Gido Rediet, Yadeta Tesfaye Assebe, Tura Abera Kenay
Department of Midwifery, College of Health Science and Medicine, Dilla University, Dilla, Ethiopia.
School of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
Obstet Gynecol Int. 2021 Nov 22;2021:9973001. doi: 10.1155/2021/9973001. eCollection 2021.
In low-income countries, pain-free labor initiative is an emerging concept and still parturient undergoes through painful labor; this is not different in Ethiopia; despite the national direction to use analgesia for labor pain and strong demand from the women, evidence on utilization of obstetric analgesia for labor pain management in Ethiopia is scarce. The objective of this study was to assess level of obstetric analgesia utilization and associated factors among obstetric care providers in public hospitals in Addis Ababa, Ethiopia.
An institution-based cross-sectional study was used. All obstetric care providers working in labor and delivery units in public hospitals in Addis Ababa were included. The data were collected using a self-administered structured questionnaire. After checking for completeness, data were entered into Epi-data 3.1 and analyzed using SPSS 20. Bivariate and multivariable logistic regressions were used to identify factors associated with utilization of obstetric analgesia.
Of 391 obstetric care providers included in the study, 143 (36.6%; 95% CI: 31.5-40.9%) reported providing labor analgesia. Having adequate knowledge (AOR 2.7; 95% CI: 1.37-5.23), ten and more years of work experience (AOR 4.3; 95% CI: 1.81-10.13), and availability of analgesics (AOR 3.3; 95% CI: 1.99-5.53) were significantly associated with providing labor analgesia.
Slightly more than 3 in 10 obstetric care providers reported providing labor analgesics to women. Training of providers and ensuring adequate supply of analgesics is required to make sure that women in labor would not suffer from labor pain.
在低收入国家，无痛分娩倡议是一个新兴概念，而产妇仍要经历痛苦的分娩过程；在埃塞俄比亚也是如此；尽管国家有使用镇痛药物缓解分娩疼痛的指导方针，且产妇对此有强烈需求，但埃塞俄比亚关于产科镇痛用于分娩疼痛管理的使用证据却很匮乏。本研究的目的是评估埃塞俄比亚亚的斯亚贝巴公立医院产科护理人员中产科镇痛的使用水平及相关因素。
采用基于机构的横断面研究。纳入所有在亚的斯亚贝巴公立医院的分娩科室工作的产科护理人员。通过自行填写的结构化问卷收集数据。检查完整性后，将数据录入Epi-data 3.1并使用SPSS 20进行分析。采用二元和多变量逻辑回归来确定与产科镇痛使用相关的因素。
在纳入研究的391名产科护理人员中，143人（36.6%；95%置信区间：31.5 - 40.9%）报告提供分娩镇痛。具备足够的知识（调整后比值比[AOR] 2.7；95%置信区间：1.37 - 5.23）、有十年及以上工作经验（AOR 4.3；95%置信区间：1.81 - 10.13）以及有镇痛药可用（AOR 3.3；95%置信区间：1.99 - 5.53）与提供分娩镇痛显著相关。
略多于十分之三的产科护理人员报告为产妇提供分娩镇痛。需要对护理人员进行培训并确保镇痛药的充足供应，以确保分娩产妇不会遭受分娩疼痛。
