Background And Objective: Obstetric pain is one of the most severe forms of pain a woman may experience during childbirth. Due to the debilitating effects of excruciating labor discomfort, pain management continues to be an important issue that requires attention. This study assessed the knowledge and utilization of obstetric analgesia in labor-management among midwives in public healthcare facilities in the north-central region of Nigeria.
Methods: This study used a descriptive cross-sectional design. One hundred twenty-three respondents who met the inclusion criteria were selected using the purposive sampling technique. Data were collected using a pretested structured questionnaire. The data were analyzed using descriptive and inferential statistics at a 0.05 level of significance.
Results: The results revealed that the respondents' overall knowledge of obstetric analgesia was adequate. The findings also revealed that more than half of the midwives have previously utilized obstetric analgesia to manage labor pain. However, the frequency of utilization of obstetric analgesia was low. A significant association was found between utilization of obstetric analgesia in labor and knowledge (χ = 16.582, < 0.001) as well as years of experience (χ = 17.280, < 0.015) and nursing rank (χ = 36.579, < 0.000); since the -value < 0.05 significance.
Conclusion And Global Health Implications: Therefore, it was recommended that midwives should be encouraged to frequently utilize obstetric analgesia to manage labor pain in order to improve the birth experience and outcome and to prevent the adverse effects that come with severe labor pain. Furthermore, the government should create policies that favor the utilization of obstetric analgesia in parturition, and midwives should incorporate the benefits of obstetric analgesia into the health education of pregnant women during antenatal counseling to promote its usage.
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http://dx.doi.org/10.25259/IJMA_14_2024 | DOI Listing |
Am J Obstet Gynecol
March 2025
Friends Research Institute, Baltimore, MD.
Pain management in pregnant and postpartum people with an opioid use disorder requires a balance among the risks associated with opioid tolerance, including withdrawal or return to opioid use, considerations around the social needs of the maternal-infant dyad, and the provision of adequate pain relief for the birth episode that is often characterized as the worst pain a person will experience in their lifetime. This multidisciplinary consensus statement from the Society for Obstetric Anesthesia and Perinatology, the Society for Maternal-Fetal Medicine, and the American Society of Regional Anesthesia and Pain Medicine provides a framework for pain management in obstetrical patients with opioid use disorder. The purpose of this consensus statement is to provide practical and evidence-based recommendations and is targeted to healthcare providers in obstetrics and anesthesiology.
View Article and Find Full Text PDFCurr Opin Anaesthesiol
February 2025
Northwestern University, Feinberg School of Medicine.
Purpose Of Review: Traumatic childbirth can lead to childbirth-related post-traumatic stress disorder (CB-PTSD) or retraumatize those with prior trauma, contributing to long-term maternal and neonatal morbidity and mortality. This condition affects approximately 4-7% of postpartum patients. Given the concerningly high maternal morbidity and mortality rates in the USA, it is crucial to further analyze the risk factors and clinical management recommendations for the prevention of CB-PTSD.
View Article and Find Full Text PDFColorectal Dis
March 2025
Sir Alan Parks Department of Physiology, St Mark's Hospital, National Bowel Hospital, London, UK.
Aim: Instrumental delivery typically describes the use of ventouse or forceps to aid vaginal delivery. They are used in 10%-15% of all vaginal deliveries and in almost a third of all primiparous deliveries. They are associated with an increased risk of maternal and neonatal injury.
View Article and Find Full Text PDFJ Obstet Gynaecol Res
March 2025
Department of Obstetrics and Gynecology, Mie University School of Medicine, Tsu, Mie, Japan.
The maternal mortality rate remains approximately 4 per 100 000 deliveries. Between January 2010 and July 2024, 629 maternal deaths were reported, of which 590 were reviewed. The Maternal Safety Proposal summarizes these cases.
View Article and Find Full Text PDFMedicine (Baltimore)
March 2025
Ataturk University School of Medicine, Department of Anaesthesiology and Reanimation, Erzurum, Turkey.
Background: Providing effective labor analgesia is very important for maternal and infant safety. Various neuraxial techniques are used for this purpose. Our objective was to compare the epidural volume extension (EVE) and dural puncture epidural (DPE) procedures employed in clinical practice for labor analgesia, focusing on labor parameters, pain levels, fetal outcomes, and complications.
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