Nonpharmacological pain relief for labour pain: knowledge, attitude, and barriers among obstetric care providers
Background Labor pain is considered the worst pain in a woman’s life. Hence, pain control should be essential to labor management at any level. There is scarce information, and there are gaps regarding the knowledge, attitude, and barriers to the utilization of nonpharmacological approaches for pain...
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PeerJ Inc.
2024-02-01
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| Online Access: | https://peerj.com/articles/16862.pdf |
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| author | Heba Abdel-Fatah Ibrahim Majed Said Alshahrani Amlak Jaber Al-Qinnah Wafaa Taha Elgzar |
| author_facet | Heba Abdel-Fatah Ibrahim Majed Said Alshahrani Amlak Jaber Al-Qinnah Wafaa Taha Elgzar |
| author_sort | Heba Abdel-Fatah Ibrahim |
| collection | DOAJ |
| description | Background Labor pain is considered the worst pain in a woman’s life. Hence, pain control should be essential to labor management at any level. There is scarce information, and there are gaps regarding the knowledge, attitude, and barriers to the utilization of nonpharmacological approaches for pain relief in Saudi Arabia. Therefore, the current study aims to evaluate nonpharmacological pain relief (NPPR)-related knowledge, attitudes, and barriers among obstetric care providers in Najran, Saudi Arabia. Methods A cross-sectional analytical study was performed at maternity departments in Maternal and Children Hospital (MCH), Najran, Saudi Arabia, from April 1 to May 26 2023. The study involved 186 obstetric care providers (OPCs), physicians (19), nurses (144), and midwives (23). A structured self-reported questionnaire was used to collect data and involves five main sections: demographic data, work-related data, nonpharmacological pain relief-related attitude, perceived barriers, and knowledge quiz. The adjusted odds ratio (AOR) along with 95% CI was estimated to determine the factors associated with nonpharmacological pain relief-related knowledge and attitude using multivariate analysis in the binary logistic regression. Results Over three-quarters (79%) of obstetric care providers had adequate knowledge of nonpharmacological pain relief methods. The majority (85.5%) of the participants had a positive attitude toward NPPR in labour pain management, with the mean scores ranging from 3.55–4.23 for all sub-items. Obstetric care providers acknowledged that patient belief, lack of time, and workload were the strongest barriers to offering nonpharmacological pain relief methods for labour pain 67.6%, 64.5%, and 61.3%, respectively. In binary logistic regression analysis, the in-service training related to nonpharmacological pain relief (AOR = 5.871 (2.174–15.857), p = 0.000), (AOR = 3.942 (1.926–11.380), p = 0.013) and years of work experience (AOR = 1.678 (1.080–2.564), p = 0.019), (AOR = 1.740 (1.188–2.548), p = 0.003) were significantly associated with obstetric care providers’ knowledge and attitudes regarding nonpharmacological pain relief (p ≤ 0.05). Conclusion Although most OPCs have adequate knowledge and a positive attitude regarding NPPR, they need motivational strategies to enhance their utilization. In addition, an effort should be made to decrease OPCs’ workload to provide more time for NPPR application and patient education. Training courses and in-service training can play an important role in enhancing NPPR knowledge and attitude and, consequently, its application. Also, in each working unit, the policymakers should provide clear guidelines and policies that enhance and control the utilization of NPPR. |
| first_indexed | 2024-03-08T06:18:03Z |
| format | Article |
| id | doaj.art-062c399a786d44008c20da828f06248d |
| institution | Directory Open Access Journal |
| issn | 2167-8359 |
| language | English |
| last_indexed | 2024-03-08T06:18:03Z |
| publishDate | 2024-02-01 |
| publisher | PeerJ Inc. |
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| spelling | doaj.art-062c399a786d44008c20da828f06248d2024-02-04T15:05:12ZengPeerJ Inc.PeerJ2167-83592024-02-0112e1686210.7717/peerj.16862Nonpharmacological pain relief for labour pain: knowledge, attitude, and barriers among obstetric care providersHeba Abdel-Fatah Ibrahim0Majed Said Alshahrani1Amlak Jaber Al-Qinnah2Wafaa Taha Elgzar3Department of Maternity and Childhood Nursing, Nursing College, Najran University, Najran, Saudi ArabiaDepartment of Obstetrics and Gynecology, College of Medicine, Najran University, Najran, Saudi ArabiaMaternity and Children Hospital, Najran, Saudi ArabiaDepartment of Maternity and Childhood Nursing, Nursing College, Najran University, Najran, Saudi ArabiaBackground Labor pain is considered the worst pain in a woman’s life. Hence, pain control should be essential to labor management at any level. There is scarce information, and there are gaps regarding the knowledge, attitude, and barriers to the utilization of nonpharmacological approaches for pain relief in Saudi Arabia. Therefore, the current study aims to evaluate nonpharmacological pain relief (NPPR)-related knowledge, attitudes, and barriers among obstetric care providers in Najran, Saudi Arabia. Methods A cross-sectional analytical study was performed at maternity departments in Maternal and Children Hospital (MCH), Najran, Saudi Arabia, from April 1 to May 26 2023. The study involved 186 obstetric care providers (OPCs), physicians (19), nurses (144), and midwives (23). A structured self-reported questionnaire was used to collect data and involves five main sections: demographic data, work-related data, nonpharmacological pain relief-related attitude, perceived barriers, and knowledge quiz. The adjusted odds ratio (AOR) along with 95% CI was estimated to determine the factors associated with nonpharmacological pain relief-related knowledge and attitude using multivariate analysis in the binary logistic regression. Results Over three-quarters (79%) of obstetric care providers had adequate knowledge of nonpharmacological pain relief methods. The majority (85.5%) of the participants had a positive attitude toward NPPR in labour pain management, with the mean scores ranging from 3.55–4.23 for all sub-items. Obstetric care providers acknowledged that patient belief, lack of time, and workload were the strongest barriers to offering nonpharmacological pain relief methods for labour pain 67.6%, 64.5%, and 61.3%, respectively. In binary logistic regression analysis, the in-service training related to nonpharmacological pain relief (AOR = 5.871 (2.174–15.857), p = 0.000), (AOR = 3.942 (1.926–11.380), p = 0.013) and years of work experience (AOR = 1.678 (1.080–2.564), p = 0.019), (AOR = 1.740 (1.188–2.548), p = 0.003) were significantly associated with obstetric care providers’ knowledge and attitudes regarding nonpharmacological pain relief (p ≤ 0.05). Conclusion Although most OPCs have adequate knowledge and a positive attitude regarding NPPR, they need motivational strategies to enhance their utilization. In addition, an effort should be made to decrease OPCs’ workload to provide more time for NPPR application and patient education. Training courses and in-service training can play an important role in enhancing NPPR knowledge and attitude and, consequently, its application. Also, in each working unit, the policymakers should provide clear guidelines and policies that enhance and control the utilization of NPPR.https://peerj.com/articles/16862.pdfKnowledgeAttitudeBarriersObstetric care providersNonpharmacological Pain Relief |
| spellingShingle | Heba Abdel-Fatah Ibrahim Majed Said Alshahrani Amlak Jaber Al-Qinnah Wafaa Taha Elgzar Nonpharmacological pain relief for labour pain: knowledge, attitude, and barriers among obstetric care providers PeerJ Knowledge Attitude Barriers Obstetric care providers Nonpharmacological Pain Relief |
| title | Nonpharmacological pain relief for labour pain: knowledge, attitude, and barriers among obstetric care providers |
| title_full | Nonpharmacological pain relief for labour pain: knowledge, attitude, and barriers among obstetric care providers |
| title_fullStr | Nonpharmacological pain relief for labour pain: knowledge, attitude, and barriers among obstetric care providers |
| title_full_unstemmed | Nonpharmacological pain relief for labour pain: knowledge, attitude, and barriers among obstetric care providers |
| title_short | Nonpharmacological pain relief for labour pain: knowledge, attitude, and barriers among obstetric care providers |
| title_sort | nonpharmacological pain relief for labour pain knowledge attitude and barriers among obstetric care providers |
| topic | Knowledge Attitude Barriers Obstetric care providers Nonpharmacological Pain Relief |
| url | https://peerj.com/articles/16862.pdf |
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