Painless labour: attitude and awareness amongst pregnant women
Keywords:Analgesia, Attitude, Knowledge, Labour
Background: Labour pain has been described as most severe pain experienced by a female. Labour analgesia is widely practiced in developed countries. Many labour analgesic methods have been introduced to make delivery a pleasurable moment in a women’s life.
Methods: This prospective study was performed at the Department of Obstetrics and Gynaecology, Indira Gandhi Institute of Medical Sciences, Patna, India after getting permission from institute ethical committee. 100 pregnant females attending the antenatal clinic were interviewed in their mother language. Information was collected on a questionnaire after an informed consent. The aim of the study was to assess the knowledge, desire and acceptability of pregnant women regarding painless labour.
Results: The mean age of the women in the study was 24.98years.56% of women in the study were primigravida whereas 44% were multigravida.66% women belonged to urban area while 34% were from rural area. 10% were illiterate, 35% were educated upto secondary education and 55% were having higher education. Only 24% of the women were having knowledge about painless labour however 87% female were having positive attitude towards epidural analgesia. The correlation between the educational status and knowledge about painless labour was not statistically significant (p0.949). The knowledge and attitude of women regarding painless labour was statistically significant with p value of 0.00001.
Conclusions: There is lack of knowledge about labour analgesia among women. Obstetrician and anaesthetist should educate women regarding painless labour. Labour analgesia is standard of care in obstetrics and should be provided to all parturient.
Vincent RD, Chestnut DH. Epidural analgesia during labor, University of Alabama School of medicine, Birmingham, Alabama Am Fam Physician. 1998;58(8):1785-1792.
ACOG Committee Opinion #295. Pain relief during labor. Obstet Gynecol. 2004;104:213.
Olayemi O, Aimakhu CO, Udoh ES. Attitudes of patients to obstetric analgesia at the University College Hospital, Ibadan, Nigeria. J Obstet Gynecol. 2003;23:38-40.
Henry A, Nand SL. Women’s antenatal knowledge and plans regarding intrapartum pain management. Australia Newzel J Obstet Gynecol. 2004;44:314-9.
Lally JE, Murtagh MJ, Macphail S, Thomson R. More in hope than expectation: A systematic review of women’s expectations and experience of pain relief in labour. BMC Med. 2008;6:7.
Llewellyn Jones D. Child birth without pain. In: Llewellyn Jones D, ed. Every woman: a gynecological guide for life. London: Faber and Faber; 1971:177.
Kuti O, Faponle AF, Adeyemi AB, Owolabi AT. Pain relief in labour: a randomized controlled trial comparing pentazocine with Tramadol. NJOG. 2008;3:14-8.
Kothari D, Bindal J. Impact of obstetric analgesia (regional vs parenteral) on progress and outcome of labor: a review. J Rom Anest Terap Int. 2011;18:34-40.
Thakur M, Sagar N, Tandon P. Knowledge and attitude regarding epidural analgesia among expectant mothers. Int J Reprod Contracept Obstet Gynecol. 2017;6:1929-31.
Mohamed HF, Alqahtani J, Almobaya N, Aldosary M, Alnajay H. Women’s awareness and attitude toward epidural analgesia. J Biol Agriculture Healthcare. 2013;3(6):46-52.
Shrikrishna DG, Suhit N. Awareness and acceptance of labour analgesia in rural india. Int J Med Res Rev. 2016;4(12):2170-5.
Hug I, Chattopadhyay C, Mitra GR, Kar Mahapatra RM, Schneider MC. Maternal expectations and birth-related experiences: a survey of pregnant women of mixed parity from Calcutta, India. Int J Obstet Anesth. 2008;17(2):112-7.
Nabukenya MT, Kintu A, Wabule A, Muyingo MT, Kwizera A. Knowledge, attitudes and use of labour analgesia among women at a low-income country antenatal clinic. BMC Anesthesiol. 2015;15:98.
Shidhaye RV, Galande MR, Bangal VB, Joshi S. Awareness and attitude towards labour analgesia of Indian pregnant women. Anaesthesia Pain Intensive Care. 2012;16(2):131-36.