Anarado Agnes, Ali Euphemia, Nwonu Eunice, Chinweuba Anthonia, Ogbolu Yolanda
Department of Nursing Sciences, University of Nigeria, Nsukka, Enugu Campus Enugu State, Nigeria.
Office of Global Health, University of Maryland, School of Nursing, Baltimore, USA.
Afr Health Sci. 2015 Jun;15(2):568-75. doi: 10.4314/ahs.v15i2.32.
Nigerian parturients desire, but experience unsatisfactory pain relief as labour analgesia is underutilised and unpopular among skilled-birth attendants.
To assess pregnant women's knowledge and willingness to use non-pharmacological labour pain reliefs.
Using a descriptive cross-sectional design, a pre-tested, structured questionnaire was interviewer administered to a convenient sample of 245 prenatal women at a specialist maternity hospital in Enugu.
Majority (68.6%) of the women knew, but 31.4% were unaware that non-pharmacological labour pain reliefs exist in the study facility. Only 34.7% were able to identify at least four such methods, 21.2% could elicit two (each) advantages and disadvantages, and 0% to 28.3% had perceived self-efficacy of how to use each method. The leading four methods identified were breathing exercises (51.8%), massage (36.7), position changes (32.2%), and relaxation techniques (26.5%). Majority (59.6%) of the women expressed willingness to use non-pharmacological pain strategies in future labour, which is associated with increased knowledge of the methods, and parity (p<0.001).
Pregnant women had limited knowledge of, but majority expressed willingness to use in labour non-pharmacological pain reliefs. Nurses/midwives should give adequate childbirth information and preparation on labour pain reliefs to antenatal women to inform their choices and effective use during labour.
尼日利亚产妇渴望获得分娩镇痛，但由于分娩镇痛未得到充分利用且在熟练接生人员中不受欢迎，她们的疼痛缓解情况并不理想。
评估孕妇对非药物性分娩疼痛缓解方法的了解程度和使用意愿。
采用描述性横断面设计，由访谈者向埃努古一家专业妇产医院的245名产前妇女的便利样本发放一份经过预测试的结构化问卷。
大多数（68.6%）妇女知道研究机构中存在非药物性分娩疼痛缓解方法，但31.4%的妇女并不知晓。只有34.7%的妇女能够识别至少四种此类方法，21.2%的妇女能说出每种方法的两个优点和缺点，0%至28.3%的妇女认为自己知道如何使用每种方法。确定的前四种方法是呼吸练习（51.8%）、按摩（36.7%）、体位改变（32.2%）和放松技巧（26.5%）。大多数（59.6%）妇女表示愿意在未来分娩时使用非药物性疼痛缓解策略，这与对这些方法的了解增加以及经产情况有关（p<0.001）。
孕妇对非药物性分娩疼痛缓解方法的了解有限，但大多数人表示愿意在分娩时使用。护士/助产士应向产前妇女提供关于分娩疼痛缓解的充分信息并做好准备，以便她们在分娩时做出选择并有效使用这些方法。
