Knowledge and practice of pain management among nurses in labour wards in Ibadan, Nigeria

Ojerinde, Ogonna Eze; Onibokun, Adenike; Akpa, Onoja Matthew

doi:10.12968/ajmw.2016.10.3.132

Cited by 7 publications

(12 citation statements)

References 9 publications

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“…In our study, most of the respondents had a good knowledge level, which is in line with the report by Ogboli-Nwasor, in which 94.8% of respondents in their study population agreed that pain relief is needed during labour 9 , and by Ojerinde et al in which more than two-thirds of the respondents were knowledgeable about management of pain in labour 25 . However, this is unconnected with the quality of training of respondents in the study population.…”

Section: Discussionsupporting

confidence: 91%

“…Specifically, Sahile et al 31 stated that professional qualifications were significantly associated with the practice of non-pharmacological labour-pain management methods, and skilled attendants with higher qualifications were 2.87 times more likely to use labour-pain management methods than those who had low level qualifications. Knowledge was seen as an important factor affecting the quality of care and ultimately pain relief and fulfilment in care 25 . It has been stated that the education of skilled attendants can improve the management of labour pain and use of labour pain relief methods 32 .…”

Section: Discussionmentioning

confidence: 99%

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Skilled health attendants’ knowledge and practice of pain management during labour in health care facilities in Ibadan, Nigeria

OHAERI¹,

Owolabi²,

Ingwu³

2019

Eur J Midwifery

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INTRODUCTION Skilled health attendants occupy an important position in the management of women's pain during labour. Their professional goal is to ensure safety and minimum pain in labour. It has been revealed that nurse-midwives are deficient in knowledge and practice of pain management during labour. Hence, this study examined skilled health attendants' knowledge and practice of pain management in health care facilities in Ibadan, Nigeria. METHODS A cross-sectional design was used to collect data from 227 skilled health attendants, in the maternity units of the three purposively selected hospitals for 12 weeks. A structured questionnaire and observational check lists were used for data collection. Data were analyzed using descriptive statistics and significants level was set with p<0.05. RESULTS Results on respondents' level of knowledge revealed that 6% had low knowledge, 40.5% moderate, and 56.8% had a high level. The majority, 79.7%, were registered nurse-midwives (RN/RM) and 90.1% employed reassurance for pain relief. No significant associations were found between respondents' level of education and reassurance, exercise, allay of fear, use of drugs, and TENS (p>0.05). However, there were significant associations between respondents' educational level and rubbing of back/ massage, position change, cold/warm bath, relaxation, and social support (p<0.05). CONCLUSIONS It is recommended that seminars and workshops should be organized regularly and assessment tools should be supplied, to enhance effective pain assessment as this will provide adequate and holistic labour-pain management by nurse-midwives.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Skilled health attendants’ knowledge and practice of pain management during labour in health care facilities in Ibadan, Nigeria

OHAERI¹,

Owolabi²,

Ingwu³

2019

Eur J Midwifery

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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%

“…In this study, systemic opioid (Pethdine) was reportedly one of the most identified pharmacological pain relief methods, which is similar with studies from Zaria, Greek, and Ibadan (Nigeria), respectively [6,16,17]. This might be due to accessibility and low cost of the drug on the market.…”

Section: Knowledge Of Obstetric Caregivers Towards Labour Pain Reliefsupporting

confidence: 81%

“…In this study, obstetric caregivers who had adequate knowledge about labour pain relief methods for managing labour pain were 3.82 times more likely to use labour pain relief methods than those who had inadequate knowledge about labour pain relief methods [AOR = 3.821, 95% CI = (2.091-6.980)], which is inconsistent with studies from Nigeria and Abha Maternity Hospital in Saudi Arabia where health care providers who had adequate knowledge were more likely to provide labour relief method for labouring woman [17,22].…”

Section: Use Of Labour Pain Relief Methods Among Obstetric Caregiversmentioning

confidence: 69%

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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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Knowledge, Attitude, and Practice towards Labor Pain Management and Associated Factors among Skilled Birth Attendants Working at Hospitals Found in Central, West, and North Gondar Zones, Northwest Ethiopia, 2019: A Multicenter Cross-Sectional Study

Solomon

Kassie

Mekonnen

et al. 2021

Pain Research and Management

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Introduction. Delivery of the infant into the arms of a conscious and pain-free mother is the most exciting and rewarding moment in maternal care services. Physical and mental care of women during delivery requires good knowledge and a positive insight to the needs and rights of the mothers. Little was known regarding skilled birth attendants’ knowledge, attitude, and practice towards labor pain management in the study area. Hence, the current study aimed at assessing knowledge, attitude, and practice, and associated factors towards labor pain management among skilled birth attendants working at hospitals found in central, west, and north Gondar zones, northwest Ethiopia, 2019. Method. A multicenter institution-based cross-sectional study was conducted from June 1 to 30, 2019. A census sampling technique was used to include a total of 336 skill birth attendants. A pretested standardized self-administered questionnaire was used to collect the data. The data were then entered into Epi Info 7.1.2 and exported to SPSS version 25 for analysis. Multivariable logistic regression analyses were undertaken to identify factors associated with outcome variables. The level of significance of the study was declared based on adjusted odds ratio with 95% confidence interval at a p value of ≤0.05. Result. The proportion of skill birth attendants having good knowledge, a favorable attitude, and a good practice on labor pain relief methods was 47%, 41.96%, and 57.14%, respectively. Age of ≤30 years (AOR = 5.43; 95% CI: 1.25, 23.53), educational status of 2nd degree and above (AOR = 3.56; 95% CI: 1.32, 9.60), working at a private primary hospital (AOR: = 6.55; 95% CI: 2.15, 19.93), and working at a referral hospital (AOR = 2.24 : 95% CI: 1.01, 4.93) are factors significantly associated with good knowledge while having good knowledge on labor pain relief methods (AOR = 2.26; 95% CI: 1.42, 3.60) and working at private primary hospitals (AOR = 7.01; 95% CI: 1.92, 25.65) had statistically significant association with favorable attitude and good practice on labor pain relief methods, respectively. Conclusion and Recommendations. Poor knowledge, unfavorable attitude, and poor practice towards labor pain management were found in this study. Strengthening the capacity of public health facilities and providing continuous professional development (CPD) training for the skilled birth attendants would be helpful in improving knowledge, attitude, and practice towards labor pain management.

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Knowledge and practice of pain management among nurses in labour wards in Ibadan, Nigeria

Cited by 7 publications

References 9 publications

Skilled health attendants’ knowledge and practice of pain management during labour in health care facilities in Ibadan, Nigeria

Skilled health attendants’ knowledge and practice of pain management during labour in health care facilities in Ibadan, Nigeria

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, Attitude, and Practice towards Labor Pain Management and Associated Factors among Skilled Birth Attendants Working at Hospitals Found in Central, West, and North Gondar Zones, Northwest Ethiopia, 2019: A Multicenter Cross-Sectional Study

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