Knowledge, Awareness and Acceptance of Labor Analgesia among Antenatal Women in a Remote Island: A Questionnaire Based Study

Prakash, Avinash; Yadav, Amita; Karim, Habib Md Reazaul; Sahoo, Sarasa Kumar; Jena, Pinky; Kumar, Anil

doi:10.9734/bjmmr/2017/33980

Cited by 18 publications

(32 citation statements)

References 9 publications

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“…[ 7 ] Moreover, the labor pain is regarded as very severe and excruciating by nearly all mothers. [ 5 ] The duration of pain is also longer, and most importantly, these mothers are mostly in hospital under the supervision of a physician. Nontreatment of such pain is inhumane in modern day health practice.…”

Section: Discussionmentioning

confidence: 99%

“…However, studies show that the acceptance of LA for NVD is very poor, especially in developing countries. [ 5 6 8 ] Many parturients even think that the labor pain is natural and inevitable.…”

Section: Discussionmentioning

confidence: 99%

“…Women were divided into nulliparous, primiparous, and multiparous (parity 2 or more); nulliparous served as control. Based on the previous study findings (desire for NVD without LA among nulliparous and multiparous 64 and 40%, respectively),[ 5 ] the sample size for the present study was calculated for two-sided confidence level (1− α) of 95% and power of 80%. Online open source software www.openepi.com was used which gave a sample of 70 in each group.…”

Section: Methodsmentioning

confidence: 99%

“…[ 4 ] Despite all these and availability of safe relief, unfortunately, labor analgesia (LA) is still not widely accepted in countries like India. [ 5 6 ]…”

Section: Introductionmentioning

confidence: 99%

“…Cultural beliefs and many myths also influence it. [ 5 ] On the other hand, school education can affect myths and disbeliefs. The present study was aimed to compare the acceptances of LA and desire to experience NVD without LA among the expectant mothers of different parity and education level in an Indian island.…”

Section: Introductionmentioning

confidence: 99%

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Correlation of different parity and school education with acceptance of labor analgesia among antenatal women: A questionnaire-based study

et al. 2018

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Background and Aim:Pain relief is nearly regarded as the right of patients in modern day health care. Women undergo excruciating pain during normal vaginal delivery (NVD). However, the acceptance of labor analgesia (LA) has remained very poor. The present study was aimed to assess the correlation of previous exposure to such pain (parity) and school education with LA acceptance.Methods:The present comparative study was conducted with a total 400 consented participants. A questionnaire was used to collect sociodemographic variables, acceptance/nonacceptance of LA, and the reasons for not opting for LA in upcoming delivery were noted. Participants were divided into primiparous, multiparous, and nulliparous (control). They were also grouped as per school education and compared taking illiterates as controls. Data are presented in absolute number. Fisher's exact test is used for comparison; P < 0.05 was considered statistically significant.Results:Seventy (17.5%) multiparous and 38% primiparous participants were compared with 44.5% nulliparous women. Only 2.75% participants were illiterate. 69.50% were rural inhabitant and 81.50% believed in Hinduism. 87.14% multiparous, 84.21% primiparous, and 88.76% nulliparous women declined LA (P > 0.05). The desire to experience NVD without LA as a reason for nonacceptance was significantly less among primiparous and multiparous as compared to nulliparous (P < 0.0001), but not among literate and illiterate participants (P > 0.295 in all).Conclusion:Previous labor pain significantly reduces the desire to experience NVD without LA, but still more than 80% parturients of any parity do not want LA due to one or more reasons. School education has no impact on LA acceptance.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

“…[ 4 ] Despite all these and availability of safe relief, unfortunately, labor analgesia (LA) is still not widely accepted in countries like India. [ 5 6 ]…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Correlation of different parity and school education with acceptance of labor analgesia among antenatal women: A questionnaire-based study

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Assessment of Awareness, Attitude and Desire for Labor Analgesia and Associated Factors Among Pregnant Women in Ethiopia: A Cross-Sectional Study

et al. 2020

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Introduction: Labor pain is the worst imaginable pain that women experience during their childbearing years. Untreated labor pain has numerous negative consequences, for both the mother and her fetus. Low levels of awareness and attitudes among pregnant women about labor analgesia is a major challenge that affects outcomes for both the mother and fetus. Therefore, this study aimed to assess the awareness of, attitude towards and desire for labor analgesia and its associated factors among pregnant women who visited an antenatal care facility. Methods: An institution-based, cross-sectional study was conducted from February to March 2019. Data were collected using semi-structured questionnaires by a convenience sampling technique. Data were entered using EpiData 4.2 and exported to SPSS version 20 software for analysis. Both bivariate and multivariate binary logistic regression analysis were used to identify factors associated with awareness, attitude and desire for labor analgesia among pregnant women. Crude odds ratio (COR) and adjusted odds ratio (AOR) were calculated to show the strength of association. Results: A total of 410 participants were included. Thirty-three (8%) of the pregnant women who visited the antenatal care facility were found to have an awareness of labor analgesia. In multivariate analysis, the likelihood of having awareness of labor analgesia was 7.227 times (AOR: 7.227, 95%, CI 2.406-21.720) greater among parous versus nulliparous mothers. The odds of having awareness of labor analgesia were 3.133 times (AOR: 3.133, 95%; CI 1.144-8.581) greater among government employees than among housewives. The odds of having a good attitude towards labor analgesia were 6.488 times (AOR: 6.488, 95% CI 1.894-22.227) higher in government employees than in farmers. Women in the age group of 25-31 years were 1.815 times more likely to want labor analgesia for their next delivery (AOR: 1.815, 95% CI 1.103-2.989). Conclusions: The awareness of labor analgesia among pregnant women was low. There is a need for teamwork by all stakeholders in health sectors to improve attitudes and increase the desire for labor analgesia among pregnant women who visit antenatal care facilities.

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Epidural analgesia and related ethical issues among pregnant women: Literature review

Abuhammad

Alholi

2021

Annals of Medicine &Amp; Surgery

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Objective This study aims to review the literature regarding epidural analgesia and related ethical issues among pregnant women. Method The authors were searched many electronic databases (CHINAL, Ovid Midline, Pub MED and Google Scholar, Science Direct Database, Biomed) under the following keywords (Informed consent, epidural analgesia, pregnant women, and antenatal period). The several quantitative studies published in English were reviewed and analyzed. The authors were analyzed the studies using a literature review matrix subheading to author, years published, type of study, variables, design and methodology, finding, conclusion, limitations for practices and limitations for studies. Results The themes that emerged from the literature review were: difference between patient and provider in perceptions of informed consent toward EA during childbirth process; factors affecting the women choice of using EA during childbirth process and awareness regarding using of EA in childbirth among women in antenatal clinics. Conclusion The process of signing of informed consent for EA in women during childbirth is linked to many ethical responsibilities from women and healthcare providers. The informed consent practice can be enhanced by putting greater emphasis on antenatal information, providing suitable timing of information and developments in recent methods of information release and transfer.

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Knowledge, Awareness and Acceptance of Labor Analgesia among Antenatal Women in a Remote Island: A Questionnaire Based Study

Cited by 18 publications

References 9 publications

Correlation of different parity and school education with acceptance of labor analgesia among antenatal women: A questionnaire-based study

Correlation of different parity and school education with acceptance of labor analgesia among antenatal women: A questionnaire-based study

Assessment of Awareness, Attitude and Desire for Labor Analgesia and Associated Factors Among Pregnant Women in Ethiopia: A Cross-Sectional Study

Epidural analgesia and related ethical issues among pregnant women: Literature review

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