Negash Abraham, Getachew Tamirat, Demissie Regassa Lemma, Deressa Alemayehu, Cheru Abera, Jibro Usmael, Balis Bikila, Sertsu Addisu, Abdurhaman Dureti, Nigussie Kabtamu, Mohammed Fethia, Mohammed Eptisam, Mussa Ibsa
School of Nursing and Midwifery, College of Health and Medical Science, Haramaya University, Harar, Ethiopia.
School of Nursing and Midwifery, College of Health and Medical Science, Haramaya University, Harar, Ethiopia.
Pain Manag Nurs. 2025 Apr;26(2):e184-e193. doi: 10.1016/j.pmn.2024.10.008. Epub 2024 Nov 26.
Labor pain is a subjective phenomenon that varies based on women's expectations. To have a positive childbirth experience, laboring women should have pain relief based on their request. Therefore, this study aimed to determine the utilization of labor pain management and associated factors among obstetric caregivers in Ethiopia DATA SOURCES: Different electronic databases (i.e., PubMed, Scopus, Embase, CINAHL, DOAJ, Web of Science, MEDLINE, Cochrane Library, ScienceDirect, and CAB Abstracts) were searched for published studies, whereas Google Scholar and Google Search were used for unpublished studies.
REVIEW/ANALYSIS METHODS: Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were used throughout this work. Duplicate results were removed using EndNote X8. Quality was assessed by the JBI tool. Stata 17 was used for analysis. A random effects model was used, and the results were presented using a forest plot. Heterogeneity and publication bias were evaluated using Cochran's Q test and I test.
The pooled utilization of pharmacological pain management was 28% (95% CI [12, 43]), whereas the pooled estimate of nonpharmacological pain management was 43% (95% CI [37, 49]). Obstetric care provider attitude was positively associated with both pharmacological and nonpharmacological labor pain management (adjusted odds ratio = 1.73, 95% CI [1.20, 2.26], adjusted odds ratio = 2.94, 95% CI [2.01, 3.87], respectively).
Labor pain management utilization among obstetric care providers in Ethiopia was poor. Health care provider attitude was positively associated with labor pain management. On-site training was recommended for obstetric care providers to improve the practice of labor pain management. © 20XX by the American Society for Pain Management Nursing.
分娩疼痛是一种主观现象，会因女性的期望而有所不同。为了获得积极的分娩体验，分娩女性应根据自身需求获得疼痛缓解。因此，本研究旨在确定埃塞俄比亚产科护理人员对分娩疼痛管理的利用情况及相关因素。
检索了不同的电子数据库（即PubMed、Scopus、Embase、CINAHL、DOAJ、Web of Science、MEDLINE、Cochrane图书馆、ScienceDirect和CAB文摘）以查找已发表的研究，而谷歌学术和谷歌搜索则用于查找未发表的研究。
综述/分析方法：在整个研究过程中使用了系统评价和Meta分析的首选报告项目指南。使用EndNote X8去除重复结果。通过JBI工具评估质量。使用Stata 17进行分析。采用随机效应模型，并使用森林图展示结果。使用Cochran's Q检验和I检验评估异质性和发表偏倚。
药物性疼痛管理的合并利用率为28%（95%可信区间[12, 43]），而非药物性疼痛管理的合并估计值为43%（95%可信区间[37, 49]）。产科护理人员的态度与药物性和非药物性分娩疼痛管理均呈正相关（调整优势比分别为1.73，95%可信区间[1.20, 2.26]；调整优势比为2.94，95%可信区间[2.01, 3.87]）。
埃塞俄比亚产科护理人员对分娩疼痛管理的利用率较低。医疗保健人员的态度与分娩疼痛管理呈正相关。建议为产科护理人员提供现场培训，以改善分娩疼痛管理的实践。© 20XX，美国疼痛管理护理学会。
