Akadri Adebayo, Odelola Oluwaseyi, Adepoju Akinmade
Department of Obstetrics & Gynaecology, Babcock University Teaching Hospital, Ilishan Remo, Ogun State, Nigeria.
Department of Obstetrics & Gynaecology, Olabisi Onabanjo University Teaching Hospital, Sagamu, Ogun State, Nigeria.
J West Afr Coll Surg. 2019 Oct-Dec;9(4):15-20. doi: 10.4103/jwas.JWAS_30_21. Epub 2022 Feb 5.
Labor exposes many women to severe pain. Effective labor pain management is one of the prerequisites for a satisfying labor experience.
The aim of this study was to assess the labor pain management practices and patients' assessment of adequacy of pain relief in two tertiary hospitals in South West Nigeria.
This was a cross-sectional study involving 132 pregnant women who had a noninstrumental vaginal delivery at the obstetric units of Babcock University Teaching Hospital and Olabisi Onabanjo University Teaching Hospital, between December 2017 and May 2018. A structured questionnaire was administered to women within 24 h of delivery to record details of labor and delivery, the form of labor analgesia administered and respondents' perceived effectiveness of the analgesia. Data were analyzed using the IBM-SPSS statistics for Windows version 21.0 (IBM, Armonk, New York).
Sixty-six (50%) women rated labor pain to be severe. Thirty-eight women (28.8%) did not receive any pain relief during labor. Nonpharmacological pain management practices such as back massage, breathing exercises, and companionship were administered to 45(34.1%), 79(59.8%), and 45(34.1%) women, respectively. Nine women (6.8%) received intramuscular pentazocine (30 mg) for labor analgesia. There was a statistically significant association between use of back massage and severe labor pain perception ( = 4.080; = 0.043). Self-reported effectiveness was highest among users of back massage (82.2%) and companionship (77.8%).
There is a large unmet need for labor analgesia in South West Nigeria. Nonpharmacological pain management practices were the most frequently used methods, and most patients experienced reduction in severity of pain. There is need for improvements in obstetric analgesia services in our maternity units.
分娩使许多女性遭受剧痛。有效的分娩疼痛管理是获得满意分娩体验的先决条件之一。
本研究旨在评估尼日利亚西南部两家三级医院的分娩疼痛管理实践以及患者对疼痛缓解充分性的评估。
这是一项横断面研究，纳入了2017年12月至2018年5月期间在巴布科克大学教学医院和奥拉比西·奥纳班乔大学教学医院产科进行非器械助产阴道分娩的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、所采用的分娩镇痛形式以及受访者对镇痛效果的感知。使用IBM-SPSS统计学软件Windows版21.0（IBM，纽约州阿蒙克）进行数据分析。
66名（50%）女性将分娩疼痛评为严重。38名女性（28.8%）在分娩期间未接受任何疼痛缓解措施。分别有45名（34.1%）、79名（59.8%）和45名（34.1%）女性接受了背部按摩、呼吸练习和陪伴等非药物疼痛管理措施。9名女性（6.8%）接受了肌肉注射喷他佐辛（30毫克）用于分娩镇痛。背部按摩的使用与严重分娩疼痛感知之间存在统计学显著关联（χ² = 4.080；P = 0.043）。自我报告的有效性在背部按摩使用者（82.2%）和陪伴使用者（77.8%）中最高。
尼日利亚西南部对分娩镇痛存在大量未满足的需求。非药物疼痛管理措施是最常用的方法，大多数患者疼痛严重程度有所减轻。我们的产科病房需要改善产科镇痛服务。
