Mousa Ola, Abdelhafez Amal Ahmed, Abdelraheim Ahmed R, Yousef Ayman M, Ghaney Ahmed A, El Gelany Saad
Faculty of Nursing, Minia University, Minia, Egypt.
Obstetrics and Gynecology Department, Faculty of Medicine, Minia University, Egypt.
Obstet Gynecol Int. 2018 Sep 26;2018:3060953. doi: 10.1155/2018/3060953. eCollection 2018.
In low-resource settings (LRSs), pain relief during labor is often neglected. Women and health professionals (HPs) may lack awareness of analgesic options, may not accept these options, or may have concerns regarding their safety. Furthermore, even if women or HPs preferred labor analgesia, options may not be available at the hospital. This study was carried out to explore how HPs perceive and practice pain management during labor in Minia maternity units in Egypt.
A structured, self-administered questionnaire from 306 HPs in Minia maternity units from August 1, 2016, to August 30, 2017, after approval by the organizational Ethical Review Committee.
The response rate was 76.5%. The majority, 78.2% of participants, believed in pain relief during labor. However, their practices are different. In the first stage of labor, almost 44.9% used nonpharmacological methods, whereas 36.8% used neither pharmacological nor nonpharmacological methods. Hospital-related factors were the major barriers against using pain-relief methods, as stated by HPs.
Although most HPs understand the role of analgesia in labor pain relief, there is a wide gap between the use of pain-relief methods and women's need in Minia, Egypt; HPs claim this is due to health care facilities. There is an urgent need to identify the barriers against and raise the awareness among the community and HPs of the need to use pain-relief methods as part of improving the quality of care during labor.
在资源匮乏地区，分娩期间的疼痛缓解常常被忽视。女性和卫生专业人员可能缺乏对镇痛方法的认识，可能不接受这些方法，或者可能对其安全性存在担忧。此外，即使女性或卫生专业人员倾向于分娩镇痛，医院也可能没有相关选择。本研究旨在探讨埃及明亚产科单位的卫生专业人员如何看待和实施分娩期间的疼痛管理。
在获得组织伦理审查委员会批准后，于2016年8月1日至2017年8月30日对明亚产科单位的306名卫生专业人员进行了一项结构化的自填式问卷调查。
回复率为76.5%。大多数参与者（78.2%）认为分娩期间应缓解疼痛。然而，他们的做法有所不同。在分娩第一阶段，近44.9%的人使用非药物方法，而36.8%的人既不使用药物方法也不使用非药物方法。卫生专业人员表示，医院相关因素是使用疼痛缓解方法的主要障碍。
尽管大多数卫生专业人员了解镇痛在缓解分娩疼痛中的作用，但在埃及明亚，疼痛缓解方法的使用与女性的需求之间存在很大差距；卫生专业人员称这是由于医疗保健设施所致。迫切需要找出阻碍因素，并提高社区和卫生专业人员对使用疼痛缓解方法作为提高分娩护理质量一部分的必要性的认识。
