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Utilization of obstetric analgesia in labor pain management and associated factors among obstetric caregivers in public health facilities of Kembata Tembaro Zone, Southern Ethiopia

BACKGROUND: Nowadays, obstetric analgesia is provided routinely in most developed countries. However, in developing countries, labor pain management is not a well-established service. The poor utilization of labor analgesia in low-income countries including Ethiopia results in laboring mothers in un...

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Autores principales: Geltore, Teketel Ermias, Taye, Ayanos, Kelbore, Abraham Getachew
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6287531/
https://www.ncbi.nlm.nih.gov/pubmed/30584351
http://dx.doi.org/10.2147/JPR.S165417
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author Geltore, Teketel Ermias
Taye, Ayanos
Kelbore, Abraham Getachew
author_facet Geltore, Teketel Ermias
Taye, Ayanos
Kelbore, Abraham Getachew
author_sort Geltore, Teketel Ermias
collection PubMed
description BACKGROUND: Nowadays, obstetric analgesia is provided routinely in most developed countries. However, in developing countries, labor pain management is not a well-established service. The poor utilization of labor analgesia in low-income countries including Ethiopia results in laboring mothers in unmeasured suffering, let alone analgesia. The aim of this study was to assess utilization of obstetric analgesia in labor pain management and associated factors among obstetric caregivers in public health facilities of KTZ, Kembata Tembaro zone, Southern Ethiopia. MATERIALS AND METHODS: A facility-based cross-sectional study design was conducted among all obstetric caregivers at KTZ in public health facilities from March to April 2017. Data were collected by a pretested, self-administered, and structured questionnaire. A convenient sampling technique was used and descriptive analysis was done to characterize the study population. Bivariate and multivariate logistic regressions were used to identify factors associated with utilization of labor analgesia. The adjusted odds ratio with 95% CI was used to show the strength of the association and a P-value <0.05 was used to declare the cutoff point in determining the level of significance. RESULTS: Three hundred forty respondents participated in the study with a response rate of 93%. The prevalence of labor analgesia use by the respondents was 37.9%. On multivariable logistic regression analyses, inadequate knowledge, positive attitude, and unavailability of labor analgesia drugs were significant independent predictors of obstetric analgesia utilization. CONCLUSION: Proportion of analgesia utilization was low; inadequate knowledge, positive attitude, and unavailability of analgesia drugs in the facilities were significantly associated with obstetrics analgesia utilization. Health institutions and health personnel should work on provision of training for those obstetric care providers, and necessary drugs should be available in each facility.
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spelling pubmed-62875312018-12-24 Utilization of obstetric analgesia in labor pain management and associated factors among obstetric caregivers in public health facilities of Kembata Tembaro Zone, Southern Ethiopia Geltore, Teketel Ermias Taye, Ayanos Kelbore, Abraham Getachew J Pain Res Original Research BACKGROUND: Nowadays, obstetric analgesia is provided routinely in most developed countries. However, in developing countries, labor pain management is not a well-established service. The poor utilization of labor analgesia in low-income countries including Ethiopia results in laboring mothers in unmeasured suffering, let alone analgesia. The aim of this study was to assess utilization of obstetric analgesia in labor pain management and associated factors among obstetric caregivers in public health facilities of KTZ, Kembata Tembaro zone, Southern Ethiopia. MATERIALS AND METHODS: A facility-based cross-sectional study design was conducted among all obstetric caregivers at KTZ in public health facilities from March to April 2017. Data were collected by a pretested, self-administered, and structured questionnaire. A convenient sampling technique was used and descriptive analysis was done to characterize the study population. Bivariate and multivariate logistic regressions were used to identify factors associated with utilization of labor analgesia. The adjusted odds ratio with 95% CI was used to show the strength of the association and a P-value <0.05 was used to declare the cutoff point in determining the level of significance. RESULTS: Three hundred forty respondents participated in the study with a response rate of 93%. The prevalence of labor analgesia use by the respondents was 37.9%. On multivariable logistic regression analyses, inadequate knowledge, positive attitude, and unavailability of labor analgesia drugs were significant independent predictors of obstetric analgesia utilization. CONCLUSION: Proportion of analgesia utilization was low; inadequate knowledge, positive attitude, and unavailability of analgesia drugs in the facilities were significantly associated with obstetrics analgesia utilization. Health institutions and health personnel should work on provision of training for those obstetric care providers, and necessary drugs should be available in each facility. Dove Medical Press 2018-12-06 /pmc/articles/PMC6287531/ /pubmed/30584351 http://dx.doi.org/10.2147/JPR.S165417 Text en © 2018 Geltore et al. This work is published and licensed by Dove Medical Press Limited The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.
spellingShingle Original Research
Geltore, Teketel Ermias
Taye, Ayanos
Kelbore, Abraham Getachew
Utilization of obstetric analgesia in labor pain management and associated factors among obstetric caregivers in public health facilities of Kembata Tembaro Zone, Southern Ethiopia
title Utilization of obstetric analgesia in labor pain management and associated factors among obstetric caregivers in public health facilities of Kembata Tembaro Zone, Southern Ethiopia
title_full Utilization of obstetric analgesia in labor pain management and associated factors among obstetric caregivers in public health facilities of Kembata Tembaro Zone, Southern Ethiopia
title_fullStr Utilization of obstetric analgesia in labor pain management and associated factors among obstetric caregivers in public health facilities of Kembata Tembaro Zone, Southern Ethiopia
title_full_unstemmed Utilization of obstetric analgesia in labor pain management and associated factors among obstetric caregivers in public health facilities of Kembata Tembaro Zone, Southern Ethiopia
title_short Utilization of obstetric analgesia in labor pain management and associated factors among obstetric caregivers in public health facilities of Kembata Tembaro Zone, Southern Ethiopia
title_sort utilization of obstetric analgesia in labor pain management and associated factors among obstetric caregivers in public health facilities of kembata tembaro zone, southern ethiopia
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6287531/
https://www.ncbi.nlm.nih.gov/pubmed/30584351
http://dx.doi.org/10.2147/JPR.S165417
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