Oladokun A, Eyelade O, Morhason-Bello I, Fadare O, Akinyemi J, Adedokun B
Department of Obstetrics and Gynecology, University College Hospital, Department of Epidemiology, Medical Statistics and Environmental Health, College of Medicine, Ibadan, Nigeria.
Int J Obstet Anesth. 2009 Jan;18(1):38-42. doi: 10.1016/j.ijoa.2008.07.011. Epub 2008 Nov 28.
Pain relief is an integral part of labor management. Epidural analgesia is the most effective form of pain relief, but in most Nigerian obstetric units it is not available. There is little information on the views of pregnant women about epidural analgesia during labor.
A cross-sectional survey using a structured questionnaire was conducted in the antenatal clinic of University College Hospital, Ibadan, Nigeria to assess women's views about epidural analgesia.
Of the 650 women surveyed, 523 (80.5%) had knowledge of labour pain while only 127 women (19.5%) were aware of epidural analgesia. Knowledge was affected by parity. Awareness of epidural analgesia was related to occupational status (OR 11.00, 95% CI 5.31-22.83) and having previously experienced childbirth on one previous occasion (OR 1.75, 1.05-2.92). A total of 103 (15.8%) respondents wanted to receive epidural analgesia in their next labor. Occupation (P=0.006), knowledge of epidural analgesia (P=0.017) and previous use (P<0.001) significantly influenced desire for epidural analgesia but only knowledge (OR 2.4 95% CI 1.4-4.3) and previous use (OR 5.3 95% CI 2.1-13.5) were of statistical significance on multivariate analysis.
This study shows that the knowledge of labor epidural analgesia amongst Nigerian women is low. Despite limited availability, women who are aware of epidural analgesia and those who have received it in a previous labor were more likely to want it in their forthcoming labor. Some women may refuse its use despite their knowledge.
缓解疼痛是分娩管理的一个重要组成部分。硬膜外镇痛是最有效的疼痛缓解方式，但在尼日利亚的大多数产科单位都无法提供。关于孕妇在分娩期间对硬膜外镇痛的看法，相关信息很少。
在尼日利亚伊巴丹大学学院医院的产前诊所进行了一项使用结构化问卷的横断面调查，以评估女性对硬膜外镇痛的看法。
在接受调查的650名女性中，523名（80.5%）了解分娩疼痛，而只有127名女性（19.5%）知晓硬膜外镇痛。知识受产次影响。硬膜外镇痛的知晓率与职业状况有关（比值比11.00，95%置信区间5.31 - 22.83），并且之前有过分娩经历（比值比1.75，1.05 - 2.92）。共有103名（15.8%）受访者希望在下次分娩时接受硬膜外镇痛。职业（P = 0.006）、硬膜外镇痛知识（P = 0.017）和既往使用情况（P < 0.001）对硬膜外镇痛的需求有显著影响，但在多变量分析中只有知识（比值比2.4，95%置信区间1.4 - 4.3）和既往使用情况（比值比5.3，95%置信区间2.1 - 13.5）具有统计学意义。
本研究表明尼日利亚女性对分娩硬膜外镇痛的了解程度较低。尽管可获得性有限，但知晓硬膜外镇痛的女性以及之前分娩时接受过硬膜外镇痛的女性在即将到来的分娩中更有可能希望使用它。一些女性尽管了解但可能仍会拒绝使用。
