Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
BMC Pregnancy and Childbirth
Published in: BMC Pregnancy and Childbirth 1/2014

Open Access 01-12-2014 | Research article

Obstetric analgesia for vaginal birth in contemporary obstetrics: a survey of the practice of obstetricians in Nigeria

Authors: Lucky O Lawani, Justus N Eze, Okechukwu B Anozie, Chukwuemeka A Iyoke, Nduka N Ekem

Published in: BMC Pregnancy and Childbirth | Issue 1/2014

Login to get access

Abstract

Background

Contemporary obstetrics in sub-Saharan Africa is yet to meet the analgesic needs of most women during child birth for a satisfactory birth experience and expectedly, obstetricians have a major role to play in achieving this.

Methods

This was a questionnaire-based, cross-sectional study of 151 obstetricians and gynecologists that attended the 46th Annual General Meeting and Scientific Conference of the Society of Gynaecology and Obstetrics of Nigeria (SOGON) held in Abakaliki, southeast Nigeria in November, 2012. SOGON is the umbrella body that oversees the obstetric and gynecological practice in Nigeria. Data was collated and analyzed with Epi-info statistical software, and conclusions were drawn by means of simple percentages and inferential statistics using Odds Ratio, with P-value < 0.05 at 95% Confidence Interval (CI) taken to be statistically significant.

Results

Of the 151 participants, males predominated; 110 (72.9%) practiced in government-owned tertiary hospitals in urban locations. Only 74 (49%) offered obstetric analgesia. Among users, only 20 (13.3%) offered obstetric analgesia routinely to parturients, 44 (29.1%) sometimes and 10 (6.6%) on patients’ requests. The commonest analgesia was opioids (41.1%). Among non-users, the commonest reasons adduced were fear of respiratory distress (31.1%), cost (24.7%) and late presentation in labour (15.6%).

Conclusion

The routine prescription and utilization of obstetric analgesia by obstetricians in Nigeria is still low. Obstetricians are encouraged to step up its use to make childbirth a more fulfilling experience for parturients.
Appendix
Available only for authorised users
Literature
1.
Takrouri MSM: Basis of obstetric analgesia and anesthesia during child birth. The internet Journal of Health. 2009, 9: 2-
2.
Lally JE, Murtagh MJ, Macphail S, Thomson R: More in hope than expectation: a systematic review of women’s expectations and experience of pain relief in labor. BMC Med. 2008, 6: 7-10.1186/1741-7015-6-7.CrossRefPubMedPubMedCentral
3.
Cynthia AW: Advances in labor analgesia. Int J Womens Health. 2009, 1: 139-154.
4.
ACOG Committee Opinion #295: pain relief during labor. Obstet Gynecol. 2004, 104: 213-10.1097/00006250-200407000-00061.
5.
6.
7.
Fyneface-Ogan S, Mato CN, Anya SE: Epidural Analgesia: Views and outcomes of women in labor in a Nigerian Hospital. Ann Afr Med. 2009, 8 (4): 250-256. 10.4103/1596-3519.59580.CrossRefPubMed
8.
Imarengiaye CO, Ande ABA: Demand and utilisation of labour analgesia service by Nigerian women. J Obstet Gynaecol. 2006, 26 (2): 130-132. 10.1080/01443610500443402.CrossRefPubMed
9.
Faponle AF, Kuti O: Perception of labor pain by pregnant women in Southwestern Nigeria. Trop J Obstet Gynaecol. 2004, 21: 153-155.
10.
Olayemi O, Morhason-Bello IO, Adedokun BO, Ojengbede OA: The role of ethnicity on pain perception in labor among parturients at the University College Hospital Ibadan. J Obstet Gynaecol Res. 2009, 35 (2): 277-281. 10.1111/j.1447-0756.2008.00937.x.CrossRefPubMed
11.
Weber SE: Cultural aspects of pain in childbearing women. J Obstet Gynecol Neonatal Nurs. 1996, 25 (1): 67-72. 10.1111/j.1552-6909.1996.tb02515.x.CrossRefPubMed
12.
Ogboli-Nwasor E, Adaji S, Bature S, Shittu O: Pain relief in labor: a survey of awareness, attitude and practice of health care providers in Zaria, Nigeria. J pain Res. 2011, 4: 227-232.PubMedPubMedCentral
13.
Chigbu CO, Onyeka TC: Denial of pain relief during labor to parturients in Southeast Nigeria. Int J Gynecol Obstet. 2011, 114 (3): 226-228. 10.1016/j.ijgo.2011.04.006.CrossRef
14.
William WK: Epidural analgesia in labor. Hong Kong Med J. 2007, 13: 208-215.
15.
Ebirim LN, Buowari OY, Ghosh S: Physical and psychological aspects of pain in obstetrics. 2012, In: Pain in Perspective, 219-236. 978-953-51-0807-8
16.
Size M, Soyanwo OA, Justins DM: Pain management in developing countries. Anesthesia. 2007, 62 (Suppl. 1): 38-43.CrossRef
17.
Oladokun A, Eyelade O, Morhason-Bello I, Fadare O, Akinyemi J, Adedokun B: Awareness and desirability of labor epidural analgesia: a survey of Nigerian women. Int J Obstet Anesth. 2009, 18 (1): 38-42. 10.1016/j.ijoa.2008.07.011.CrossRefPubMed
18.
Mung’ayi V, Nekyon D, Karuga R: Knowledge, attitude and use of labour pain relief methods among women attending antenatal clinic in Nairobi. East Afr Med J. 2008, 85: 438-441.CrossRefPubMed
19.
Rocke DA, Rout CC, Russell HD, Singh S: The labour ward analgesic service at King Edward VIII Hospital, Durban. S Afr Med J. 1993, 83: 32-33.PubMed
20.
Imarengiaye CO: Trends in pain relief in labor: Implications for obstetric analgesia services in Nigeria. Niger Postgrad Med J. 2005, 12 (3): 193-202.PubMed
21.
Onah HE, Obi SN, Oguanuo TC, Ezike HA, Ogbuokiri CM, Ezeugwuorie JO: Pain perception among parturient in Enugu South-Eastern Nigeria. J Obstet Gynaecol. 2007, 27 (6): 585-588. 10.1080/01443610701467937.CrossRefPubMed
22.
Audu B, Yahaya U, Bukar M, El-Nafaty A, Abdullahi H, Kyari O: Desire for pain relief in labor in Northeastern Nigeria. J Public Health and Epidemiol. 2009, 1 (2): 53-57.
23.
24.
Kuti O, Faponle AF: Perception of labor pain among the Yoruba ethnic group in Nigeria. J Obstet Gynaecol. 2006, 26: 332-334. 10.1080/01443610600595044.CrossRefPubMed
25.
Ballard CG, Stanley AK, Brockington IF: Post-traumatic stress disorder (PTSD) after childbirth. Br J Psychiatry. 1995, 166 (4): 525-528. 10.1192/bjp.166.4.525.CrossRefPubMed
Metadata
Title
Obstetric analgesia for vaginal birth in contemporary obstetrics: a survey of the practice of obstetricians in Nigeria
Authors
Lucky O Lawani
Justus N Eze
Okechukwu B Anozie
Chukwuemeka A Iyoke
Nduka N Ekem
Publication date
01-12-2014
Publisher
BioMed Central
Published in
BMC Pregnancy and Childbirth / Issue 1/2014
Electronic ISSN: 1471-2393
DOI
https://doi.org/10.1186/1471-2393-14-140

Other articles of this Issue 1/2014

BMC Pregnancy and Childbirth 1/2014 Go to the issue

Research article

Economic downturns and male cesarean deliveries: a time-series test of the economic stress hypothesis

Research article

Changes in thrombin generation and D-dimer concentrations in women injecting enoxaparin during pregnancy and the puerperium

Research article

Impact of singlehood during pregnancy on dietary intake and birth outcomes- a study in the Norwegian Mother and Child Cohort Study

Research article

Estimation of high risk pregnancy contributing to perinatal morbidity and mortality from a birth population-based regional survey in 2010 in China

Research article

Competence of birth attendants at providing emergency obstetric care under India’s JSY conditional cash transfer program for institutional delivery: an assessment using case vignettes in Madhya Pradesh province

Research article

Obstetric interventions in two groups of hospitals in Catalonia: a cross-sectional study