Irowa Omoregie, Ukpabi Daniel Eje, Emoekpere Hilary Oyarebu, Ugboaja Chisa Uzoamaka, Itodo Peter Echo, Orshio Donald Uga
Department of Obstetrics and Gynaecology, Federal University of Health Sciences Otukpo (FUHSO), Benue State, Nigeria.
Department of Epidemiology and Community Health, College of Health Sciences, Benue State University Makurdi, Benue State, Nigeria.
J West Afr Coll Surg. 2025 Jul-Sep;15(3):252-257. doi: 10.4103/jwas.jwas_39_24. Epub 2024 Oct 1.
Labour pain management forms an integral part of modern obstetric practice. Despite the availability of various forms of obstetric analgesia in Nigeria, reports indicate poor knowledge, awareness, and utilisation of labour analgesia among the obstetric population.
To determine the knowledge, perception, utilisation, and factors affecting utilisation of labour analgesia among antenatal clinic attendees at the Federal Medical Centre (FMC), Makurdi.
This was an analytical cross-sectional study conducted among 421 consecutively consenting antenatal patients in the Department of Obstetrics and Gynaecology at the FMC, Makurdi, between March 1 to July 31, 2023. Data were collected using an interviewer-guided questionnaire, analysed using Statistical Package for Social Sciences (SPSS) version 20.0, and results were presented in textual form and tables.
About 47% (199) of the study participants perceived labour pain as the worst possible pain. Only 18.3% (77) of the study participants were knowledgeable about labour analgesia, while just 6.4% (27) of the study participants had ever used it. On multiple logistics regression, the knowledge of labour pain relief (adjusted odd's ratio [aOR] 0.090, CI = 0.038-0.215, < 0.001) and mode of previous delivery (aOR 0.292, CI = 0.114-0.750, < 0.011) were the factors affecting the utilisation of labour analgesia among study participants.
There is poor knowledge and utilisation of labour analgesia among antenatal patients. Incorporation of labour analgesia into existing protocols and enhancing health education on labour analgesia as part of antenatal health talks can create awareness of labour analgesia among antenatal patients.
分娩疼痛管理是现代产科实践的一个重要组成部分。尽管尼日利亚有各种形式的产科镇痛方法，但报告显示产科人群对分娩镇痛的知识、意识和使用率较低。
确定在马库尔迪联邦医疗中心（FMC）产前诊所就诊者对分娩镇痛的知识、认知、使用情况以及影响其使用的因素。
这是一项分析性横断面研究，于2023年3月1日至7月31日在马库尔迪联邦医疗中心妇产科对421名连续同意参与的产前患者进行。数据通过访谈者指导的问卷收集，使用社会科学统计软件包（SPSS）20.0版进行分析，结果以文本形式和表格呈现。
约47%（199名）的研究参与者认为分娩疼痛是最严重的疼痛。只有18.3%（77名）的研究参与者了解分娩镇痛，而仅有6.4%（27名）的研究参与者曾使用过分娩镇痛。在多因素逻辑回归分析中，分娩疼痛缓解知识（调整后的优势比[aOR]为0.090，置信区间[CI]=0.038 - 0.215，P<0.001）和既往分娩方式（aOR为0.292，CI = 0.
