Cliniques en santé maternelle et infantile

Abstrait

Utilization of Non-Pharmacological Labor Pain Management Methods and Associated Factors Among Women gave Birth at Jimma Medical Center, Jimma, Southwest Ethiopia

Tura Koshe Haso*, Abduro Horeto, Samuel Abdu, Abiru Neme

Background: Labor pain is the most severe form of pain experienced by women and varies greatly; from feeling little pain to extremely distressing pain. Even though most women suffer significant pain during labor, utilization of labor pain management methods among women was not well documented. Thus, this study was significant to determine utilization level of labor pain management methods and associated factors among women gave birth at study area.

Objective: To assess utilization of non-pharmacological labor pain management methods and associated factors among women gave birth at Jimma medical center, Jimma, southwest Ethiopia.

Methods: A facility based cross section study design using mixed quantitative and qualitative approach was conducted from March to June 2020. Sample size for quantitative study was 393 and systematic sampling technique was used. Sample size for qualitative study was 12 key informants selected purposively. For quantitative study, after coded and entered into Epi data version 3.1 software; data was exported to SPSS version 25.0 software and analyzed. Variables with p<0.05 were declared as a significant association and the strength of statistical association was measured by AOR and 95% CI. Finally, the result was summarized and presented in text, tables, and graph. Analysis of qualitative data was conducted after transcribed and translated by coding, super coding until formation of the main theme and was analyzed by using Indeductive thematic data analysis method.

Results: A total of 389 participants were included in the study with response rate of 98.98% from which 24.9% had utilized labor pain management methods. Multiple variable logistic regression analysis revealed that maternal age (AOR=2.19, 95%CI:1.13-4.25, P-.021), occupational status(AOR=0.13, 95%CI: 0.02-0.67, P-0.015), previous history of pregnant loss (AOR=.35, 95%CI:.13-.99, P-049), knowledge level (AOR=4.94, 95%CI: 1.78-13.72, P-.002), request of labor pain management methods (AOR=9.65, 95%CI:1.77-52.53, P-.009), parity (AOR=0.49, 95%CI: 0.27-0.85, P-0.016) and intention to utilize (AOR=0.48, 95%CI:0.28-0.85, P-.011) were significantly associated with utilization of non-pharmacological labor pain management methods. Qualitative finding also revealed that unavailability of medication, scarcity of facility infrastructures, no involvement anesthetists in labor pain management methods, absence of labor pain management guideline were identified as barrier for utilizing labor pain management.

Conclusion and recommendation: This study found that low utilization of non-pharmacological labor pain management methods among women gave birth at study area. Unavailability of medication, scarcity of facility infrastructures, no involvement anesthetists in labor pain management methods, absence of non-pharmacological labor pain management guideline were identified as barrier for utilizing labor pain management among obstetric care providers. Therefore, Jimma university institute of health and Jimma medical center administration body should give emphasis on means availing labor pain management medication.