Abstract
BackgroundThe 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.MethodsA 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.ResultThe 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.ConclusionIn 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.
Highlights
The study was conducted in public health centers of East Gojjam Zone, Amhara region, Ethiopia
Use of labour pain relief methods The result of this study showed that the overall use of labour pain relief methods among obstetric caregivers was reported as 34.4% (30.4% non-pharmacologic and 8.4% pharmacologic pain relief methods) with 95% confidence interval of [29.01–39.78], respectively
The present study showed that 45.8% of obstetric caregivers had inadequate knowledge about labour pain relief methods
Summary
The study was conducted in public health centers of East Gojjam Zone, Amhara region, Ethiopia. Pain accompanies a human being since the beginning of his or her existence and is widely recognized as a negative phenomenon. It is an indispensable element of our life. It signals the worsening of health (called pathologic pain in that case), or it supports the progress of natural processes taking place in the body, e.g. during labour (physiological pain) [1]. Labour pain is one of the most severe pains This pain, as one of the inevitable aspects of the childbirth process, is unlike from other pains. It is not a sign of injury or (tissue damage), reduces spontaneously, is regular and continuous, gets tense gradually, and leads to a pleasant incident, which is childbirth [2]
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