Knowledge and attitude regarding epidural analgesia among expectant mothers (original) (raw)
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Sri Lankan Journal of Anaesthesiology
Labour pain management is a major challenge in maternity care. Epidural analgesia provides safe and effective pain relief during labour. The objective was to assess the knowledge, attitudes and associated factors towards epidural analgesia during labour among pregnant women in Colombo region, Sri Lanka. This was a descriptive study conducted at two selected hospitals in Colombo Sri Lanka. The sample size was 260 and those below 18yrs were excluded. Participants were provided with a pretested questionnaire. Ethical approval was obtained from Faculty of Medical Sciences, University of Sri Jayewardenepura. Both knowledge and attitude were given separate scores and were categorized as 'good' or 'poor' based on their mean. Within the study population, 41.9% had heard of labour analgesia. Among them, only 6.7% had good knowledge and 15.6% had a positive attitude towards labour epidural analgesia. The patients with good knowledge about labour epidural analgesia had good attitude towards the procedure (p<0.05) and there was a positive association between those who had heard of analgesia and their sources of information. However, as the total level of knowledge and attitudes towards labour epidural analgesia was poor, it is recommended that the health care workers issue pamphlets carrying necessary information following discussions with the pregnant women. After admission they should be given clear information about risks and benefits of the procedure and a post-partum feedback would help in quality improvement.
Nepal Journal of Obstetrics and Gynaecology, 2021
Aims: To assess the awareness and perception of labour epidural analgesia among pregnant women visiting the antenatal clinic. Methods: This was an observational cross-sectional study. Study participants included pregnant women visiting the antenatal clinic during 2nd and 3 rd trimester conducted from 21 st September 2018 till 20 th September 2019. Data were collected by using an interviewer-administered questionnaire. Ethics approval was granted by the research Ethics Board of health, Bhutan. Results: Total 450 parturients participated in this study; 61.4% of the participants knew that labour epidural services were available and 37.5% got information through media. A total of 57.3% of respondents had severe fear about labour pain; 62.4% had severe fear about delivery complication; 85.2% thought that epidural labour analgesia was a good method of pain relief; and 67% were willing to accept it for their current pregnancy. However, 86.6% would recommend epidural labour analgesia as an ...
Perceptions and practice of epidural analgesia among women attending antenatal clinic in FETHA
International journal of women's health, 2017
The pain of childbirth is arguably the most severe pain that most women will endure in their lifetime. Epidural analgesia is widely used as an effective method of pain relief in labor. It provides almost complete relief of pain if administered timely, and does not affect the progress of the first stage labor. The objective of this study was to determine the awareness and utilization of epidural analgesia in labor in pregnant women attending the antenatal clinic at Federal Teaching Hospital, Abakaliki (FETHA). This is a cross-sectional study involving 350 women attending the antenatal clinic between April 2016 and July 2016. A total of 335 questionnaires were correctly completed, and used for analysis. The average age and parity of the respondents were 27.6±8.2 years and 2.4±1.8, respectively. About 58.2% of respondents were civil servants, 98.5% were married, and 74.6% had a tertiary level of education. About 43.3% of the respondents are aware of the use of epidural analgesia in lab...
JPMA. The Journal of the Pakistan Medical Association, 2005
To assess the knowledge, sources of knowledge, attitude (fears and misconceptions) regarding Epidural Analgesia (EA) and practices of parturients delivery at Aga Khan University hospital (AKUH). A hospital based cross sectional study was conducted at the obstetric unit of AKUH, from November to December 2003. A questionnaire was filled through verbal interviews conducted on 448 parturients fulfilling the inclusion criteria. Seventy six percent of the females were aware of epidural analgesia as a labor pain relieving method. However, only 19% availed EA. About 40% had heard about EA from their obstetricians and 64% from friends or relatives. Twenty even percent believed that EA has detrimental effects on the baby while 9% stated that EA can prolong the duration of labour. Majority of the pregnant females delivering at Aga Khan University Hospital were aware of epidural analgesia for labour. However, only a small proportion are availing this service, due to fears and misconceptions.
Journal of clinical and diagnostic research : JCDR, 2014
Labour epidural analgesia is increasingly used as a means of pain relief for women during labour and delivery. The significant pain during labour and delivery can be terrifying for mothers-to-be and the prospect of relief from pain can help reduce fear of childbirth to an extent. However, it is not necessary that reduced fear of childbirth may lead to an increased satisfaction with the childbirth experience. To determine the influence of labour epidural analgesia (LEA) on the experience of childbirth in pregnant women at a tertiary care center in southern India Materials and Methods: A pre-post interventional non-randomized study design at a tertiary care perinatal institute that used the Wijma Delivery Expectation and Experience questionnaires to determine baseline expectations of labour and childbirth and the actual experience in pregnant women. Labour analgesia was provided on maternal request or demand. Total and domain scores were compared between the two groups using non-param...
Journal of Pharmaceutical Research International
Background: Labour pain while giving birth is one of the most excruciatingly painful and emotionally stressful experience for a woman that has piqued the interest of several academicians. Labour pain is induced due to the uterine ischemia, expansion of vagina and birth canal, muscle contractions, and pressure on the bladder. To relieve the severe pain during labour, analgesia is required, which offers pain relief without the loss of consciousness. Regional analgesia (Epidural and spinal) are most commonly used for offering pain relief to women. Aim: To evaluate whether low dose spinal analgesia is a better alternative to lumbar epidural analgesia for pain relief in labour. Objectives - Primary objective is to evaluate efficacy of lumbar epidural and spinal analgesia for pain relief in labour. Secondary objective is to evaluate the perceptions of women towards the use of labour analgesia, to evaluate the maternal and fetal outcome and to evaluate the barriers affecting the use of lum...
Cureus, 2021
Background: Childbirth is a normal life event that is considered to have the most severe pain faced by women in their lifetime. However, this pain can be managed in many ways such as using epidural analgesia (EDA). Objective: This study focuses on assessing the awareness, perceptions, and desirability of EDA among pregnant women at King Fahad University Hospital (KFUH), Al Khobar. Methods: A cross-sectional study was conducted at KFUH in Al Khobar, Eastern Province of Saudi Arabia. The study took place from November to December 2020 by using a pre-designed questionnaire developed by the researchers based on a thorough literature review of prior studies. A total of 209 pregnant females participated in the study. The study included all pregnant women attending antenatal clinics and the emergency room at KFUH and we excluded postpartum women from the study. Results: A total of 209 pregnant women participated in this two-month study and completed the questionnaire. The majority of women were between the age of 30-35 years old (33%), while a few (16%) were less than 24 years. The patient's perception was found to be significantly influenced by age and household income. On the other hand, awareness of EDA complications and desirability was seen to be associated with income. Conclusion: Study results demonstrate that the majority of pregnant women were aware, as well as had a positive perception and desirability toward using EDA for labor pain. On the other hand, pregnant women who had a lack of awareness and perception toward EDA may suffer more from labor pain, which will negatively affect their birth experience and may make it less enjoyable. Therefore, education about different types of analgesia, especially EDA, should be included in an antenatal care program.
Knowledge and Acceptance of Labour Analgesia in Pregnant Women
Journal of Nepal Health Research Council, 2018
Background: Labour analgesia, though practiced worldwide, is not very popular in low-income countries. The aim of the study was to assess the awareness, attitude, acceptance, and reasons for hindrance of labour analgesia among patients visiting a tertiary care center in the capital city Methods: It was a cross sectional study conducted in Obstetrics and Gynecology outpatient department of Kathmandu Medical College Teaching Hospital in the month of August 2017. All pregnant patients presenting for antenatal checkup was included. Data was collected based on a questionnaire after informed consent. Statistical analysis was done in SPSS version 20 and results were expressed in frequencies and percentage. Results: Total of 270 pregnant women participated in the study. Out of these forty-four (16.3%) patients were aware about labour analgesia. The acceptance rate was high (72.2%). Majority (84.6%) had no problem with expenditure associated with labour analgesia. Conclusions: Despite low awareness about painless delivery among the antenatal women, the acceptance rate is high.
Awareness among Pregnant Women about Epidural Analgesia: A Cross-Sectional Study
Anesthesiology Research and Practice
Background. Epidural analgesia (EPA) is an effective anesthetic technique to overcome pain during labor. This study aimed to evaluate the current awareness of EPA among pregnant women. Methods. We carried out a cross-sectional study using a questionnaire to measure awareness about EPA among pregnant women visiting the obstetrics and gynaecology clinic in King Abdulaziz Medical City in Jeddah. Following the results, a group of women was selected and educated by trained medical students. Results. This study comprised 105 women. We found that 25 (23.8%) respondents revealed a complete lack of knowledge regarding EPA, 63 (60%) showed minimal awareness, and 17 (16.2%) were aware of EPA from various sources. The gravidity and history of EPA administration were significantly associated with knowledge. Multigravida women and those who had received EPA showed higher level of knowledge ( p = 0.048 and p < 0.001 , respectively). In addition, there was a significant association between the l...
https://www.ijhsr.org/IJHSR\_Vol.7\_Issue.11\_Nov2017/IJHSR\_Abstract.024.html, 2017
Background: Labour pain is one of the most severe pain experienced by women and it is amenable to treatment. Most of the Indian parturient still suffer from the agony of labour pains due to lack of awareness, lack of availability or knowledge of availability of labour analgesia service. The objectives of the study were to assess the knowledge, attitude and demand of labour pain relief techniques among antenatal women, determine the association of knowledge and attitude with baseline variables and prepare a concept map regarding labour pain relief techniques. Method: A quantitative descriptive approach is used to assess the knowledge, attitude and demand of labour pain relief techniques in 100 antenatal women by purposive sampling. The validated tools were used for data collection. Data was analyzed by using descriptive and inferential statistics. Results: The findings of the study showed that majority (68%) of subjects had an average knowledge, 26% had poor knowledge and 6% had good knowledge regarding labour pain relief techniques. Majority (97%) had a favourable attitude towards labour pain relief techniques. Less than half of the subjects (34%) demanded labour pain relief techniques. There is a significant association of knowledge and previous experience of labour (p=0.030) and knowledge and previous mode of delivery (p= 0.020). Conclusion: The majority of antenatal women had an average knowledge on labour pain relief techniques and their attitude was favourable. Concept mapping may improve knowledge and enhance attitude.