Onasoga A Olayinka, Shittu B Muhammad, Shittu I B Halimah, Umar N Jibril
{"title":"探索分娩镇痛管理:评估知识和使用助产士在中北部尼日利亚。","authors":"Onasoga A Olayinka, Shittu B Muhammad, Shittu I B Halimah, Umar N Jibril","doi":"10.25259/IJMA_14_2024","DOIUrl":null,"url":null,"abstract":"<p><strong>Background and objective: </strong>Obstetric pain is one of the most severe forms of pain a woman may experience during childbirth. Due to the debilitating effects of excruciating labor discomfort, pain management continues to be an important issue that requires attention. This study assessed the knowledge and utilization of obstetric analgesia in labor-management among midwives in public healthcare facilities in the north-central region of Nigeria.</p><p><strong>Methods: </strong>This study used a descriptive cross-sectional design. One hundred twenty-three respondents who met the inclusion criteria were selected using the purposive sampling technique. Data were collected using a pretested structured questionnaire. The data were analyzed using descriptive and inferential statistics at a 0.05 level of significance.</p><p><strong>Results: </strong>The results revealed that the respondents' overall knowledge of obstetric analgesia was adequate. The findings also revealed that more than half of the midwives have previously utilized obstetric analgesia to manage labor pain. However, the frequency of utilization of obstetric analgesia was low. A significant association was found between utilization of obstetric analgesia in labor and knowledge (χ<sup>2</sup> = 16.582, <i>p</i> < 0.001) as well as years of experience (χ<sup>2</sup> = 17.280, <i>p</i> < 0.015) and nursing rank (χ<sup>2</sup> = 36.579, <i>p</i> < 0.000); since the <i>p</i>-value < 0.05 significance.</p><p><strong>Conclusion and global health implications: </strong>Therefore, it was recommended that midwives should be encouraged to frequently utilize obstetric analgesia to manage labor pain in order to improve the birth experience and outcome and to prevent the adverse effects that come with severe labor pain. Furthermore, the government should create policies that favor the utilization of obstetric analgesia in parturition, and midwives should incorporate the benefits of obstetric analgesia into the health education of pregnant women during antenatal counseling to promote its usage.</p>","PeriodicalId":30480,"journal":{"name":"International Journal of MCH and AIDS","volume":"14 ","pages":"e002"},"PeriodicalIF":0.0000,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11878697/pdf/","citationCount":"0","resultStr":"{\"title\":\"Exploring Obstetric Analgesia in Labor Management: Assessing Knowledge and Usage Among Midwives in North-Central Nigeria.\",\"authors\":\"Onasoga A Olayinka, Shittu B Muhammad, Shittu I B Halimah, Umar N Jibril\",\"doi\":\"10.25259/IJMA_14_2024\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background and objective: </strong>Obstetric pain is one of the most severe forms of pain a woman may experience during childbirth. 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However, the frequency of utilization of obstetric analgesia was low. A significant association was found between utilization of obstetric analgesia in labor and knowledge (χ<sup>2</sup> = 16.582, <i>p</i> < 0.001) as well as years of experience (χ<sup>2</sup> = 17.280, <i>p</i> < 0.015) and nursing rank (χ<sup>2</sup> = 36.579, <i>p</i> < 0.000); since the <i>p</i>-value < 0.05 significance.</p><p><strong>Conclusion and global health implications: </strong>Therefore, it was recommended that midwives should be encouraged to frequently utilize obstetric analgesia to manage labor pain in order to improve the birth experience and outcome and to prevent the adverse effects that come with severe labor pain. 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引用次数: 0
摘要
背景和目的:产科疼痛是妇女在分娩过程中可能经历的最严重的疼痛之一。由于难以忍受的分娩不适的衰弱效应,疼痛管理仍然是一个需要关注的重要问题。本研究评估了尼日利亚中北部地区公共卫生机构助产士在劳动管理中产科镇痛的知识和使用情况。方法:本研究采用描述性横断面设计。采用有目的抽样方法,选取符合纳入标准的123名调查对象。使用预先测试的结构化问卷收集数据。数据分析采用描述性统计和推理统计,显著性水平为0.05。结果:调查结果显示,受访者对产科镇痛的整体知识是充分的。调查结果还显示,超过一半的助产士以前使用产科镇痛来管理分娩疼痛。然而,产科镇痛的使用频率较低。产程中产科镇痛的使用与知识(χ2 = 16.582, p < 0.001)、经验年限(χ2 = 17.280, p < 0.015)和护理级别(χ2 = 36.579, p < 0.000)有显著相关;p值< 0.05显著性。结论和全球健康影响:因此,建议鼓励助产士经常使用产科镇痛来控制分娩疼痛,以改善分娩体验和结果,并预防严重分娩疼痛带来的不良影响。此外,政府应制定有利于在分娩时使用产科镇痛药的政策,助产士应在产前咨询期间将产科镇痛药的好处纳入孕妇的健康教育,以促进其使用。
Exploring Obstetric Analgesia in Labor Management: Assessing Knowledge and Usage Among Midwives in North-Central Nigeria.
Background and objective: Obstetric pain is one of the most severe forms of pain a woman may experience during childbirth. Due to the debilitating effects of excruciating labor discomfort, pain management continues to be an important issue that requires attention. This study assessed the knowledge and utilization of obstetric analgesia in labor-management among midwives in public healthcare facilities in the north-central region of Nigeria.
Methods: This study used a descriptive cross-sectional design. One hundred twenty-three respondents who met the inclusion criteria were selected using the purposive sampling technique. Data were collected using a pretested structured questionnaire. The data were analyzed using descriptive and inferential statistics at a 0.05 level of significance.
Results: The results revealed that the respondents' overall knowledge of obstetric analgesia was adequate. The findings also revealed that more than half of the midwives have previously utilized obstetric analgesia to manage labor pain. However, the frequency of utilization of obstetric analgesia was low. A significant association was found between utilization of obstetric analgesia in labor and knowledge (χ2 = 16.582, p < 0.001) as well as years of experience (χ2 = 17.280, p < 0.015) and nursing rank (χ2 = 36.579, p < 0.000); since the p-value < 0.05 significance.
Conclusion and global health implications: Therefore, it was recommended that midwives should be encouraged to frequently utilize obstetric analgesia to manage labor pain in order to improve the birth experience and outcome and to prevent the adverse effects that come with severe labor pain. Furthermore, the government should create policies that favor the utilization of obstetric analgesia in parturition, and midwives should incorporate the benefits of obstetric analgesia into the health education of pregnant women during antenatal counseling to promote its usage.