Traditional birth attendants' labour pain management experiences from parturients care (original) (raw)
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THE PAIN OF LABOUR: PERSPECTIVES OF TRADITIONAL BIRTH ATTENDANTS IN EDO STATE, NIGERIA
East African Medical Journal, 2017
Objective: To determine the concept of labour pain and its relief in a cultural setting using the perspectives of Traditional Birth Attendants (TBAs). Design: Cross Sectional Comparative Study. Setting: An urban area (Benin City) and a semi-urban town (Auchi) in Edo State, Nigeria. Subjects: Traditional Birth Attendants in an urban area (Benin City) and a semi-urban town (Auchi) were identified using information from a local directory and a respondent driven sampling method. Results: A total of 58 TBAs (37 in Benin and 21 in Auchi) were interviewed. Most TBAs, 36 (97.3%) in Benin and 21 (100.0%) in Auchi, agreed that there is pain during labour. Almost all the TBAs, 34 (94.4%) in Benin and 21 (100,0%) in Auchi, reported that labour pain could be severe. Most of the TBAs, 31(83.8%) in Benin and 20 (95.2%) in Auchi reported that their clients request for pain relief in labour. Use of oral herbs was the most common method of pain relief in labour amongst the TBAs, 12(32.2%) in Benin and 20(100.0%) in Auchi. Most of the TBAs in Benin, 19(61.3%) offer nothing for labour pain, when pain relief is sought by their clients. Conclusion: Labour is considered painful in our culture and most women desire relief. TBAs in semi-urban setting used herbal remedies more readily than their urban counterparts. Efforts should be made at providing comfort to all women in labour irrespective of the location of delivery.
Labour pain experiences and perceptions: a qualitative study among post-partum women in Ghana
BMC Pregnancy and Childbirth, 2017
Background: Women have experienced severe labour pain over the years and various attempts have been made to effectively manage labour pain. However, there is paucity of literature on the labour pain experience and perceptions about labour pain with the contemporary Ghanaian health system. Therefore this study sought to gain an in-depth understanding on labour pain experiences and perceptions of post-partum women. Methods: The study adopted an exploratory descriptive qualitative approach and collected data through individual interviews. Informed consent was obtained from all the participants who were purposively sampled. After transcription of interviews, the data were analyzed inductively using content analysis techniques. Results: Women in this study experienced pain during labour rated as mild, moderate and severe and the pain was felt at the waist area, vagina, lower abdomen and the general body. The women expressed labour pain through crying, screaming and shouting. They prayed to God to help reduce the severe pain. Some women endured the pain, cried inwardly and others showed no sign of pain. Some women believed that crying during labour is a sign of weakness. Pain reliefs such as pethidine (Meperidine) was occasionally given. Non-pharmacologic measures employed included walking around, deep breathing, side-lying, waist holding, squatting, taking a shower and chewing gum. The individuality of pain experience and expression was emphasized and the socio-cultural orientation of women made some of them stoic. Conclusion: We concluded that it is necessary for all health professionals to manage labour pain effectively taking the socio-cultural context into consideration.
Labour pain experience is distinctive and complex, and women use various coping strategies to cope with it. Hence, this study attempted to explore pain experience and coping strategies employed by women in labor in a secondary health facility in Ilorin, Kwara State, Nigeria. A qualitative exploratory research design was used, and a purposive sampling technique was used to select a total of ten (10) mothers who delivered within 48hours in the healthcare facility. A total of three FGD sessions were conducted, each had between 3 and 4 participants. The semi-structured interview guide was used for data collection, and the data were analyzed using content analysis. The women who participated in this study were between 20 and 42years of age, and they perceived labour pain differently. Some of the women described labour pain as very painful; others said the pain is normal, while some said the pain cannot be compared with anything. The study revealed that younger women who are primiparous perceived labor pain as more severe than the multiparous women. All the participants said that birth information and instructions received from the midwives, as well as the presence of caring midwives, help to relieve labour pains and consequently influence their pain experience(s) positively. The coping strategies used varied among participants, and deep breathing techniques, relaxation, and vertical positions were the major coping strategies used. Therefore, the provision of adequate labour information on coping strategies and the presence of caring midwives influenced the labour experience(s) positively.
2020
Background: Women have experienced labour pain over the years as various attempts have been made to effectively manage this pain. There is paucity of literature on the experiences and perceptions about labour pain management with the contemporary Ghanaian health system. This study explored the perspective of puerperal women on the use of non-pharmacological labour pain management at Adidome Government Hospital. Methods: The study adopted an exploratory descriptive qualitative approach as data was collected through individual interviews. Informed consent was obtained from all participants who were purposively sampled. Interviews were audio recorded and transcribed immediately. Thematic analysis was engaged in three interrelated stages, namely data reduction, data display, and data conclusion to analyse the transcript and field notes. Results were presented with supporting quotes from the transcripts. Results: The majority (41.2%) of the women described labour pain as very severe, sev...
African health sciences, 2015
Nigerian parturients desire, but experience unsatisfactory pain relief as labour analgesia is underutilised and unpopular among skilled-birth attendants. To assess pregnant women's knowledge and willingness to use non-pharmacological labour pain reliefs. Using a descriptive cross-sectional design, a pre-tested, structured questionnaire was interviewer administered to a convenient sample of 245 prenatal women at a specialist maternity hospital in Enugu. Majority (68.6%) of the women knew, but 31.4% were unaware that non-pharmacological labour pain reliefs exist in the study facility. Only 34.7% were able to identify at least four such methods, 21.2% could elicit two (each) advantages and disadvantages, and 0% to 28.3% had perceived self-efficacy of how to use each method. The leading four methods identified were breathing exercises (51.8%), massage (36.7), position changes (32.2%), and relaxation techniques (26.5%). Majority (59.6%) of the women expressed willingness to use non-p...
Desire for pain relief in labour in Northeastern Nigeria
Journal of public health and epidemiology, 2009
Labour pain is a distressing and psychologically traumatizing experience to the parturient but little data exist in the Northeastern part of Nigeria regarding pain relief in labour, despite its many advantages. To determine the knowledge, desire and access to pain relief in labour as well as perception of labour pain. This is a cross sectional study of two hundred and fifty five women in two tertiary institutions in north-eastern Nigeria. Patients attending the antenatal clinics or staying in the lying in ward of the hospital after delivery were interviewed and questionnaires filled. One hundred and ninety (74.5%) were undelivered while 65(25.5%) were in the immediate postpartum period. One hundred women were interviewed at the University of Maiduguri Teaching Hospital (UMTH) while 155 were interviewed at the Federal medical Centre Gombe. The interviews centred on their perception of pain and duration of labour. The mean age and parity were 27.6 ± 5.7 and 2.8 ± 2.1 respectively. Abo...
Labour pain perception: experiences of Nigerian mothers
Pan African Medical Journal
Introduction: Labour pain perception is influenced by a variety of factors; hence women experience and cope with labour pain differently. This study was designed to assess labour pain perception among parturient. Methods: A cross-sectional study involving 132 pregnant women who had vaginal delivery at two tertiary hospitals in south west Nigeria. A structured questionnaire was administered to women within 24 hours of delivery to record details of labour and delivery. Labour pain perception was assessed using the Visual Analogue Score (VAS). Data analysis were done using IBM-SPSS Statistics for Windows version 21.0 (IBM Corp., Armonk, NY, USA). Results: The mean age of the parturients was 30.6±4.8 years. The mean pain perception of the parturients as assessed by VAS was 7.0 with range of 1.2-10.0. Sixty-six (50%) parturients rated labour pain to be severe (VAS > 7.1). Majority of the respondents 114(86.4%) desired some form of pain relief. The Body Mass Index (BMI) of respondents and birth weight of their babies had statistically significant association with pain perception (p = 0.010; p = 0.038 respectively). Factors associated with increased odds of having severe pain perception include unbooked status, secondary level education, BMI < 30, and gestational age ≥ 37 weeks. Conclusion: Women in south west Nigeria perceived labour pain as severe and many desired pain relief during labour. Occupation, BMI, gestational age and baby's birth weight were significant mediating variables in women's experience of labour pain. Modern methods of labour analgesia should be offered to parturients who express desire for it. This will lead to improvements women's childbirth experience.
International Journal of Africa Nursing Sciences, 2015
There is a general notion among Ghanaian women that the labour is a painful process that must be endured. Regardless of this notion, labour pain experience overwhelms most women. The aim of this study was to inquire into women's perceptions and experience of labour pain and how women cope with pain. Using the narrative inquiry methodology, five low risk pregnant Ghanaian women; two nulliparous and three multiparas were purposefully selected. Tape-recorded conversations, writing of field notes and journals were used as the main source of data collection before delivery and within one week after delivery. The women's perception of pain before and after delivery was used to construct narrative accounts from which the findings of the study were generated. To ensure credibility of each narrative account, the interim narrative accounts constructed by the researcher were sent to the women to read and respond to. The findings revealed that before the labour experience, women perceived labour as a painful experience expected to be endured. Antenatal education on labour pain management was inadequate. Additionally use of pain relief methods was lacking although women expressed need for pain relief. Furthermore the findings revealed inadequate physical and emotional support for women in labour to help cope with labour pain. In conclusion the researcher recommends that midwives in consultation with clients adopt a more active method of assessing labour pain. Also antenatal education on pain relief options must be provided. A more conscious effort to provide support for women in labour should be promoted.
Pain Relief during Labor: Attitudes of Postpartum Mothers in Selected Hospitals in Ibadan, Nigeria
Background & aim: Giving birth is a painful process, which exposes women to a lot of stress. It is the responsibility of the healthcare practitioners to make this process less burdensome. In this regard, the present study aimed to investigate the attitudes of postpartum mothers towards labor pain relief. Methods: This descriptive cross-sectional study was conducted on 153 females with spontaneous vaginal delivery within September to October of 2012. The study population was selected through convenience sampling technique. Data collection was performed using a semi-structured questionnaire. The data were analysed in SPSS (version 20), using descriptive statistics and Chi-square. P-value less than 0.05 was considered statistically significant. Results: According to the results, 60.8% of the respondents had knowledge about pain relief in labor. However, 58.8% of the participants did not request for pain relief during labor because they believed that their pain could not be relieved. Women's attitude to labor pain relief showed a significant association with their age (P=0.001), education level (P=0.001), and parity (P=0.001). Conclusion: Based on the findings of the study, the midwives are recommended to provide the pregnant women with health education on labor pain relief and dispel any misconceptions in this regard.
Journal of Pain Research, 2011
The purpose of this study was to assess the attitudes of maternal health care providers to pain relief during labor in Zaria, Nigeria. Methods: This was a multicenter, collaborative, cross-sectional pilot study of provider perspectives concerning pain relief during labor. A structured, self-administered, questionnaire was completed by 95 consenting maternal health care providers at three high-volume facilities in Zaria, an ancient northern Nigerian city. Descriptive statistics was performed on the data. Results: Most respondents (94.8%) agreed that pain relief is needed during labor. Only 2.1% of respondents were undecided about the provision of pain relief during labor and 3.2% were of the opinion that pain relief was not necessary during labor. Most respondents (93.7%) had attended a woman in labor in the 4 weeks preceding the survey. Of these, 56.8% had counseled a parturient in labor. Most of the counseling (42.1%) took place during labor. Less than half of the respondents (48.4%) had administered pain relief in labor in the preceding 4 weeks and systemic opioids was the most commonly form of pain relief. Among the respondents who did not offer pain relief agents in labor, the majority (54.5%) had no reason for not offering it. Unavailability of methods, inability to afford the cost of pain relief, lack of knowledge and skills, as well as lack of essential equipment to provide the procedure were also given by respondents as reasons for not offering pain relief. Conclusion: Even though maternal health care providers in this environment have a positive attitude to pain relief in labor, most women go through labor without the benefit of analgesia. There exists a gap between provider attitudes to pain relief in labor and practice of the same, with many providers having no genuine reason(s) for not offering pain relief to their clients during labor. Providers need to align their practice to their attitudes, and need to be helped to do this through training as well as enhancing their ability to think critically about their practice.