Non-Pharmacologic Labor Pain Management Practice and Its Associated Factors Among Midwives Working in Selected Public Hospitals of South Nation Nationalities and Peoples’ Region, Ethiopia

Abstract Introduction: Childbirth is a painful experience for almost all women and most women require pain relief. Labor pain management strategies include non-pharmacological interventions and pharmacological interventions. Globally, approximately 140 million births occur every year and most of them are vaginal births among pregnant women with no risk factors identified for complications during onset of labor.More than a third of maternal deaths from pregnancy-related conditions are attributed to complications that arise during childbirth or the period immediately following childbirth, usually due to bleeding, obstructed laboror sepsis.The aim of this study was to assess labor pain management practice and associated factors among obstetric care givers in public health facilities of West Guji, Southern Ethiopia 2020.Methods: Institutional based cross-sectional study was conducted. Simple random sampling technique was employed to select 280 study participants. The data was collected by using self-administered questionnaire. Descriptive statistics, binary and multiple logistic regressions were used. Adjusted odds ratios (AOR) with 95% CI was estimated to assess the strength of associations and statistical significance was declared at a p-value < 0.05. Result: The magnitude of labor pain management practice among obstetric care workers at the study area was 43.3%. Factors that associated to labor pain management practice which were found to be statistically significant by multivariable analysis model were: Being diploma holder (AOR, 0.3; 95% CI: 0.2, 0.6), knowledge of obstetric analgesia (AOR, 9.4; 95% CI:1.8, 9.9) andthought of pharmacologic obstetric analgesia has effect on the labor (AOR, 2.9; 95% CI: 1.4, 6.2)Conclusion: Though the magnitude of labor pain management practice was better than other studies, stillit needs working to increase it. Being diploma holder, knowledge of obstetric analgesia and thought of pharmacologic obstetric analgesia has effect on the labor were the factors that responsible for labor pain management practice.

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Utilization of obstetric analgesia in labor pain management and associated factors among obstetric caregivers in public health facilities of Kembata Tembaro Zone, Southern Ethiopia

Journal of Pain Research ◽

10.2147/jpr.s165417 ◽

2018 ◽

Vol Volume 11 ◽

pp. 3089-3097 ◽

Cited By ~ 1

Author(s):

Teketel Ermias Geltore ◽

Ayanos Taye ◽

Abraham Getachew Kelbore

Keyword(s):

Public Health ◽

Pain Management ◽

Associated Factors ◽

Health Facilities ◽

Labor Pain ◽

Southern Ethiopia ◽

Public Health Facilities ◽

Obstetric Analgesia

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Delivery service satisfaction and associated factors among mothers who gave birth at West Shewa Zone public hospitals, Ethiopia

10.21203/rs.2.14145/v1 ◽

2019 ◽

Author(s):

Nagasa Dida ◽

Getu Bayissa ◽

Habtamu Oljira ◽

Kefyalew Taye

Keyword(s):

Pain Management ◽

Associated Factors ◽

Study Finding ◽

Public Hospitals ◽

Satisfaction Level ◽

Delivery Service ◽

Delivery Services ◽

Gestational Age At Birth ◽

Age At Birth ◽

Future Utilization

Abstract Objective: This study assessed mothers satisfaction towards delivery Services and its associated factors at public Hospitals found in West Shewa Zone, Ethiopia, from March 1 to April 15/2018. Result : This study finding showed that the overall satisfaction level of mothers towards delivery service was 82.1%. Those Mother’s who planned their pregnancy were 4.93 times more satisfied with delivery service than those who did not planned (AOR: 4.93; 95% CI: 2.172-11.208). The odds of satisfaction for women who had pain management were 1.56 times higher than those who did not. Moreover, Gestational age at birth for pre-term and full term [(AOR: 0.027; 95% CI: 0.003-0.254), (AOR: 0.067; 95 % CI: 0.011-0.401)], means of transportation (use of Ambulance) (AOR: 3.785; 95% CI: 1.24-11.51) and stay in hospital (AOR: 0.10, 95% CI 0.01, 0.93) were the significant predictors of mother’s satisfaction with delivery service at the study area. Therefore notable attention should be given to those factors as they may influence the future utilization of service.

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Assessment of Pain Severity and Associated Factors of Post Operative Pain Among Adult Patients in Public Hospitals of Addis Ababa, Ethiopia, 2021

10.21203/rs.3.rs-1131020/v1 ◽

2021 ◽

Author(s):

Abinet Besufekad ◽

Wosenyeleh Admasu ◽

Fissiha Fentie ◽

Sindew Mahmud ◽

Mulualem Setot ◽

...

Keyword(s):

Pain Management ◽

Postoperative Pain ◽

Severe Pain ◽

Associated Factors ◽

Addis Ababa ◽

Public Hospitals ◽

Pain Severity ◽

Post Operative Pain ◽

Study Participants ◽

Variable Analysis

Abstract Background: Post-operative pain management is one of the key responsibilities of health professionals. Failure to manage post-operative pain effectively will lead to increase morbidity and mortality, long hospital stay, increase health care costs, and patient dissatisfaction. Despite improved understanding of pain mechanisms, advances in pain management approach, and other focused initiatives large proportion of post-operative patient’s reports pain after surgery. Therefore the major aim of this study was to assess pain severity and associated factors among post-operative adult patients in public hospitals of Addis Ababa.Methods and materials: A facility-based cross-sectional study was conducted. A total of 414 study participants were involved. Simple random sampling was used to select study participants. The data was collected by the standard questioner and checklist. The collected data were entered, cleaned, and analyzed by SPSS version 24.0 statistical software. Bi-variable analysis was employed to select independent predictors of pain severity and multivariable regression used to measure the association between independent and dependent variables. On bi-variable analysis, those variables with a value less than 0.20 were entered on multi-variable analysis. Finally, variables with a p-value < 0.05 were declared as independent predictors of the outcome variables.Results: A total of 406 study participants have responded to the interview giving a response rate of 98%. The overall incidence of moderate to severe pain was 85.5%. Preoperative analgesia adjusted odds ratio (confidence interval), 0.236(0.065-0.863), preoperative anxiety, 5.468(1.341-22.303), general surgery 7.627(1.901-30.602), orthopedics surgery, 7.195(1.055-49.094), size of the incision, 5.086(1.352-19.135), and postoperative analgesia; non-steroidal anti-inflammatory drugs 5.611(2.000-15.737), and tramadol, 4.714(1.506-14.753) was independent predictors of postoperative moderate to severe pain.Conclusion: The study revealed that the overall incidence of postoperative pain was high in the study area. This reflects attention given to postoperative pain management is low. Preoperative analgesia, preoperative anxiety surgery type, incision length, and postoperative analgesia were independent predictors of postoperative pain.

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Nurses pain management competency and associated factors among nurses working in public hospitals, jimma zone, oromia regional state, southwest Ethiopia

Clinical Practice ◽

10.4172/clinical-practice.1000444 ◽

2019 ◽

Vol 16 (1) ◽

Author(s):

Abiru Neme ◽

Gugsa Nemera ◽

Gadisa Bekele

Keyword(s):

Pain Management ◽

Associated Factors ◽

Public Hospitals ◽

Southwest Ethiopia ◽

Regional State ◽

Jimma Zone ◽

Management Competency

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Pain management practice patterns after hip arthroscopy: an international survey

Journal of Hip Preservation Surgery ◽

10.1093/jhps/hnaa050 ◽

2020 ◽

Author(s):

Flávio L Garcia ◽

Brady T Williams ◽

Bhargavi Maheshwer ◽

Asheesh Bedi ◽

Ivan H Wong ◽

...

Keyword(s):

Pain Management ◽

Hip Arthroscopy ◽

Pain Control ◽

Sports Medicine ◽

Management Practice ◽

Professional Organizations ◽

International Survey ◽

Nerve Blocks ◽

Optimal Approach ◽

Answer Choice

Abstract Several post-operative pain control methods have been described for hip arthroscopy including systemic medications, intra-articular or peri-portal injection of local anesthetics and peripheral nerve blocks. The diversity of modalities used may reflect a lack of consensus regarding an optimal approach. The purpose of this investigation was to conduct an international survey to assess pain management patterns after hip arthroscopy. It was hypothesized that a lack of agreement would be present in the majority of the surgeons’ responses. A 25-question multiple-choice survey was designed and distributed to members of multiple orthopedic professional organizations related to sports medicine and hip arthroscopy. Clinical agreement was defined as > 80% of respondents selecting a single answer choice, while general agreement was defined as >60% of a given answer choice. Two hundred and fifteen surgeons completed the survey. Clinical agreement was only evident in the use of oral non-steroidal anti-inflammatory drugs (NSAIDs) for pain management after hip arthroscopy. A significant number of respondents (15.8%) had to readmit a patient to the hospital for pain control in the first 30 days after hip arthroscopy in the past year. There is significant variability in pain management practice after hip arthroscopy. The use of oral NSAIDs in the post-operative period was the only practice that reached a clinical agreement. As the field of hip preservation surgery continues to evolve and expand rapidly, further research on pain management after hip arthroscopy is clearly needed to establish evidence-based guidelines and improve clinical practice.

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The Prevalence of Necrotizing Enterocolitis and Associated Factors Among Enteral Fed Preterm and Low Birth Weight Neonates Admitted in Selected Public Hospitals in Addis Ababa, Ethiopia: A Cross-sectional Study

Global Pediatric Health ◽

10.1177/2333794x211019695 ◽

2021 ◽

Vol 8 ◽

pp. 2333794X2110196

Author(s):

Sitotaw Molla Mekonnen ◽

Daniel Mengistu Bekele ◽

Fikrtemariam Abebe Fenta ◽

Addisu Dabi Wake

Keyword(s):

Birth Weight ◽

Low Birth Weight ◽

Necrotizing Enterocolitis ◽

Gestational Age ◽

Associated Factors ◽

Addis Ababa ◽

Cross Sectional Study ◽

Public Hospitals ◽

Sectional Study ◽

Cross Sectional

Necrotizing enterocolitis (NEC) remains to be the most critical and frequent gastrointestinal disorder understood in neonatal intensive care units (NICU). The presented study was intended to assess the prevalence of NEC and associated factors among enteral Fed preterm and low birth weight neonates. Institution based retrospective cross-sectional study was conducted on 350 enteral Fed preterm and low birth weight neonates who were admitted at selected public hospitals of Addis Ababa from March 25/2020 to May 10/2020. The data were collected through neonates’ medical record chart review. A total of 350 participants were enrolled in to the study with the response rate of 99.43%. One hundred eighty-four (52.6%) of them were male. The majority 123 (35.1%) of them were (32 + 1 to 34) weeks gestational age. The prevalence of NEC was (25.4%) (n = 89, [95% CI; 21.1, 30.0]). Being ≤28 weeks gestational age (AOR = 3.94, 95% CI [2.67, 9.97]), being (28 + 1 to 32 weeks) gestational age (AOR = 3.65, 95% CI [2.21, 8.31]), birth weight of 1000 to 1499 g (AOR = 2.29, 95% CI [1.22, 4.33]), APGAR score ≤3 (AOR = 2.34, 95% CI [1.32, 4.16]), prolonged labor (AOR = 2.21, 95% CI [1.35, 6.38]), maternal chronic disease particularly hypertension (AOR = 3.2, 95% CI [1.70, 5.90]), chorioamnionitis (AOR = 4.8, 95% CI [3.9, 13]), failure to breath/resuscitated (AOR = 2.1, 95% CI [1.7, 4.4]), CPAP ventilation (AOR = 3.7, 95% CI [1.50, 12.70]), mixed milk (AOR = 3.58, 95% CI [2.16, 9.32]) were factors significantly associated with NEC. Finally, the prevalence of NEC in the study area was high. So that, initiating the programs that could minimize this problem is required to avoid the substantial morbidity and mortality associated with NEC.

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