Akadri Adebayo Adekunle, Odelola Oluwaseyi Isaiah
Department of Obstetrics and Gynaecology, Babcock University, Ilishan-Remo, Ogun State, Nigeria.
Department of Obstetrics and Gynaecology, Olabisi Onabanjo University Teaching Hospital, Sagamu, Ogun State, Nigeria.
Pan Afr Med J. 2018 Aug 23;30:288. doi: 10.11604/pamj.2018.30.288.16672. eCollection 2018.
Labour pain perception is influenced by a variety of factors; hence women experience and cope with labour pain differently. This study was designed to assess labour pain perception among parturient.
A cross-sectional study involving 132 pregnant women who had vaginal delivery at two tertiary hospitals in south west Nigeria. A structured questionnaire was administered to women within 24 hours of delivery to record details of labour and delivery. Labour pain perception was assessed using the Visual Analogue Score (VAS). Data analysis were done using IBM-SPSS Statistics for Windows version 21.0 (IBM Corp., Armonk, NY, USA).
The mean age of the parturients was 30.6±4.8 years. The mean pain perception of the parturients as assessed by VAS was 7.0 with range of 1.2-10.0. Sixty-six (50%) parturients rated labour pain to be severe (VAS > 7.1). Majority of the respondents 114(86.4%) desired some form of pain relief. The Body Mass Index (BMI) of respondents and birth weight of their babies had statistically significant association with pain perception (p = 0.010; p = 0.038 respectively). Factors associated with increased odds of having severe pain perception include unbooked status, secondary level education, BMI < 30, and gestational age ≥ 37 weeks.
Women in south west Nigeria perceived labour pain as severe and many desired pain relief during labour. Occupation, BMI, gestational age and baby's birth weight were significant mediating variables in women's experience of labour pain. Modern methods of labour analgesia should be offered to parturients who express desire for it. This will lead to improvements women's childbirth experience.
分娩疼痛的感知受多种因素影响；因此，女性体验和应对分娩疼痛的方式各不相同。本研究旨在评估产妇的分娩疼痛感知。
一项横断面研究，涉及在尼日利亚西南部两家三级医院经阴道分娩的132名孕妇。在分娩后24小时内对女性进行结构化问卷调查，以记录分娩和接生的详细情况。使用视觉模拟评分法（VAS）评估分娩疼痛感知。数据分析使用IBM-SPSS Statistics for Windows 21.0版（IBM公司，美国纽约州阿蒙克）。
产妇的平均年龄为30.6±4.8岁。通过VAS评估，产妇的平均疼痛感知为7.0，范围为1.2 - 10.0。66名（50%）产妇将分娩疼痛评为严重（VAS > 7.1）。大多数受访者114名（86.4%）希望获得某种形式的疼痛缓解。受访者的体重指数（BMI）及其婴儿的出生体重与疼痛感知在统计学上有显著关联（分别为p = 0.010；p = 已删除重复内容，根据上下文推测此处为0.038）。与严重疼痛感知几率增加相关的因素包括未登记状态、中学教育水平、BMI < 30以及孕周≥37周。
尼日利亚西南部女性将分娩疼痛视为严重，许多人在分娩期间希望获得疼痛缓解。职业、BMI、孕周和婴儿出生体重是女性分娩疼痛体验中的重要中介变量。对于表示有需求的产妇，应提供现代分娩镇痛方法。这将改善女性的分娩体验。
