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      Perceptions of obstetric analgesia: a qualitative study among midwives attending normal vaginal deliveries in Durame Hospital, Southern Ethiopia

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          Abstract

          Background

          Labor pain is distressing and produces undue side effects to both woman and fetus. In low-income countries like Ethiopia, addressing pain relief is often neglected. Professionals attending labor may not have awareness of obstetric analgesia. Besides this, there is a lack of published research on perceptions of obstetric analgesia among health professionals in Ethiopia. The aim of this study was to explore perceptions of obstetric analgesia among midwives attending normal vaginal deliveries in Durame Hospital.

          Methods

          The study adopted an exploratory descriptive qualitative approach in Durame General Hospital, Kembata Tembaro Zone, Southern Ethiopia from March 1 to April 2, 2017. Fifteen midwives were purposely selected and participated in in-depth interviews. Data from interviews were transcribed, translated to English, coded, and categorized into themes. Data analysis was initiated alongside data collection using a thematic approach. Written informed consent was obtained from all study participants.

          Results

          Scarcity of knowledge, negative attitudes, lack of trained personnel, and absence of protocols were impediments to using labor analgesia for midwives to relieve labor pain.

          Conclusion

          This study suggests that perceptions and practices of midwives with regard to labor analgesia needs special attention to address labor pain by scaling up forms and practice of labor analgesia in such a way that internationally accepted standards are met.

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          Most cited references 20

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          Women's experiences of coping with pain during childbirth: a critical review of qualitative research.

          to identify and analyse qualitative literature exploring women's experiences of coping with pain during childbirth.
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            Pain management in developing countries.

             D Justins,  O Soyannwo,  M Size (2007)
            Access to pain relief is an integral part of peri-operative care jointly managed by clinicians and nursing staff. Simple regimens, relying on inexpensive drugs, are often not followed due to inadequate healthcare systems. This article describes some of the common challenges, and suggests practical approaches to overcoming them.
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                Author and article information

                Journal
                J Pain Res
                J Pain Res
                JPR
                jpainres
                Journal of Pain Research
                Dove
                1178-7090
                17 July 2019
                2019
                : 12
                : 2187-2192
                Affiliations
                [1 ] Midwifery Department, School of Nursing and Midwifery, College of Health Sciences and Medicine, Wachemo University – Durame Campus , Durame, Ethiopia
                [2 ] Dermatology Department, College of Health Sciences and Medicine, School of Medicine, Wolaita Sodo University , Wolaita Sodo, Ethiopia
                [3 ] Nursing Department, School of Nursing and Midwifery, College of Health Sciences and Medicine, Mizan Tepi University , Mizan Aman, Ethiopia
                Author notes
                Correspondence: Teketel Ermias Geltore Department of Midwifery, College of Health Sciences and Medicine, Wachemo University – Durame Campus , Durame, PO Box 667, Wachemo, EthiopiaTel +251 91 013 2178 Email teketelermias@ 123456gmail.com
                Article
                209913
                10.2147/JPR.S209913
                6643949
                © 2019 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. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms ( https://www.dovepress.com/terms.php).

                Page count
                References: 28, Pages: 6
                Categories
                Original Research

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