Awareness of labour analgesia among antenatal women in semi urban area

Authors

  • Poomalar G. K. Department of Obstetrics and Gynaecology, Sri Manakula Vinayagar Medical College and Hospital, Pondicherry, India
  • Lakshmi Sameera Department of Obstetrics and Gynaecology, Sri Manakula Vinayagar Medical College and Hospital, Pondicherry, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20162631

Keywords:

Labour analgesia, Pharmacological method, Non-pharmacological method

Abstract

ABSTRACT

Background: Women’s experience of pain during delivery varies greatly. Various pharmacological and non- pharmacological methods of labour analgesia are available. In spite of availability of various methods, even now women deliver with severe pain without adequate pain relief. The aim of the study was to determine the awareness of pregnant women about labour analgesia in semi urban setting.

Methods: This cross sectional study was done among 256 pregnant women attending antenatal out-patient in obstetrics and gynecology department. Antenatal women who were planned for elective cesarean section were excluded from the study.

Results: Out of 256 women 89.8% had no idea about usage of pain relief in labour. Only 10.2% had some idea about pain relief in labour. In previous delivery, 38.9% experienced severe pain, 58.4% experienced moderate pain and only 2.7% experienced mild pain. Some form of analgesia was administered to 89.9% of women. In spite of analgesia being given for majority, more number of women experienced moderate and severe pain (97.3%). On analyzing various factors, order of pregnancy, income and occupational status had statistically significant influence on knowledge about labour analgesia.

Conclusions: There is a lack of knowledge among pregnant women about pain relief. Due to hectic work in labour room setting in India, it may be difficult to provide one to one care. Non-pharmacological methods should be popularized for pain relief. Usage of some form of pain relief will help in improving quality of care during labour and better outcome of mother and baby.

References

Jones L, Othman M, Dowswell T, Alfirevic Z, Gates S, Newburn M, et al. Pain management for women in labour: an overview of systematic reviews. Cochrane Database of Syst Rev. 2012;3:CD009234.

Melzack R. The myth of painless childbirth (the John J. Bonica lecture). Pain. 1984;19:321-37.

Priscilla H, Érika Z, Faleiros SFAE. Validation of the ratio scale of the differents types of pain. Rev Latino-Am Enfermagem. 2008;16(4):720-6.

Lederman RP, McCann DS, Work B, Huber MJ. Endogenous plasma epinephrine and norepinephrine in last-trimester pregnancy and labor. Am J Obstet Gynecol. 1977;129(1):5-8.

Shnider SM, Abboud T, Artal R, Henriksen EH, Stefani SJ, Levinson G. Maternal catecholamines decrease during labor after lumbar epidural analgesia. Am J Obstet Gynecol. 1983;147:13-5.

Lederman RP, Lederman E, Work B, McCann DS. Anxiety and epinephrine in multiparous labor: relationship to duration of labor and fetal heart rate pattern. Am J Obstet Gynecol. 1985;153(8):870-7.

Osterman MJK, Martin JA. Epidural and spinal anesthesia use during labor: 27-state reporting area, 2008. National vital statistics reports; 59(5). Hyattsville, MD: National Center for Health Statistics. 2011;59(5):1-16.

Naithani U, Bharwal P, Chauhan SS, Kumar D, Gupta S, Kirti. Knowledge, attitude and acceptance of antenatal women toward labor analgesia and caesarean section in a medical college hospital in India. J Obstet Anaesth Crit Care. 2011;1:13-20.

Shidhaye RV, Galande MV, Bangal VB, Joshi SS, Shidhaye UR. Awareness and attitude towards labour analgesia of Indian pregnant women. Anaesth Pain and Intensive Care. 2012;16(2):131-6.

James JN, Prakash KS, Ponniah M. Awareness and attitudes towards labour pain and labour pain relief of urban women attending a private antenatal clinic in Chennai, India. Indian Journal of Anaesthesia. 2012;56(2):195-8.

Ullman R, Smith LA, Burns E, Mori R, Dowswell T. Parenteral opioids for maternal pain relief in labour. The Cochrane database of systematic reviews. 2010;(9):CD007396.

Claahsen-van der Grinten HL, Verbruggen I, van den Berg PP, Sporken JM, Kollée LA. Different pharmacokinetics of tramadol in mothers treated for labour pain and in their neonates. Eur J Clin Pharmacol. 2005;61:523-9.

Henderson K, Matthews I, Adisesh A, Hutchings A. Occupational exposure of midwives to nitrous oxide on delivery suites. Occupational and Environmental Medicine. 2003;60(12):958-61.

Anim-Somuah M, Smyth RM, Jones L. Epidural versus non-epidural or no analgesia in labour. Cochrane Database Syst Rev. 2011;12:CD000331.

Bruggemann OM, Parpinelli MA, Osis MJD, Cecatti JG, Neto ASC. Support to woman by a companion of her choice during childbirth: a randomized controlled trial. Reproductive Health. 2007;4:5.

Brüggemann OM, Parpinelli MA, Osis MJD. Evidence on support during labor and delivery: a literature review. Cad Saúde Pública. 2005;21:1316-27.

Hodnett ED, Gates S, Hofmeyr GJ, Sakala C, Weston J. Continuous support for women during childbirth. Cochrane Database of Syst Rev. 2011;3:CD003766.

Aksoy M, Aksoy AN, Dostbil A, Celik MG, Ince I. The relationship between fear of childbirth and women’s knowledge about painless childbirth. Obstet Gynecol Int. 2014;2014:274303.

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Published

2017-01-11

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Original Research Articles