Melesse Amsal Shiferaw, Bayable Samuel Debas, Simegn Getamesay Demelash, Ashebir Yitayal Guadie, Ayenew Netsanet Temesgen, Fetene Melaku Bantie
Department of Gynecology and Obstetrics, College of Medicine, Debre Markos University, Ethiopia.
Department of Anaesthesia, College of Medicine and Health Science, Debre Markos University, Ethiopia.
Ann Med Surg (Lond). 2022 Jan 29;74:103306. doi: 10.1016/j.amsu.2022.103306. eCollection 2022 Feb.
Childbirth is among the most painful experiences a woman has during their childbearing years. Despite improvement in the development of standards for pain assessment and treatment, labor pain is mostly ignored especially in low and middle-income countries.
To assess the knowledge, attitude, and practice of labor analgesia among health care providers at Debre-Markos comprehensive specialized hospital, Ethiopia,.
After ethical approval was obtained from the ethical review board, institutional-based cross-sectional study was conducted in June 2021, written consent was taken from each health care provider (HCP) before data collection, and structured self-administered questionnaires were used. The collected data were coded and analyzed using SPSS version 22. Descriptive statistics were computed to determine frequencies and percentages finally data were presented using texts, tables, and graphs.The study is registered with a research unique identifying number of 7407 found with the link address https://www.researchregistry.com/browse-the registry#home/?view_2_search = 7407&view_2_page = 1 and reported in line with STROCSS 2021.
A total of 112 health care providers have participated with 70.5 29.5% being males and females respectively. This study was found that most gynecologists/obstetricians, 75% of general practitioners, and more than half (57.1%) of integrated emergency surgery and obstetrics (IESO) have good knowledge about labor analgesia, while the majority (58.3%) of midwives found to have poor knowledge. Although 75% of general practitioners and 71.4% of IESO have a good attitude towards obstetric and labor pain management, only 55.6% of midwives and 51.2% of graduating medical students were found to have a good attitude. Among health care providers (HCP), 60.3% of graduating medical students, 75% of general practitioners, 74.1% of IESO, and most of the seniors were found to have good practice of labor analgesia.
There is a wide gap among health care providers in knowledge, attitude, and practice of labor analgesia. Training health care providers about safe, efficient, and affordable labor analgesia is crucial to improving health care.
分娩是女性生育期最痛苦的经历之一。尽管疼痛评估和治疗标准有所改进，但分娩疼痛大多被忽视，尤其是在低收入和中等收入国家。
评估埃塞俄比亚德布雷-马尔科斯综合专科医院医护人员对分娩镇痛的知识、态度和实践情况。
在获得伦理审查委员会的伦理批准后，于2021年6月进行了基于机构的横断面研究，在数据收集前从每位医护人员（HCP）处获取书面同意，并使用结构化的自填式问卷。收集的数据进行编码并使用SPSS 22版进行分析。计算描述性统计量以确定频率和百分比，最终数据以文本、表格和图表形式呈现。该研究已注册，其唯一识别编号为7407，链接地址为https://www.researchregistry.com/browse-the registry#home/?view_2_search = 7407&view_2_page = 1，并按照STROCSS 2021进行报告。
共有112名医护人员参与，其中男性和女性分别占70.5%和29.5%。研究发现，大多数妇科医生/产科医生、75%的全科医生以及超过一半（57.1%）的综合急诊外科与产科（IESO）医护人员对分娩镇痛有良好的了解，而大多数助产士（58.3%）的知识水平较差。尽管75%的全科医生和71.4%的IESO医护人员对产科和分娩疼痛管理态度良好，但只有55.6%的助产士和51.2%的医学毕业生态度良好。在医护人员（HCP）中，60.3%的医学毕业生、75%的全科医生、74.1%的IESO医护人员以及大多数资深人员在分娩镇痛实践方面表现良好。
医护人员在分娩镇痛的知识、态度和实践方面存在很大差距。对医护人员进行安全、有效且经济实惠的分娩镇痛培训对于改善医疗保健至关重要。
