Knowledge, attitude and use of labour pain relief methods and associated factors among obstetric caregivers at public health centers of east gojjam zone, Amhara Region, Ethiopia, 2018.
No Thumbnail Available
Date
2018-06
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Addis Ababa University
Abstract
Introduction: Labour pain is the most painful event experienced by most women in their lifetime. Labour pain management is essential to ensure the quality of obstetric care and meet the need of labouring woman to have pain free labour and delivery services.
Objectives: The main aim of the study was to assess knowledge, attitude and use of labour pain relief methods and associated factors among obstetric caregivers at public health centers of East Gojjam Zone, Amhara region, Ethiopia.
Methods: Facility-based cross-sectional study design was conducted from March 1-30, 2018. Three hundred nine sampled obstetric caregivers took part in the study. Structured pretested questionnaires were used to collect the data. Data were entered into Epi data 4.2 versions and bivariate and multivariate logistic regression was carried out using SPSS 23 versions with 95 % CI to determine the association between dependent and independent variable.
Result: The overall use of labour pain relief methods were 34.4%, (30.4% non – pharmacological and 8.4 pharmacological) and 54.2% and 57.2 study participants’ had adequate knowledge and favorable attitude about labour pain relief methods respectively. Adequate knowledge [AOR=3.821, 95%CI=(2.091-6.980)], positive attitude [AOR=2.455, 95%CI= (1.358-4.436)] and experience 6-9 years [AOR=2.56,95%CI= (1.350-4.845) and ≥10 years [AOR=2.50,95% CI = 1.132-5.524)] were significantly associated with the use whereas, midwife profession [AOR =2.814, 95%CI= (1.574-5.031)], positive attitude [AOR=4.370,95%CI=(2.523-7.567)] , medium level of education [ AOR=3.450,95% CI=(1.993-5.971)] and companion [AOR=2.349, 95% CI, = (1.34-4.197)] were significantly associated to knowledge of obstetric caregivers about labour pain relief methods in multivariable logistic regression.
Conclusion and recommendation: Despite of availability of labour pain relief methods, still most women go through painful Labour. The high-level knowledge and positive attitude towards the use of labour pain relief services provide a means to introduce pain relief services in a systematic way into the healthcare facilities. So, there is a need to build knowledge and attitude of obstetric caregivers towards the use of labour relief methods and further studies should be done from mothers’ request point of view.
Description
Keywords
knowledge, attitude, use, labour pain relief methods, obstetric caregivers, Ethiopia