Women’s knowledge about non-pharmacological methods of pain relief in labor: a cross-sectional study
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20260671Keywords:
Analgesics, Educational status, Labor pain, Midwifery, Pain management, PregnancyAbstract
Background: Labor pain is a significant experience for primigravida women, and understanding nonpharmacological techniques for pain management is essential for enhancing their childbirth experience. This study aimed to assess the knowledge of primigravida women regarding non-pharmacological methods for managing labor pain.
Methods: A descriptive cross-sectional study was conducted at a tertiary care center from October to November 2023. Using a non-probability purposive sampling technique, 100 primigravida women were recruited based on the inclusion criteria, which included the ability to read and understand Hindi or English. Data were collected using a 30-item structured multiple-choice questionnaire that assessed the knowledge of non-pharmacological pain management techniques. Knowledge scores were categorized as adequate (≥75% correct responses), moderate (50-74%), or inadequate (<50%).
Results: The findings revealed that 82% of respondents had inadequate knowledge, 18% had moderate knowledge, and none had adequate knowledge. The mean knowledge score was 39.53% (SD=2.75). Significant associations were found between knowledge levels and educational status (χ2=11.05, p<0.05) and previous knowledge of non-pharmacological techniques (χ2=18.74, p<0.01).
Conclusions: This study highlighted a substantial knowledge gap regarding non-pharmacological labor pain management among primigravida women. Educational interventions by healthcare providers, particularly nurses and midwives, are essential to improve awareness and understanding of these techniques, ultimately enhancing the childbirth experience for women.
Metrics
References
Olza I, Leahy-Warren P, Benyamini Y, Kazmierczak M, Karlsdottir SI, Spyridou A, et al. Women’s psychological experiences of physiological childbirth: a meta-synthesis. BMJ Open. 2018;8(10):e020347. DOI: https://doi.org/10.1136/bmjopen-2017-020347
Vogel JP, Jung J, Lavin T, Simpson G, Kluwgant D, Abalos E, et al. Neglected medium-term and long-term consequences of labour and childbirth: a systematic analysis of the burden, recommended practices, and a way forward. Lancet Glob Health. 2024;12(2):e317-30. DOI: https://doi.org/10.1016/S2214-109X(23)00454-0
Navarro-Prado S, Sánchez-Ojeda M, Marmolejo-Martín J, Kapravelou G, Fernández-Gómez E, Martín-Salvador A. Cultural influence on the expression of labour-associated pain. BMC Pregnancy Childbirth. 2022;22:836. DOI: https://doi.org/10.1186/s12884-022-05173-1
Gibson E. Women’s expectations and experiences with labour pain in medical and midwifery models of birth in the United States. Women and Birth. 2014;27(3):185-9. DOI: https://doi.org/10.1016/j.wombi.2014.05.002
Czech I, Fuchs P, Fuchs A, Lorek M, Tobolska-Lorek D, Drosdzol-Cop A, et al. Pharmacological and non-pharmacological methods of labour pain relief-establishment of effectiveness and comparison. Int J Environ Res Public Health. 2018 Dec;15(12):2792. DOI: https://doi.org/10.3390/ijerph15122792
Smith CA, Levett KM, Collins CT, Armour M, Dahlen HG, Suganuma M. Relaxation techniques for pain management in labour. Cochrane Database Syst Rev. 2018;2018(3):CD009514. DOI: https://doi.org/10.1002/14651858.CD009514.pub2
Nori W, Kassim MAK, Helmi ZR, Pantazi AC, Brezeanu D, Brezeanu AM, et al. Non-pharmacological pain management in labor: a systematic review. J Clin Med. 2023;12(23):7203. DOI: https://doi.org/10.3390/jcm12237203
Ray-Griffith SL, Wendel MP, Stowe ZN, Magann EF. Chronic pain during pregnancy: a review of the literature. Int J Womens Health. 2018;10:153-64. DOI: https://doi.org/10.2147/IJWH.S151845
Leela TK, Baboo S. Need of integrated care model for positive childbirth experience in Indian maternity care services. J Educ Health Promot. 2024;13. DOI: https://doi.org/10.4103/jehp.jehp_1015_23
Abdel-Fatah Ibrahim H, Alshahrani MS, Al-Qinnah AJ, Elgzar WT. Nonpharmacological pain relief for labour pain: knowledge, attitude, and barriers among obstetric care providers. Peer J. 2024;12:e16862. DOI: https://doi.org/10.7717/peerj.16862
Pietrzak J, Mędrzycka-Dąbrowska W, Wróbel A, Grzybowska ME. Women’s knowledge about pharmacological and non-pharmacological methods of pain relief in labor. Healthcare. 2023;11(13):1882. DOI: https://doi.org/10.3390/healthcare11131882
Cuschieri S. The STROBE guidelines. Saudi J Anaesth. 2019;13(Suppl 1):S31-4. DOI: https://doi.org/10.4103/sja.SJA_543_18
Nagvanshi S, Linson CC. Assess the knowledge regarding selected non-pharmacological interventions among pregnant women. J Pharm Rese Int. 2021;105-9. DOI: https://doi.org/10.9734/jpri/2021/v33i49A33309
Matabane SE, Musie MR, Mulaudzi MF. Childbirth preparation: knowledge of the use of non-pharmacological pain relief methods during childbirth in Tshwane District, South Africa: a cross-sectional study. Nurs Rep. 2024;14(1):1-11. DOI: https://doi.org/10.3390/nursrep14010001
Heim MA, Makuch MY. Pregnant women’s knowledge of non-pharmacological techniques for pain relief during childbirth. Eur J Midwife. 2022;6:5. DOI: https://doi.org/10.18332/ejm/145235
Elgzar WT, Alshahrani MS, Ibrahim HA. Non-pharmacological labor pain relieve methods: utilization and associated factors among midwives and maternity nurses in Najran, Saudi Arabia. Reprod Health. 2024;21(1):11. DOI: https://doi.org/10.1186/s12978-023-01737-2
Tavananezhad N, Bolbanabad AM, Ghelichkhani F, Effati-Daryani F, Mirghafourvand M. The relationship between health literacy and empowerment in pregnant women: a cross-sectional study. BMC Pregnancy Childbirth. 2022;22:351. DOI: https://doi.org/10.1186/s12884-022-04686-z
Nawabi F, Krebs F, Vennedey V, Shukri A, Lorenz L, Stock S. Health literacy in pregnant women: a systematic review. Int J Environ Res Public Health. 2021;18(7):3847. DOI: https://doi.org/10.3390/ijerph18073847
Solomon ET, Kassie FY, Mekonnen DG, Mihret MS, Abate AT, Dessie AA. Knowledge, attitude, and practice towards labor pain management and associated factors among skilled birth attendants working at hospitals found in central, west, and north Gondar Zones, northwest Ethiopia, 2019: a multicenter cross-sectional study. Pain Res Manage. 2021;2021(1):8835677. DOI: https://doi.org/10.1155/2021/8835677
Hakala M, Rantala A, Pölkki T. Women’s perceptions of counselling on pain assessment and management during labour in Finland: a cross-sectional survey. Midwifery. 2022;114:103471. DOI: https://doi.org/10.1016/j.midw.2022.103471
Ogboli-Nwasor EO, Adaji SE. Between pain and pleasure: pregnant women’s knowledge and preferences for pain relief in labor, a pilot study from Zaria, northern Nigeria. Saudi J Anaesth. 2014;8(Suppl 1):S20-4. DOI: https://doi.org/10.4103/1658-354X.144059