Awareness and Perception of Epidural Labor Analgesia Amongst Parturient in South Eastern Nigeria
Clinical Medicine Research
Volume 6, Issue 3, May 2017, Pages: 116-120
Received: Feb. 20, 2017;
Accepted: Mar. 27, 2017;
Published: May 25, 2017
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Fidelis Anayo Onyekwulu, Department of Anaesthesia, University of Nigeria Teaching Hospital, Ituku Ozalla, Enugu, Nigeria
Innocent Chidiebere Ugwu, Department of Anaesthesia, University of Nigeria Teaching Hospital, Ituku Ozalla, Enugu, Nigeria
Elias Chikee Aniwada, Department of Community Medicine, University of Nigeria Teaching Hospital, Ituku Ozalla, Enugu, Nigeria
Tochukwu Christopher Okeke, Department of Obstetric and Gynaecology, University of Nigeria Teaching Hospital, Ituku Ozalla, Enugu, Nigeria
This study was carried out to assess the awareness, perceptions, acceptance, and the level of utilization of epidural analgesia in relation to other methods of labor pain relief among prospective parturient attending the ante-natal clinic in south eastern Nigeria. Women attending the ante-natal clinic were interviewed using interviewer administered questionnaires containing both open and closed questions, to evaluate their awareness, perceptions, acceptance and level of utilization of labor analgesia in general and epidural analgesia in particular. Data were analysed using SPSS Statistics Version 21.0. The study included 150 women with mean age of 29.63±5.02. Most of the respondents (94.7%) had at least secondary school education. More than half the respondents (62.7%) knew about labor analgesia and 38.7% knew about epidural labor analgesia. Source of knowledge to vast majority (75.6%) were doctors and nurses. Majority of the multiparous respondents (81.27%) had moderate or severe pain in the previous confinement and only 53% had pain relieve. Of those who had pain relieve, two third hard breathing exercises while 4.8% had epidural analgesia. Majority of the respondents (72.7%) would want to have labor analgesia, and 53.3% desired epidural in their next delivery. There is poor level of awareness and utilization of epidural labor analgesia by women attending an antenatal clinic in south eastern Nigeria.
Fidelis Anayo Onyekwulu,
Innocent Chidiebere Ugwu,
Elias Chikee Aniwada,
Tochukwu Christopher Okeke,
Awareness and Perception of Epidural Labor Analgesia Amongst Parturient in South Eastern Nigeria, Clinical Medicine Research.
Vol. 6, No. 3,
2017, pp. 116-120.
Kuti O, Faponle AF. Perception of labour pain among the Yoruba Ethnic group in Nigeria. J Obstet Gynecol. 2006 26(4): 332-334.
Onah HE, Obi SN, Oguanuo TC, Ezike HA, Ogbuokiri CM, Ezugwuorie JO. Pain perception among parturients in Enugu, South-Eastern Nigeria. J Obstet Gynecol. 2007; 27(6): 585-588.
Owa OO, Alao FO, Faturoti SO, Temenu BA, Lemadoro SA. Acceptability of painless labour among pregnant women in Owo, South-West, Nigeria. Research Obstet gynaecol. 2015; 3(2): 13-16.
Onyeka TC, Chigbu CO. Denial of pain relief during labour to parturients in the South-East Nigeria. Inter J Gynecol Obstet. 2011; 114: 226-228.
Imarengiaye CO, Ande AB. Demand and utilization of labour analgesia service by Nigerian women. J Obstet Gynecol. 2006; 26(2): 130-132.
Barakazai A, Haider G, Yousuf F, Haider A, Nasiruddin M. Awareness of women regarding analgesia during labour. J Ayub Med Coll Abbottabad. 2010; 22(1): 73-75.
Mugambe JM, Mel M, Hiemstra LA, Steinberg WJ. knowledge of and attitude towards pain relief during labour of women attending the ante-natal clinic of Cecilia Makiwane hospital South Africa. SA Fam Pract. 2007; 49(4): 16
Cambic CR, Wong CA. Labour Analgesia and Obstetric outcome. Brit J Anaesth. 2010; 105(S1): i50- i60.
Brennan F, Carr DB, Cousins M. Pain management: A fundamental human right. Anesth Analg 2007; 105: 205-221.
Iliyasu Z, Galadanci HS, Abubakar IS, Isah H, Aliyu MH. Desire for Obstetric analgesia among women in Northern Nigeria. Trop J Obstet Gynaecol. 2012; 29(2): 53-55.
Mung’ayi V, Nekyon D, Karuga R. Knowledge, attitude and use of labour pain relief methods among women attending ante-natal clinic in Nairobi. East Afr Med J. 2008; 85(9).
Nabukenya MT, Kintu A, Wabule A, Muyingo MT, Kwizera A. Knowledge, attitudes and use of labour analgesia among women at a low income country ante-natal clinic. BMC Anesthesiology. 2015; 15: 98.
Naithani U, Bharwal P, Chauhan SS, Kumar D, Gupta S. Knowledge, attitude and acceptance of antenatal women toward labour analgesia and caesarean section in a medical college hospital in India. J Obstet Anaesth Crit care. 2011; 1(1): 13-20.
Fyneface-Ogan S, Mato CN, Anya SE. Epidural Anaesthesia: Views and outcomes of women in labour in a Nigerian Hospital. Ann Afr Med. 2009; 8(4): 250-256.
Agrawal D, Makhija B, Arora M, Haritwal a, Gurha P. The effect of epidural analgesia on labour, mode of delivery and neonatal outcome in nullipara of India, 2011-2014. J clin diag research. 2014; 8(10): 03-06.
Oladokun A, Eyelade O, Morhason-Bello I, Fadare O, Akinyemi J, Adedokun B. Awareness and desirability of labour epidural analgesia: A survey of Nigerian women. Inter J Obst Anaesth. 2008 18(1): 38-42.
To WWK; The Quality Assurance Subcommittee in Obstetrics and Gynaecology, Hospital Authority, Hong Kong. A questionnaire survey on patients' attitudes towards epidural analgesia in labour. Hong Kong Med J 2007; 13: 208-15.
Okeke CI, Merah NA, Cole SU, Osibogun A. Knowledge and perception of obstetric analgesia among prospective parturients at Lagos University Teaching Hospital. The Nig postgrad med J. 2005; 12(4): 258-261.
Aduloju OP. Pain perception among parturients at a University teaching hospital, South Western Nigeria. Nig Med J.2013; 4(54): 211-216.
Olayemi O, Aimakhu CO, Udoh ES. Attitudes of patients to obstetric analgesia at the University College Hospital, Ibadan, Nigeria. J Obstet Gynecol 2003; 23(1): 38– 40.