Almaz Aklilu Getu1, Simegnew Asmer Getie2, Getahun Belay Gela2, Eleni Admassu Maseresha3, Birhanu Elifu Feleke3, Alemtsehay Mekonen Muna3. 1. Department of Midwifery, College of Medicine and Health Science, BahirDar University, BahirDar, Ethiopia. almakel@yahoo.com. 2. Department of Midwifery, College of Medicine and Health Science, BahirDar University, BahirDar, Ethiopia. 3. School of Public Health, College of Medicine and Health Science, BahirDar University, BahirDar, Ethiopia.
Abstract
BACKGROUND: Healthcare providers have a responsibility to provide pain management support to women during labor. Labor pain management in low and middle income countries primarily relies on non-pharmacological methods, as there is little access to pharmacologic pain management. This study aimed to determine the utilization of non-pharmacological labor pain management (NPLPM) and associated factors among skilled birth attendants (SBAs) in Amhara Regional State health institutions, Ethiopia. METHODS: A cross-sectional study was conducted on 592 SBAs working in the Amhara Region, Ethiopia. A multistage sampling was used to collect data using a pretested interview-administered questionnaire. Descriptive analysis was done to characterize the study population. Logistic regression was used to model predictors of NPLPM utilization among SBAs, including age, qualifications, type of medical institution, knowledge, attitudes, and the presence of a protocol. RESULT: Nearly forty seven percent 277(46.8%) of SBAs in the study cohort utilized NPLPM. SBAs who had adequate knowledge of NPLPM had 2.8 times increased odds of using NPLPM than SBAs who had inadequate knowledge. (95%CI 1.89-4.014). SBAs who had a positive attitude had 4.12 times increased odds of using NPLPM than SBAs with a negative attitude (95%CI 2.36, 7.2). SBAs who had labor a pain management protocol in their facility had 3.98 times increased odds of using NPLPM than those who didn't have a labor pain management protocol (95%CI 1.83, 8.62). CONCLUSIONS: The analysis pointed to a gap in the utilization of NPLPM in the Amhara Region facilities studied. Less than half of SBAs used NPLPM when caring for laboring women. Professional factors related to use of NPLPM included the age of SBAs, their attitudes, level of education, and knowledge concerning pain management. NPLPM was also significantly associated with the availability of labor pain management protocols.
BACKGROUND: Healthcare providers have a responsibility to provide pain management support to women during labor. Labor pain management in low and middle income countries primarily relies on non-pharmacological methods, as there is little access to pharmacologic pain management. This study aimed to determine the utilization of non-pharmacological labor pain management (NPLPM) and associated factors among skilled birth attendants (SBAs) in Amhara Regional State health institutions, Ethiopia. METHODS: A cross-sectional study was conducted on 592 SBAs working in the Amhara Region, Ethiopia. A multistage sampling was used to collect data using a pretested interview-administered questionnaire. Descriptive analysis was done to characterize the study population. Logistic regression was used to model predictors of NPLPM utilization among SBAs, including age, qualifications, type of medical institution, knowledge, attitudes, and the presence of a protocol. RESULT: Nearly forty seven percent 277(46.8%) of SBAs in the study cohort utilized NPLPM. SBAs who had adequate knowledge of NPLPM had 2.8 times increased odds of using NPLPM than SBAs who had inadequate knowledge. (95%CI 1.89-4.014). SBAs who had a positive attitude had 4.12 times increased odds of using NPLPM than SBAs with a negative attitude (95%CI 2.36, 7.2). SBAs who had labor a pain management protocol in their facility had 3.98 times increased odds of using NPLPM than those who didn't have a labor pain management protocol (95%CI 1.83, 8.62). CONCLUSIONS: The analysis pointed to a gap in the utilization of NPLPM in the Amhara Region facilities studied. Less than half of SBAs used NPLPM when caring for laboring women. Professional factors related to use of NPLPM included the age of SBAs, their attitudes, level of education, and knowledge concerning pain management. NPLPM was also significantly associated with the availability of labor pain management protocols.
Authors: Grace Lim; Kelsea R LaSorda; Lia M Farrell; Ann M McCarthy; Francesca Facco; Ajay D Wasan Journal: BMC Pregnancy Childbirth Date: 2020-04-22 Impact factor: 3.007
Authors: Trudy Klomp; Ank de Jonge; Eileen K Hutton; Suzanne Hers; Antoine L M Lagro-Janssen Journal: BMC Pregnancy Childbirth Date: 2016-01-16 Impact factor: 3.007
Authors: Ola Mousa; Amal Ahmed Abdelhafez; Ahmed R Abdelraheim; Ayman M Yousef; Ahmed A Ghaney; Saad El Gelany Journal: Obstet Gynecol Int Date: 2018-09-26