Knowledge about Labour Analgesia among Final Year Medical Students in a Tertiary Care Hospital
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Abstract
Background: Lack of understanding regarding labour pain has long been shown to be a burden on both health care providers and expectant mothers. Labor analgesia is still not well established and is undermining in underdeveloped nations. Therefore, the aim of this study was to explore final year medical students' knowledge and attitudes towards pain relief during labor.
Methods: A cross-sectional study was conducted among final year undergraduate medical students of a tertiary care medical college hospital for 2 months. A Structured, and self-administered questionnaire was used (N = 97). Data was analyzed by using coGuide software, V.1.0.3.
Results: No statistical significance found in awareness parameters before learning about labour analgesia (P Value >0.05). There was no statistically significant difference between self-grading. However, there was statistically significant difference in different awareness related parameters before and after learning labour analgesia and many showed the improvement in post class response compared to before class response. (P value <0.05).
Conclusion: The current study revealed that before learning labour analgesia students had lack of knowledge regarding labour analgesia. The awareness class proved to be very effective for students to gain appropriate knowledge about labour analgesia and its importance as a reliable pain relief method.
[1] Olayemi O, Adeniji RA, Udoh ES, Akinyemi OA, Aimakhu CO, Shoretire KA. Determinants of pain perception in labour among parturients at the University College Hospital, Ibadan. J Obstet Gynaecol. 2005; 25(2):128-30.
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[7] Clyburn P, Collis R, Harries S. Obstetric anaesthesia for developing countries. Oxford: OUP; 2010.
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[10] Antenatal E. Perinatal and postpartum care. Copenhagen: WHO EURO; 2002.
[11] Brown ST, Douglas C, Flood LP. Women’s Evaluation of Intrapartum Nonpharmacological Pain Relief Methods Used during Labor. J Perinat Educ. 2001; 10(3):1-8.
[12] Tournaire M, Theau-Yonneau A. Complementary and alternative approaches to pain relief during labor. Evid Based Complement Alternat Med. 2007; 4(4):409-417.
[13] Bedwell C, Dowswell T, Neilson JP, Lavender T. The use of transcutaneous electrical nerve stimulation (TENS) for pain relief in labour: a review of the evidence. Midwifery. 2011; 27(5):e141-8.
[14] Peng T, Li X, Zhou S, Xiong Y, Kang Y, Cheng HD. Transcutaneous electrical nerve stimulation on acupoints relieves labor pain: a non-randomized controlled study. Chin J Integr Med. 2010; 16(3):234-238.
[15] Lee H, Ernst E. Acupuncture for labor pain management: A systematic review. Am J Obstet Gynecol. 2004;191(5):1573-1579.
[16] Ternov K, Nilsson M, Löfberg L, Algotsson L, Akeson J. Acupuncture for pain relief during childbirth. Acupunct Electrother Res. 1998;23(1):19-26.
[17] Ullman R, Smith LA, Burns E, Mori R, Dowswell T. Parenteral opioids for maternal pain relief in labour. Cochrane database Syst Rev. 2010; (9):CD007396.
[18] Anderson D. A review of systemic opioids commonly used for labor pain relief. J Midwifery Womens Health. 2011; 56(3):222-239.
[19] Nystedt A, Edvardsson D, Willman A. Epidural analgesia for pain relief in labour and childbirth - a review with a systematic approach. J Clin Nurs. 2004; 13(4):455-466.
[20] Howell CJ. Epidural versus non-epidural analgesia for pain relief in labour. Cochrane database Syst Rev. 2000;(2):CD000331.
[21] Kannan B, Rengasamy CK. Attitude of obstetricians regarding labour analgesia and limitations in practising it. Int J Reprod Contracept Obstet Gynecol. 2017; 6(2):388e91.
[22] McCauley M, Stewart C, Kebede B. A survey of healthcare providers’ knowledge and attitudes regarding pain relief in labor for women in Ethiopia. BMC Pregnancy Childbirth. 2017; 17(1):56.
[23] Nabukenya MT, Kintu A, Wabule A, Muyingo MT, Kwizera A. Knowledge, attitudes and use of labour analgesia among women at a low-income country antenatal clinic. BMC Anesthesiol. 2015; 15:98.
[24] Lasch K, Greenhill A, Wilkes G, Carr D, Lee M, Blanchard R. Why study pain? A qualitative analysis of medical and nursing faculty and students’ knowledge of and attitudes to cancer pain management. J Palliat Med. 2002; 5(1):57-71.
[25] Gordon DB, Dahl JL, Miaskowski C, McCarberg B, Todd KH, Paice JA, et al. American pain society recommendations for improving the quality of acute and cancer pain management: American Pain Society Quality of Care Task Force. Arch Intern Med. 2005; 165(14):1574-80.
[26] Eyob T, Mulatu A, Abrha H. Knowledge and attitude towards pain management among medical and paramedical students of an Ethiopian University. J Pain Relief 2013;3(127):2167e846.
[27] Latchman J. Evaluating knowledge and attitudes of undergraduate nursing students regarding pain management. 2010.
[28] BDSS Corp. Released 2020. coGuide Statistics software, Version 1.0, India: BDSS corp. Available from: https://www.coguide.in [Last accessed on 2022 May 10].
[29] Endalew NS, Tawuye HY, Melesse DY. Knowledge and attitude towards pain relief in labor among final year midwifery students: A cross-sectional study. Int J Surg Open. 2020; 24:38-42.
[30] Anozie OB, Lawani LO, Mamah JE, Esike CO, Ezeonu OP, Eze JN, et al. Epidural Analgesia for Management of Labour Pain: Determinants and Deterrents Among Obstetricians in Nigeria. Int J Women’s Heal Reprod Sci. 2018; 6(4):410-414.
[31] Gido R, Yadeta TA, Tura AK. Utilization of Obstetric Analgesia for Labor Pain Management and Associated Factors among Obstetric Care Providers in Public Hospitals of Addis Ababa, Ethiopia: A Cross-Sectional Study. Obstet Gynecol Int. 2021; 2021:9973001.
[32] Geltore TE, Taye A, Kelbore AG. Utilization of obstetric analgesia in labor pain management and associated factors among obstetric caregivers in public health facilities of Kembata Tembaro Zone, Southern Ethiopia. J Pain Res. 2018; 11:3089-3097.
[33] Terfasa EA, Bulto GA, Irenso DY. Obstetric analgesia utilization in labor pain management and associated factors among obstetric care providers in the West Shewa Zone, Central Ethiopia. SAGE open Med. 2022; 10:20503121221088704.
[34] Imarengiaye CO. Trends in pain relief in labour: implications for obstetric analgesia service in Nigeria. Niger Postgrad Med J. 2005; 12(3):193-202.
[35] Narayanappa A, Gurulingaswamy S, Prabhakaraiah U, Kempegowda K, Hanumantharayappa NB. Practice of Labor Analgesia among Anesthesiologists Across India: Cross-sectional Study. Anesth essays Res. 2018; 12(3):651-656.
[36] Loughnan BA, Carli F, Romney M, Doré CJ, Gordon H. Epidural analgesia and backache: a randomized controlled comparison with intramuscular meperidine for analgesia during labour. Br J Anaesth. 2002; 89(3):466-472.
[37] Ponnusamy R, Reddy HK, Murugesan R. Awareness, knowledge and attitude about labor analgesia among providers and parturients; a survey based study. Anaesth Pain Intensive Care. 2018; 22(1):73-80.
[2] Ogboli-Nwasor E, Adaji S, Bature S, Shittu O. Pain relief in labor: a survey of awareness, attitude, and practice of health care providers in Zaria, Nigeria. J Pain Res. 2011; 4:227-32.
[3] Findley I, Chamberlain G. ABC of labour care. Relief of pain. BMJ. 1999;318(7188):927-930.
[4] Brownridge P. The nature and consequences of childbirth pain. Eur J Obstet Gynecol Reprod Biol. 1995; 59 Suppl:S9-15.
[5] Jones L, Othman M, Dowswell T, Alfirevic Z, Gates S, Newburn M, et al. Pain management for women in labour: an overview of systematic reviews. Cochrane database Syst Rev. 2012; 2012(3):CD009234.
[6] Lowe NK. The nature of labor pain. Am J Obstet Gynecol. 2002; 186(5 Suppl Nature):S16-24.
[7] Clyburn P, Collis R, Harries S. Obstetric anaesthesia for developing countries. Oxford: OUP; 2010.
[8] Goetzl LM. ACOG Practice Bulletin. Clinical Management Guidelines for Obstetrician-Gynecologists Number 36, July 2002. Obstetric analgesia and anesthesia. Obstet Gynecol. 2002; 100(1):177-191.
[9] Practice guidelines for obstetric anesthesia: an updated report by the American Society of Anesthesiologists Task Force on Obstetric Anesthesia. Anesthesiology. 2007; 106:843-863.
[10] Antenatal E. Perinatal and postpartum care. Copenhagen: WHO EURO; 2002.
[11] Brown ST, Douglas C, Flood LP. Women’s Evaluation of Intrapartum Nonpharmacological Pain Relief Methods Used during Labor. J Perinat Educ. 2001; 10(3):1-8.
[12] Tournaire M, Theau-Yonneau A. Complementary and alternative approaches to pain relief during labor. Evid Based Complement Alternat Med. 2007; 4(4):409-417.
[13] Bedwell C, Dowswell T, Neilson JP, Lavender T. The use of transcutaneous electrical nerve stimulation (TENS) for pain relief in labour: a review of the evidence. Midwifery. 2011; 27(5):e141-8.
[14] Peng T, Li X, Zhou S, Xiong Y, Kang Y, Cheng HD. Transcutaneous electrical nerve stimulation on acupoints relieves labor pain: a non-randomized controlled study. Chin J Integr Med. 2010; 16(3):234-238.
[15] Lee H, Ernst E. Acupuncture for labor pain management: A systematic review. Am J Obstet Gynecol. 2004;191(5):1573-1579.
[16] Ternov K, Nilsson M, Löfberg L, Algotsson L, Akeson J. Acupuncture for pain relief during childbirth. Acupunct Electrother Res. 1998;23(1):19-26.
[17] Ullman R, Smith LA, Burns E, Mori R, Dowswell T. Parenteral opioids for maternal pain relief in labour. Cochrane database Syst Rev. 2010; (9):CD007396.
[18] Anderson D. A review of systemic opioids commonly used for labor pain relief. J Midwifery Womens Health. 2011; 56(3):222-239.
[19] Nystedt A, Edvardsson D, Willman A. Epidural analgesia for pain relief in labour and childbirth - a review with a systematic approach. J Clin Nurs. 2004; 13(4):455-466.
[20] Howell CJ. Epidural versus non-epidural analgesia for pain relief in labour. Cochrane database Syst Rev. 2000;(2):CD000331.
[21] Kannan B, Rengasamy CK. Attitude of obstetricians regarding labour analgesia and limitations in practising it. Int J Reprod Contracept Obstet Gynecol. 2017; 6(2):388e91.
[22] McCauley M, Stewart C, Kebede B. A survey of healthcare providers’ knowledge and attitudes regarding pain relief in labor for women in Ethiopia. BMC Pregnancy Childbirth. 2017; 17(1):56.
[23] Nabukenya MT, Kintu A, Wabule A, Muyingo MT, Kwizera A. Knowledge, attitudes and use of labour analgesia among women at a low-income country antenatal clinic. BMC Anesthesiol. 2015; 15:98.
[24] Lasch K, Greenhill A, Wilkes G, Carr D, Lee M, Blanchard R. Why study pain? A qualitative analysis of medical and nursing faculty and students’ knowledge of and attitudes to cancer pain management. J Palliat Med. 2002; 5(1):57-71.
[25] Gordon DB, Dahl JL, Miaskowski C, McCarberg B, Todd KH, Paice JA, et al. American pain society recommendations for improving the quality of acute and cancer pain management: American Pain Society Quality of Care Task Force. Arch Intern Med. 2005; 165(14):1574-80.
[26] Eyob T, Mulatu A, Abrha H. Knowledge and attitude towards pain management among medical and paramedical students of an Ethiopian University. J Pain Relief 2013;3(127):2167e846.
[27] Latchman J. Evaluating knowledge and attitudes of undergraduate nursing students regarding pain management. 2010.
[28] BDSS Corp. Released 2020. coGuide Statistics software, Version 1.0, India: BDSS corp. Available from: https://www.coguide.in [Last accessed on 2022 May 10].
[29] Endalew NS, Tawuye HY, Melesse DY. Knowledge and attitude towards pain relief in labor among final year midwifery students: A cross-sectional study. Int J Surg Open. 2020; 24:38-42.
[30] Anozie OB, Lawani LO, Mamah JE, Esike CO, Ezeonu OP, Eze JN, et al. Epidural Analgesia for Management of Labour Pain: Determinants and Deterrents Among Obstetricians in Nigeria. Int J Women’s Heal Reprod Sci. 2018; 6(4):410-414.
[31] Gido R, Yadeta TA, Tura AK. Utilization of Obstetric Analgesia for Labor Pain Management and Associated Factors among Obstetric Care Providers in Public Hospitals of Addis Ababa, Ethiopia: A Cross-Sectional Study. Obstet Gynecol Int. 2021; 2021:9973001.
[32] Geltore TE, Taye A, Kelbore AG. Utilization of obstetric analgesia in labor pain management and associated factors among obstetric caregivers in public health facilities of Kembata Tembaro Zone, Southern Ethiopia. J Pain Res. 2018; 11:3089-3097.
[33] Terfasa EA, Bulto GA, Irenso DY. Obstetric analgesia utilization in labor pain management and associated factors among obstetric care providers in the West Shewa Zone, Central Ethiopia. SAGE open Med. 2022; 10:20503121221088704.
[34] Imarengiaye CO. Trends in pain relief in labour: implications for obstetric analgesia service in Nigeria. Niger Postgrad Med J. 2005; 12(3):193-202.
[35] Narayanappa A, Gurulingaswamy S, Prabhakaraiah U, Kempegowda K, Hanumantharayappa NB. Practice of Labor Analgesia among Anesthesiologists Across India: Cross-sectional Study. Anesth essays Res. 2018; 12(3):651-656.
[36] Loughnan BA, Carli F, Romney M, Doré CJ, Gordon H. Epidural analgesia and backache: a randomized controlled comparison with intramuscular meperidine for analgesia during labour. Br J Anaesth. 2002; 89(3):466-472.
[37] Ponnusamy R, Reddy HK, Murugesan R. Awareness, knowledge and attitude about labor analgesia among providers and parturients; a survey based study. Anaesth Pain Intensive Care. 2018; 22(1):73-80.
| Files | ||
| Issue | Vol 9 No 2 (2023): Spring |
|
| Section | Research Article(s) | |
| DOI | https://doi.org/10.18502/aacc.v9i2.12513 | |
| Keywords | ||
| Knowledge labour analgesia labour pain medical students | ||
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How to Cite
1.
Uma G, Raghuram S, Rajesh B. Knowledge about Labour Analgesia among Final Year Medical Students in a Tertiary Care Hospital. Arch Anesth & Crit Care. 2023;9(2):147-152.
