Department of Adult Health, School of Nursing, University of Ghana, Legon, Accra, Ghana.
School of Nursing, College of Health Sciences, University of Ghana, P.O. Box LG 43, Legon, Accra, Ghana.
Reprod Health. 2017 Oct 16;14(1):128. doi: 10.1186/s12978-017-0398-y.
Due to the debilitating effects of severe labour pains, labour pain management continues to be an important subject that requires much attention. Thus, this study sought to gain a detailed insight into the experiences of midwives on pharmacological and non-pharmacological labour pain management strategies in a resource limited clinical context.
A descriptive exploratory qualitative design was adopted for this study which allowed in-depth follow-up of the midwives' comments resulting in a full understanding of emerging findings. Face-to-face individual interviews were conducted, transcribed and data were analysed using content analysis procedures. Verbatim quotes were used to support the findings.
Midwives employed different pain control measures including pharmacological and non-pharmacological methods such as psychological care, sacral massage and deep breathing exercises. Doctors prescribed analgesics most of the time while in some cases, the midwives independently administered the drugs. They assisted women who had epidural anaesthesia given by anaesthetists. The midwives did not administer adequate analgesics because of fear of side effects of analgesics. Although the midwives exhibited knowledge on drugs used for labour pain management, they did not regularly administer analgesics and non-pharmacological care provided were inadequate due to increased workload. Some of the midwives showed empathy towards women and supported the women. Most of the midwives perceived labour pain as normal and encouraged women to bear pain.
Midwives require regular education on labour pain management and they should pay attention to women in labour individually and administer the care that meets their need.
由于剧烈分娩疼痛的衰弱影响，分娩疼痛管理仍然是一个需要高度关注的重要课题。因此，本研究旨在深入了解助产士在资源有限的临床环境中对药物和非药物分娩疼痛管理策略的经验。
本研究采用描述性探索性定性设计，对助产士的评论进行深入随访，从而全面了解新出现的发现。采用面对面的个人访谈，转录并使用内容分析程序进行数据分析。逐字引用用于支持研究结果。
助产士采用了不同的疼痛控制措施，包括药物和非药物方法，如心理护理、骶骨按摩和深呼吸练习。医生大部分时间都开止痛药，而在某些情况下，助产士会独立给药。他们协助接受麻醉师硬膜外麻醉的女性。助产士因担心止痛药的副作用而没有给予足够的止痛药。尽管助产士对用于分娩疼痛管理的药物有一定的了解，但由于工作量增加，他们并没有定期给予止痛药，而且提供的非药物护理也不足。一些助产士对女性表示同情并支持她们。大多数助产士认为分娩疼痛是正常的，并鼓励女性忍受疼痛。
助产士需要定期接受分娩疼痛管理教育，他们应该关注单独的产妇，并给予满足其需求的护理。
