Workie Misganaw Mengie, Chekol Wubie Birlie, Fentie Demeke Yilkal, Ahmed Seid Adem, Bizuneh Yosef Belay
Department of Anesthesia, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Pain Ther. 2021 Jun;10(1):363-376. doi: 10.1007/s40122-020-00212-1. Epub 2020 Oct 27.
Labor pain is the worst imaginable pain that women experience during their childbearing years. Untreated labor pain has numerous negative consequences, for both the mother and her fetus. Low levels of awareness and attitudes among pregnant women about labor analgesia is a major challenge that affects outcomes for both the mother and fetus. Therefore, this study aimed to assess the awareness of, attitude towards and desire for labor analgesia and its associated factors among pregnant women who visited an antenatal care facility.
An institution-based, cross-sectional study was conducted from February to March 2019. Data were collected using semi-structured questionnaires by a convenience sampling technique. Data were entered using EpiData 4.2 and exported to SPSS version 20 software for analysis. Both bivariate and multivariate binary logistic regression analysis were used to identify factors associated with awareness, attitude and desire for labor analgesia among pregnant women. Crude odds ratio (COR) and adjusted odds ratio (AOR) were calculated to show the strength of association.
A total of 410 participants were included. Thirty-three (8%) of the pregnant women who visited the antenatal care facility were found to have an awareness of labor analgesia. In multivariate analysis, the likelihood of having awareness of labor analgesia was 7.227 times (AOR: 7.227, 95%, CI 2.406-21.720) greater among parous versus nulliparous mothers. The odds of having awareness of labor analgesia were 3.133 times (AOR: 3.133, 95%; CI 1.144-8.581) greater among government employees than among housewives. The odds of having a good attitude towards labor analgesia were 6.488 times (AOR: 6.488, 95% CI 1.894-22.227) higher in government employees than in farmers. Women in the age group of 25-31 years were 1.815 times more likely to want labor analgesia for their next delivery (AOR: 1.815, 95% CI 1.103-2.989).
The awareness of labor analgesia among pregnant women was low. There is a need for teamwork by all stakeholders in health sectors to improve attitudes and increase the desire for labor analgesia among pregnant women who visit antenatal care facilities.
分娩疼痛是女性在生育年龄所经历的最难以想象的疼痛。未经治疗的分娩疼痛对母亲及其胎儿都会产生许多负面后果。孕妇对分娩镇痛的认知水平和态度较低是一个重大挑战，这会影响母亲和胎儿的结局。因此，本研究旨在评估在产前保健机构就诊的孕妇对分娩镇痛的认知、态度和需求及其相关因素。
2019年2月至3月进行了一项基于机构的横断面研究。采用便利抽样技术，通过半结构化问卷收集数据。数据使用EpiData 4.2录入，并导出到SPSS 20版软件进行分析。采用双变量和多变量二元逻辑回归分析来确定与孕妇对分娩镇痛的认知、态度和需求相关的因素。计算粗比值比（COR）和调整比值比（AOR）以显示关联强度。
共纳入410名参与者。在产前保健机构就诊的孕妇中，有33名（8%）知晓分娩镇痛。在多变量分析中，经产妇对分娩镇痛的知晓可能性是初产妇的7.227倍（AOR：7.227，95%，CI 2.406 - 21.720）。政府雇员对分娩镇痛的知晓几率是家庭主妇的3.133倍（AOR：3.133，95%；CI 1.144 - 8.581）。政府雇员对分娩镇痛持良好态度的几率比农民高6.488倍（AOR：6.488，95% CI 1.894 - 22.227）。25 - 31岁年龄组的女性下次分娩希望采用分娩镇痛的可能性高1.815倍（AOR：1.815，95% CI 1.103 - 2.989）。
孕妇对分娩镇痛的认知较低。卫生部门的所有利益相关者需要团队合作，以改善态度并增加在产前保健机构就诊的孕妇对分娩镇痛的需求。
