Ermias Sahile
Lecturer at Mizan-tepi university, Ethiopia
Title: Practice of labour pain management methods and associated factors among skilled attendants working at general hospitals in Tigray region, North Ethiopia: Hospital based cross-sectional study design
Biography
Biography: Ermias Sahile
Abstract
Introduction: Labor pain is the most severe pain that a woman ever has to face. Pain relief in childbirth is subject to many
social and cultural modifiers, which continue to change. Delivery of the infant into the arms of a conscious and pain-free
mother is the most exciting and rewarding moment in maternal care services. Developed nation give emphasis on continuous
labor support, but in developing country pain is neglected especially managing labor pain. In a country like Ethiopia with low
institutional delivery managing labor pain can help as an incentive to enhance institutional delivery rate.
Objective: The main purpose of this study is to assess practice of labor pain management methods and associated factors
among skilled attendants in all Tigray region general hospitals.
Method: Institutional based cross sectional study design was carried out at all general hospitals in Tigray regional state from
October 01-30, 2016. All skilled attendants who were working at labor ward were included in the study. Data was collected by
interviewer-administered, pretested and structured questionnaire. The data were entered by Epi- info version 7 then analyzed
using SPSS for windows version 20. Descriptive analysis was done and logistic regression analyses were also used to see
the association of dependent and independent variables. Finally odds ratio and 95% confidence interval were computed to
determine the strength of association.
Result: This study found out that the practice of labor pain management methods was 43.3%, which is only non-pharmacologic
methods and practice of pharmacologic method was nil. Multivariate logistic regression showed professionals positive attitude
for labor pain management [AOR=2.242, 95% CI=(1.242-4.048)] and high level qualification [(AOR=2.876, 95% CI=(1.29-6.39)]
were statistically associated with practice of labor pain management methods.
Conclusion & Recommendation: This study revealed poor practice of labor pain management methods. Positive attitude and
highest qualification found to be significant predictor of practice of labor pain management methods. So there is a need to
build attitude and knowledge of skilled attendants towards good practice of labor pain management and further studies should
be done from mother satisfaction point of view.