Lawani Lucky O, Eze Justus N, Anozie Okechukwu B, Iyoke Chukwuemeka A, Ekem Nduka N
School of Post Graduate Studies, Department of Community Medicine, University of Nigeria, Enugu, Enugu State, Nigeria.
BMC Pregnancy Childbirth. 2014 Apr 12;14:140. doi: 10.1186/1471-2393-14-140.
Contemporary obstetrics in sub-Saharan Africa is yet to meet the analgesic needs of most women during child birth for a satisfactory birth experience and expectedly, obstetricians have a major role to play in achieving this.
This was a questionnaire-based, cross-sectional study of 151 obstetricians and gynecologists that attended the 46th Annual General Meeting and Scientific Conference of the Society of Gynaecology and Obstetrics of Nigeria (SOGON) held in Abakaliki, southeast Nigeria in November, 2012. SOGON is the umbrella body that oversees the obstetric and gynecological practice in Nigeria. Data was collated and analyzed with Epi-info statistical software, and conclusions were drawn by means of simple percentages and inferential statistics using Odds Ratio, with P-value < 0.05 at 95% Confidence Interval (CI) taken to be statistically significant.
Of the 151 participants, males predominated; 110 (72.9%) practiced in government-owned tertiary hospitals in urban locations. Only 74 (49%) offered obstetric analgesia. Among users, only 20 (13.3%) offered obstetric analgesia routinely to parturients, 44 (29.1%) sometimes and 10 (6.6%) on patients' requests. The commonest analgesia was opioids (41.1%). Among non-users, the commonest reasons adduced were fear of respiratory distress (31.1%), cost (24.7%) and late presentation in labour (15.6%).
The routine prescription and utilization of obstetric analgesia by obstetricians in Nigeria is still low. Obstetricians are encouraged to step up its use to make childbirth a more fulfilling experience for parturients.
撒哈拉以南非洲地区的当代产科尚未满足大多数女性在分娩期间对镇痛的需求，以获得令人满意的分娩体验，不出所料，产科医生在实现这一目标方面可发挥重要作用。
这是一项基于问卷调查的横断面研究，研究对象为151名妇产科医生，他们参加了2012年11月在尼日利亚东南部阿巴卡利基举行的第46届尼日利亚妇产科学会年度大会和科学会议。尼日利亚妇产科学会是监管尼日利亚妇产科实践的伞状机构。使用Epi-info统计软件整理和分析数据，并通过简单百分比和使用优势比的推断统计得出结论，95%置信区间（CI）的P值<0.05被视为具有统计学意义。
在151名参与者中，男性占主导；110名（72.9%）在城市的政府三级医院执业。只有74名（49%）提供产科镇痛服务。在使用者中，只有20名（13.3%）常规为产妇提供产科镇痛，44名（29.1%）有时提供，10名（6.6%）根据患者要求提供。最常用的镇痛药物是阿片类药物（41.1%）。在非使用者中，最常见的原因是担心呼吸窘迫（31.1%）、费用（24.7%）和分娩时就诊较晚（15.6%）。
尼日利亚产科医生对产科镇痛的常规处方和使用仍然较少。鼓励产科医生加强其使用，以使分娩对产妇来说是更有成就感的体验。
