McCauley Mary, Stewart Catriona, Kebede Birhanu
Centre for Maternal and Newborn Health, Liverpool School of Tropical Medicine, Pembroke Place, Liverpool, L3 5QA, UK.
Department of Anaesthetics, Yekatit 12 Hospital, Addis Ababa, Ethiopia.
BMC Pregnancy Childbirth. 2017 Feb 7;17(1):56. doi: 10.1186/s12884-017-1237-4.
To explore healthcare providers' knowledge and attitudes to the need for pain relief for women in labor.
A structured questionnaire (n = 200) distributed to healthcare providers working in the obstetric departments, including theatres, of three public hospitals in different settings (rural, peri-urban and urban) in Ethiopia. Descriptive analysis was performed using Excel 2013 and SPSS version 22 for associations.
The response rate was 81.5% with 164 questionnaires completed. The majority, 79% of respondents, understood that women can feel moderate to severe pain in labor and 77% were of the opinion that labor pain should be relieved. However, common practices included only supportive measures such as breathing and relaxation exercises, back massage and support from family. The general attitude of healthcare providers is that labor is a natural process, women should be able to cope and that pain relief is not a priority for women in labor. More than half, 52% of healthcare providers had safety concerns with using pharmacological methods to relieve pain in labor.
The majority of healthcare providers understand that women suffer significant pain during labor. However, providing effective pain relief is currently not provided as part of routine intra-partum care in Ethiopia.
探讨医疗服务提供者对分娩期妇女疼痛缓解需求的认识和态度。
向埃塞俄比亚不同地区（农村、城郊和城市）的三家公立医院产科（包括手术室）工作的医疗服务提供者发放一份结构化问卷（n = 200）。使用Excel 2013和SPSS 22版进行描述性分析以研究相关性。
回复率为81.5%，共完成164份问卷。大多数（79%的受访者）了解妇女在分娩时会感到中度至重度疼痛，77%的人认为分娩疼痛应得到缓解。然而，常见的做法仅包括诸如呼吸和放松练习、背部按摩以及家人支持等辅助措施。医疗服务提供者的普遍态度是，分娩是一个自然过程，女性应该能够应对，而且缓解疼痛并非分娩期妇女的首要任务。超过一半（52%）的医疗服务提供者对使用药物方法缓解分娩疼痛存在安全担忧。
大多数医疗服务提供者了解妇女在分娩时会遭受剧痛。然而，目前在埃塞俄比亚，提供有效的疼痛缓解并非常规产时护理的一部分。
