Demand and utilisation of labour analgesia service by Nigerian women

Imarengiaye, CO; Ande, Adedapo

doi:10.1080/01443610500443402

Cited by 27 publications

(24 citation statements)

References 6 publications

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“…This is comparable to the level of awareness of labor analgesia reported by previous studies [7,11]. Various studies done in Nigeria on the level of awareness of labor analgesia reported 15-64% [4,5,10,16,18,19]. This is similar to what was reported from some other developing countries [11][12][13]15].…”

Section: Discussionsupporting

confidence: 80%

“…Labor is seen as excruciatingly painful among most Nigerian women [1][2][3][4][5]. The pain of labor is not known to be beneficial to the process of labor; and it can be a source of extreme discomfort to the parturient [4].…”

Section: Introductionmentioning

confidence: 99%

“…Non-pharmacological methods of labor analgesia include breathing exercise, hypnosis, transcutaneous electrical nerve stimulation (TENS), low back massage, acupuncture and supportive care. Pharmacological methods include parenteral opioids, inhalational agents, and epidural analgesia [4][5][6][7]. Epidural analgesia is seen as the gold standard for labor pain relief in the modern obstetric practice [8].…”

Section: Introductionmentioning

confidence: 99%

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Awareness and Perception of Epidural Labor Analgesia Amongst Parturient in South Eastern Nigeria

Onyekwulu¹

2017

CMR

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This study was carried out to assess the awareness, perceptions, acceptance, and the level of utilization of epidural analgesia in relation to other methods of labor pain relief among prospective parturient attending the ante-natal clinic in south eastern Nigeria. Women attending the ante-natal clinic were interviewed using interviewer administered questionnaires containing both open and closed questions, to evaluate their awareness, perceptions, acceptance and level of utilization of labor analgesia in general and epidural analgesia in particular. Data were analysed using SPSS Statistics Version 21.0. The study included 150 women with mean age of 29.63±5.02. Most of the respondents (94.7%) had at least secondary school education. More than half the respondents (62.7%) knew about labor analgesia and 38.7% knew about epidural labor analgesia. Source of knowledge to vast majority (75.6%) were doctors and nurses. Majority of the multiparous respondents (81.27%) had moderate or severe pain in the previous confinement and only 53% had pain relieve. Of those who had pain relieve, two third hard breathing exercises while 4.8% had epidural analgesia. Majority of the respondents (72.7%) would want to have labor analgesia, and 53.3% desired epidural in their next delivery. There is poor level of awareness and utilization of epidural labor analgesia by women attending an antenatal clinic in south eastern Nigeria.

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Section: Discussionsupporting

confidence: 80%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Awareness and Perception of Epidural Labor Analgesia Amongst Parturient in South Eastern Nigeria

Onyekwulu¹

2017

CMR

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“…Previous researchers in Nigeria found that few of their respondents reported that labour analgesia was taught at prenatal classes. [6][7] The fact that 31.4% of this study respondents said they were not aware that non-pharmacological methods of pain control exist in the hospital of study may imply that they were not part of the routine antenatal care discussion in the study centre or respondents have not attended such sessions. Furthermore, the finding that respondents' knowledge peaked at parity of two but decreased at parity of three and above seems to suggest a decreasing interest of multi-parous women to learn these methods.…”

Section: Discussionmentioning

confidence: 99%

Knowledge and willingness of prenatal women in Enugu Southeastern Nigeria to use in labour non-pharmacological pain reliefs

Anarado¹,

Ali²,

Nwonu³

et al. 2015

Afr H. Sci.

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Background: Nigerian parturients desire, but experience unsatisfactory pain relief as labour analgesia is underutilised and unpopular among skilled-birth attendants. Objectives: To assess pregnant women's knowledge and willingness to use non-pharmacological labour pain reliefs. Methods: Using a descriptive cross-sectional design, a pre-tested, structured questionnaire was interviewer administered to a convenient sample of 245 prenatal women at a specialist maternity hospital in Enugu. Results: Majority (68.6%) of the women knew, but 31.4% were unaware that non-pharmacological labour pain reliefs exist in the study facility. Only 34.7% were able to identify at least four such methods, 21.2% could elicit two (each) advantages and disadvantages, and 0% to 28.3% had perceived self-efficacy of how to use each method. The leading four methods identified were breathing exercises (51.8%), massage (36.7), position changes (32.2%), and relaxation techniques (26.5%). Majority (59.6%) of the women expressed willingness to use non-pharmacological pain strategies in future labour, which is associated with increased knowledge of the methods, and parity (p<0.001). Conclusion: Pregnant women had limited knowledge of, but majority expressed willingness to use in labour non-pharmacological pain reliefs. Nurses/midwives should give adequate childbirth information and preparation on labour pain reliefs to antenatal women to inform their choices and effective use during labour.

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“…3 While 85% of surveyed women in a developing country indicated they would request labour analgesia if available, only 40% received any analgesia in practice. 4 The cost of staff and supplies associated with providing epidurals can be prohibitive, with morphine costing up to 10 times more in low-resource settings than in the developed world. 5,6 With limited resources for epidural analgesia, spinal analgesia may be a useful alternative for relief from labour pain.…”

Section: Introductionmentioning

confidence: 99%

Low-dose spinal anaesthesia provides effective labour analgesia and does not limit ambulation

Anabah

Olufolabi

Boyd

et al. 2015

Southern African Journal of Anaesthesia and Analgesia

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Background: While epidural analgesia for labour pain is standard in high-resource countries, minimal to no analgesia is usually provided in low-resource countries. Intrathecal local anaesthetics provide good pain relief, but the potential impact on ambulation is of concern. Our objective was to determine if a low-dose local anaesthetic combined with an opioid would provide reasonable pain relief, while allowing ambulation in a low-resource setting. Method: This prospective, observational study was conducted at the Tamale Teaching Hospital in Tamale, Ghana. Spinal analgesia was administered to healthy women in labour using a pencil-point 25-G spinal needle at the L3-L4 or L4-L5 interspace, with patients in the sitting position. The intrathecal mixture contained 25 μg of fentanyl, 2.5 mg of bupivacaine and 0.2 mg of morphine. The patient's ability to ambulate following the administration of a low-dose spinal injection was the primary outcome measured. Pain ratings, blood pressure, nausea, vomiting, pruritus, headaches and foetal bradycardia were also recorded. Results: Three hundred and thirty-two parturients consented to participate. Following spinal injection, 328 women (98.8%) experienced mild to no pain, and 4 (1.2%) moderate pain. The administration of spinal analgesia had no effect on ambulation in 291 (87.7%) patients, and a mild effect in 41 (12.3%) patients. Intrathecal analgesia did not severely limit ambulation in any of the patients. Conclusion: Low-dose intrathecal analgesia can provide effective analgesia for labouring patients in low-resource settings without limiting ambulation.

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Demand and utilisation of labour analgesia service by Nigerian women

Cited by 27 publications

References 6 publications

Awareness and Perception of Epidural Labor Analgesia Amongst Parturient in South Eastern Nigeria

Awareness and Perception of Epidural Labor Analgesia Amongst Parturient in South Eastern Nigeria

Knowledge and willingness of prenatal women in Enugu Southeastern Nigeria to use in labour non-pharmacological pain reliefs

Low-dose spinal anaesthesia provides effective labour analgesia and does not limit ambulation

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