Parajuli Bashu Dev, Koirala Megha, Joshi Pankaj, Katuwal Neeta, Shrestha Amit, Singh Shreejana, Rawal Suniti, Shrestha Anil
Department of Anaesthesiology, Tribhuvan University Teaching Hospital, Maharajgunj Medical Campus, Maharajgunj, Kathmandu, Nepal.
Department of Obstetrics and Gynaecology, Tribhuvan University Teaching Hospital, Maharajgunj Medical Campus, Maharajgunj, Kathmandu, Nepal.
J Nepal Health Res Counc. 2024 Mar 31;21(4):623-628. doi: 10.33314/jnhrc.v21i4.4862.
Labour pain is one of the most painful experiences that a woman faces in her lifetime. There are various options for labour pain management. Epidural analgesia is the gold standard method for pain management during labour. In developing and under-developed countries there are many challenges to provide this service, a very important one being knowledge about epidural analgesia among the parturients and the physicians.
A prospective cross-sectional study was carried out among 384 pregnant women attending Antenatal clinic of a tertiary level teaching hospital using pretested structured questionnaire prepared by a team of anaesthesiologists and obstetricians. Non-probability purposive sampling technique was used. The data was analysed by using SPSS version 20.0. Descriptive and inferential statistical methods were used for analysis.
Of the 384 pregnant women, only 29.4% had knowledge about some form of labour analgesia techniques and only 16% of the participants were aware of labour epidural analgesia. Also, only 6.2% were aware that epidural service is available at our hospital. Regarding acceptance, only 42.4% were willing to use epidural analgesia in their present pregnancy.
The present study findings revealed that a significant number of participants had very limited knowledge about labour epidural analgesia and were also unaware of the availability of the service in our hospital. Educational programs need to be provided to all the pregnant women for enhancement of knowledge and awareness about epidural labour analgesia to increase its acceptability among them.
分娩疼痛是女性一生中面临的最痛苦经历之一。分娩疼痛管理有多种选择。硬膜外镇痛是分娩期间疼痛管理的金标准方法。在发展中国家和不发达国家，提供这项服务面临许多挑战，其中非常重要的一点是产妇和医生对硬膜外镇痛的了解。
采用由麻醉师和产科医生团队编制的经过预测试的结构化问卷，对一家三级教学医院产前诊所的384名孕妇进行前瞻性横断面研究。采用非概率目的抽样技术。使用SPSS 20.0版对数据进行分析。采用描述性和推断性统计方法进行分析。
在384名孕妇中，只有29.4%的人了解某种形式的分娩镇痛技术，只有16%的参与者知道分娩硬膜外镇痛。此外，只有6.2%的人知道我院提供硬膜外服务。关于接受度，只有42.4%的人愿意在本次妊娠中使用硬膜外镇痛。
本研究结果显示，相当多的参与者对分娩硬膜外镇痛的了解非常有限，并且也不知道我院提供这项服务。需要为所有孕妇提供教育项目，以增强她们对硬膜外分娩镇痛的知识和认识，提高其在她们中的可接受性。
