledge of obstetric caregivers [AOR = 3.821, 95% CI = (2.091–6.980)], positive attitude of obstetric caregivers [AOR = 2.455, 95% CI = ((1.358–4.436))] and experience of obstetric caregivers [AOR = 2.56, 95% CI = (1.350–4.845) were factors significantly associated with the use of labour pain relief methods. Conclusion In this study, the overall use of labour pain relief methods by obstetric caregivers was low. Systemic opioid (Pethdine) was reportedly one of the most known pharmacological pain relief methods in this study. Providers’ knowledge, attitude and work experience had shown statistical significance with the use of labour pain relief methods. Task-oriented in- service training is required to fortify obstetric caregivers’ knowledge and attitude towards the use of labour pain relief methods.

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Section: Knowledge Of Obstetric Caregivers Towards Labour Pain Reliefcontrasting

confidence: 90%

Section: Use Of Labour Pain Relief Methods Among Obstetric Caregiverscontrasting

confidence: 75%

Section: Data Collection Tools and Proceduresmentioning

confidence: 99%

Section: Measurementmentioning

confidence: 99%

Section: Measurementmentioning

confidence: 99%

See 3 more Smart Citations

Knowledge, and use of labour pain relief methods and associated factors among obstetric caregivers at public health centers of East Gojjam zone, Amhara region, Ethiopia: a facility based cross- sectional study

Bishaw

Sendo

Abebe

2020

BMC Pregnancy Childbirth

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

Azeze,

Asgedom,

Efa

et al. 2023

Intl J Gynecology & Obste

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BackgroundThe pain that women experience during labor and childbirth is the central feature of parturition in humans. Despite improvement in the development of standards for pain assessment and treatment, labor pain is mostly ignored especially in low‐ and middle‐income countries resulting in unmeasured suffering from childbirth for mothers.ObjectivesWe aimed to provide a comprehensive estimation of the pooled magnitude and associated factors of labor pain management practices in Ethiopian public health facilities.Search StrategyA systematic review and meta‐analysis was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta‐analysis statement. Electronic databases including Google Scholar, Web of Science, Excerpta Medica Database (EMBASE), PubMed/MEDLINE, and Scopus were searched from database inception to June 30, 2023.Selection CriteriaThe inclusion criteria were established prior to article review and follows the population, intervention, comparison and outcome criterions.Data Collection and AnalysisWe evaluated publication bias by means of funnel plots and Egger's test. Heterogeneity between studies was assessed using I2 statistics. For each associated factors in meta‐regressions, the pooled odds ratio (OR) and its 95% confidence interval (CI) were extracted. A P value of 0.05 was used to determine the significance of the small study effect.Main ResultsOur search terms yielded 17 studies with 5735 participants. The pooled prevalence of labor pain management practices in Ethiopia was 45.73% (95% CI: 39.13, 52.32; I2 = 96.4). Having adequate knowledge regarding labor pain management (OR: 3.74; 95% CI: 2.74, 5.11; I2 = 53.8%), a favorable attitude toward labor pain management (OR: 2.90; 95% CI: 2.03, 4.14; I2 = 63.8%), availability of labor analgesics (OR: 3.23; 95% CI: 2.18, 4.79; I2 = 46.2%), and clinical experience of 10 or more years (OR: 3.45; 95% CI: 2.06, 5.78; I2 = 19.0%) were factors that were statistically associated with the use of labor pain management practices.ConclusionWe concluded that the routine practices of labor pain management by obstetric health providers in Ethiopia are still low. Therefore, it remains important to call for holistic and inclusive interventions targeting maternity health providers and hospital officials to update their long‐standing practices.RegistrationRegistered in PROSPERO under protocol number CRD42023429140.

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Pharmacologic and non-pharmacologic labor pain management techniques in a resource-limited setting: A systematic review

Beyable

Bayable

Ashebir

2022

Annals of Medicine &Amp; Surgery

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Background Despite improvement in pain management programs, labor pain is mostly ignored especially in low and middle-income countries. Methods The aim of this study is to establish a clear clinical working guideline for labor pain management in resource limited settings. This systematic review is conducted in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline 2020. After formulating clear criteria for the evidences to be included an appropriate method of searching was conducted by using the Pub Med, Google scholar and Cochrane library using the following MeSH terms: (‘Parenteral opioids’ AND′ Labor pain’, ‘Labor’ AND ‘Pain management, ‘Non-pharmacologic methods ‘AND ‘Labor pain’, ‘Labor pain management AND massage therapy ). The study quality of literatures was categorized based on WHO 2011 level of evidence and degree of recommendation. Final conclusions and recommendations are done with the analysis of risk and benefits of alternative management strategies for non-regional techniques of labor pain management. The study is registered with research registry unique identifying number (UIN) of 1267 “ https://www.researchregistry.com/browse-the-registry#registryofsystematicreviewsmeta-analyses/ .” and the study is moderate based on AMSTAR 2 quality assessment criteria/ https://amstar.ca/Amstar_Checklist.php . Discussion Combined forms of Non-pharmacologic and selected low dose pharmacologic approaches of labor pain management, provides significant benefits to women and their infants. During provision of labor analgesia complications may happen and the service provider should involve in the management of those complications. Conclusion This study has a paramount importance to practice the most reliable, available and cost effective method of labor analgesia.

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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

Cited by 36 publications

References 10 publications

Knowledge, and use of labour pain relief methods and associated factors among obstetric caregivers at public health centers of East Gojjam zone, Amhara region, Ethiopia: a facility based cross- sectional study

Knowledge, and use of labour pain relief methods and associated factors among obstetric caregivers at public health centers of East Gojjam zone, Amhara region, Ethiopia: a facility based cross- sectional study

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

Pharmacologic and non-pharmacologic labor pain management techniques in a resource-limited setting: A systematic review

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