Barakzai Atiya, Haider Gulfareen, Yousuf Farhana, Haider Ambreen, Muhammad Nasiruddin
Department of Anaesthesia, Liaquat University Hospital, Hyderabad, Pakistan.
J Ayub Med Coll Abbottabad. 2010 Jan-Mar;22(1):73-5.
Delivery pain is one of the most severe pains that women experience during their life so a change can affect all dimensions of pregnant women and her family life. Aim of this study was to assess the women's knowledge of pain relief during labour, and their beliefs, fears, and misconceptions regarding epidural analgesia.
It was descriptive study conducted in Obstetric and Gynaecology OPD of Liaquat University of Medical and Health Sciences, Hyderabad from September 2007 to January 2008. Women were selected randomly. All pregnant females who had delivered previously were interviewed. Primigravida were excluded from study. Information was collected on self-made questionnaire after an informed consent. Information was collected on computer software programme of SPSS 11 frequencies and percentages were calculated to express the results.
Total 131 women were included in this study. Out of these 65, (49.6%) had no education while 41 (31.2%) had primary education. Majority of women (82, 62.5%) had knowledge about injections while few (12, 9.1%) women had knowledge about epidural analgesia. Seventy-nine (60.3%) had chosen the injections as preferred method during next labour. Regarding attitude towards labour pains, 61 (46.5%) feels that labour pains as severe pain. Regarding epidural analgesia 4 (3%) women thought that epidural analgesia will lead to weakness of limbs and 3 (2.2%) women thought that it will cause permanent backache.
There was poor general awareness of women about the role of epidural analgesia in labour leading to a low patient demand for such services. Most of the women had gained knowledge regarding pain relief from past experience or from friends and relatives.
分娩疼痛是女性一生中经历的最剧烈的疼痛之一，因此这种变化会影响孕妇及其家庭生活的各个方面。本研究的目的是评估女性对分娩时疼痛缓解的了解，以及她们对硬膜外镇痛的信念、恐惧和误解。
这是一项描述性研究，于2007年9月至2008年1月在海得拉巴利亚卡特医学与健康科学大学妇产科门诊进行。女性被随机选择。所有曾分娩过的怀孕女性都接受了访谈。初产妇被排除在研究之外。在获得知情同意后，通过自制问卷收集信息。信息收集在SPSS 11的计算机软件程序上，计算频率和百分比以表达结果。
本研究共纳入131名女性。其中65名（49.6%）没有接受过教育，41名（31.2%）接受过小学教育。大多数女性（82名，62.5%）了解注射止痛，而少数女性（12名，9.1%）了解硬膜外镇痛。79名（60.3%）女性选择在下一次分娩时将注射作为首选方法。关于对分娩疼痛的态度，61名（46.5%）女性认为分娩疼痛是剧痛。关于硬膜外镇痛，4名（3%）女性认为硬膜外镇痛会导致肢体无力，3名（2.2%）女性认为会导致永久性背痛。
女性对硬膜外镇痛在分娩中的作用普遍认识不足，导致对这类服务的患者需求较低。大多数女性通过过去的经验或从朋友和亲戚那里获得了有关疼痛缓解的知识。
