Konlan Kennedy Diema, Afaya Agani, Mensah Eugenia, Suuk Amos Nawunimali, Kombat Dahamata Issahaku
Department of Public Health Nursing, School of Nursing and Midwifery, University of Health and Allied Sciences, Ho, Ghana.
College of Nursing, Yonsei University, 50-1, Yonsei-ro, Seodaemun-gu, Seoul, 03722, Korea.
Reprod Health. 2021 Apr 23;18(1):86. doi: 10.1186/s12978-021-01141-8.
Women have experienced labour pain over the years as various attempts have been made to effectively manage this pain. There is paucity of literature on the experiences and perceptions about labour pain management with the contemporary Ghanaian health system. This study explored the perspective of puerperal women on the use of non-pharmacological labour pain management at Adidome Government Hospital.
The study adopted an exploratory descriptive qualitative approach as data was collected through individual interviews. Informed consent was obtained from all participants who were purposely sampled until data saturation was reached on the 17th participant. Interviews were audio recorded and transcribed immediately. Thematic analysis was engaged in three interrelated stages, namely data reduction, data display, and data conclusion to analyse the transcript and field notes. Results were presented with supporting quotes from the transcripts.
The women described labour pain as very severe, severe and moderate as the pain lasted more than 12 h. The various strategies adopted in managing labour pains included shouting and walking around, crying and screaming and staying calm and snapping the fingers. Other pain management strategies adopted during labour included women engaged in deep breathing exercises, chatting with other people and relatives, diversion therapy, reassurance, taking a shower, assuming side lying positions, and receiving intravenous therapy. The presence of the husband of a labouring woman during labour improved pain bearing ability.
It is important that midwives institute pragmatic protocols in the labour ward that ensure a relaxing atmosphere for women in labour, respond to the sensitivity and specificity of labouring women needs and when possible significant others (e.g., husband) of the labouring women could be allowed to visit. Labour wards should be made sound proof to allow women the ability to express themselves satisfactorily during labour without fear of being heard outside.
多年来，女性一直在经历分娩疼痛，人们也一直在尝试有效管理这种疼痛。关于当代加纳卫生系统中分娩疼痛管理的经验和看法的文献很少。本研究探讨了产妇对阿蒂多梅政府医院使用非药物分娩疼痛管理的看法。
本研究采用探索性描述性定性方法，通过个人访谈收集数据。从所有参与研究的对象那里获得了知情同意，这些对象是经过 purposely 抽样选取的，直到第17名参与者达到数据饱和。访谈进行了录音并立即转录。主题分析分三个相互关联的阶段进行，即数据简化、数据展示和数据结论，以分析转录文本和实地记录。结果通过转录文本中的支持性引述呈现。
这些女性将分娩疼痛描述为非常严重、严重和中度，因为疼痛持续了超过12小时。管理分娩疼痛所采用的各种策略包括大喊和四处走动、哭泣和尖叫以及保持冷静和打响指。分娩期间采用的其他疼痛管理策略包括女性进行深呼吸练习、与他人和亲属聊天、转移疗法、安慰、洗澡、采取侧躺姿势以及接受静脉治疗。分娩女性的丈夫在分娩期间在场提高了其承受疼痛的能力。
重要的是，助产士应在分娩病房制定切实可行的方案，确保为分娩女性营造轻松的氛围，回应分娩女性需求的敏感性和特异性，并且在可能的情况下，允许分娩女性的重要他人（如丈夫）探视。分娩病房应设置隔音设施，使女性在分娩期间能够满意地表达自己，而不必担心被外面的人听到。
