Ogboli-Nwasor Elizabeth O, Adaji Sunday E
Department of Anesthesia, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria.
Department of Obstetrics and Gynaecology, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria.
Saudi J Anaesth. 2014 Nov;8(Suppl 1):S20-4. doi: 10.4103/1658-354X.144059.
Pain relief in labor remains a hot topic and these debates get louder by the day as more women become aware of their rights to better quality of care in labor. This study was conceived in a background where the practice of pain relief in labor is evolving and where women are seeking to fulfill their need for pain-free labor.
To investigate the knowledge, utilization and preferences of methods of pain relief in labor by expectant mothers in order to design a labor analgesia program.
A questionnaire-based descriptive study involving 124 antenatal clients in a teaching hospital over a 1 week period. Descriptive statistics were carried out using SPSS for windows version 17.
The mean age of clients was 28.8 years (standard deviation = 5.17) with median parity of two and mean gestational age was 31.5 weeks. Majority of the respondents (47.9%) were of Hausa/Fulani ethnicity and 97.6% had primary school level education. Majority (87.3%) had heard about pain relief methods with the hospital being the source in 79% of cases. The most common method ever heard about was epidural analgesia (69.4%). Only 4% (n = 5) of respondents remembered ever using any form of pain relief agent in labor, of which three received parenteral opioids. In their current pregnancies, 45.2% consented to the use of pain relief in labor; of which, epidural analgesia was preferred by 92.9% (n = 52). Fear of adverse effects on self and infants were cited as reasons for non-consent by some respondents while others had no reason.
The study reveals a high awareness of pain relief methods which is not matched by utilization and low knowledge about side-effects, although fear of side-effects is a factor for under-utilization. There is a need to educate adequately as well provide high quality pain relief services in labor in order to dispel with myths, misconceptions and fears associated with the use of methods of pain relief in labor.
分娩镇痛仍然是一个热门话题，随着越来越多的女性意识到自己在分娩时享有获得更高质量护理的权利，这些争论日益激烈。本研究是在分娩镇痛实践不断发展且女性寻求实现无痛分娩需求的背景下开展的。
调查准妈妈对分娩镇痛方法的知识、使用情况和偏好，以便设计分娩镇痛方案。
一项基于问卷调查的描述性研究，在1周内对一家教学医院的124名产前患者进行调查。使用SPSS for windows 17版本进行描述性统计。
患者的平均年龄为28.8岁（标准差=5.17），中位产次为2次，平均孕周为31.5周。大多数受访者（47.9%）为豪萨/富拉尼族，97.6%接受过小学教育。大多数（87.3%）听说过分娩镇痛方法，其中79%的信息来源是医院。最常听说的方法是硬膜外镇痛（69.4%）。只有4%（n=5）的受访者记得在分娩时使用过任何形式的镇痛剂，其中3人接受了胃肠外阿片类药物。在本次妊娠中，45.2%的人同意在分娩时使用镇痛剂；其中，92.9%（n=52）的人首选硬膜外镇痛。一些受访者将担心对自身和婴儿产生不良反应作为不同意的原因，而其他人则没有理由。
该研究表明，尽管担心副作用是使用不足的一个因素，但对分娩镇痛方法的认知度很高，但实际使用率不高且对副作用的了解较少。有必要进行充分的教育，并在分娩时提供高质量的镇痛服务，以消除与分娩镇痛方法使用相关的误解、错误观念和恐惧。
