Perception of Labour Pain Among Parturients at the University of Port Harcourt Teaching Hospital, Southern-Nigeria
BACKGROUND: Labour pain is the result of a complex and subjective interaction of multiple physiologic and psychosocial factors on a woman's individual interpretation of labour stimuli but little data exist in the South-southern part of Nigeria regarding pain perception and relief in labour, despite its obvious advantages.
OBJECTIVE: To evaluate the perception of labour pains by parturient at the University of Port Harcourt Teaching Hospital (UPTH). We also sought to determine the adequacy of analgesia administered to parturients at UPTH.
METHODS: These subjects were administered a structured questionnaire to obtain their demographic information. Their perception of labour pain and adequacy of analgesia were objectively evaluated pre- and post-vaginal delivery using the visual analogue scale (VAS).RESULTS: Majority (75%) of the respondents perceived labour pains as severe, 23% perceived it as moderate, while 1.7% perceived labour pains as mild. Thirty-two percent of the respondents received counselling during the antenatal period on the nature of labour pains and on the availability of intra-partum analgesia. However, 84.4% of those counselled perceived labour pains as severe, while 71.1% of those not counselled perceived it as severe. Two hundred and four (68%) of the parturients received some form of analgesia, of which majority was intramuscular pentazocine with only 5.9% expressing satisfaction with the adequacy of analgesia.
CONCLUSION: Most of the partruients perceived labour as a very painful process. The nulliparous and primiparous were more likely to feel more intense pain than the multiparous parturient. The adequacy of analgesia was however grossly inadequate with only 5.9% expressing satisfaction.
Cheek TG, Gutsche BB, Gaiser RR, Chestnut DH. Obstetric anesthesia. Principles and Practice. 2nd ed. St Louis: Mosby 1999; 320-35.
Reynolds F. Pain relief in labour. Br J Obstet Gynaecol 1990; 97(Suppl): 757-759.
Okeke CI, Merah NA, Cole SU, Osibogu A. Knowledge and perception of obstetric analgesia among parturients at the Lagos University Teaching Hospital. Niger Postgrad Med Journal 2005; 12: 258-261.
Campbel DC. Parenteral opioids for labour analgesia. Clin Obstet Gynaecol 2003; 46(3): 616-622.
Crowhurst JA. Analgesia and anaesthesia. Edmonds DK (Ed) In: Dewhurst’s Textbook of Obstetrics and Gynaecology. 7th Edition; 2007:53-54.
Kuti O, Faponle AF. Perception of labour pain among the Yoruba ethnic group in Nigeria. J Obstet Gynaecol 2006; 26(4): 332-334.
Connel-Price J, Evans JB, Hong D. The development and validation of a dynamic model to account for the progress of labour in the assessment of pain. Acta Obstet Gynaecol Scand 2004; 83(5): 415-424.
Campbell CM, Edwards RR. Ethnic differences in pain and pain management. Pain Manag. 2012; 2(3): 219–230. doi:10.2217/pmt.12.7.
Oladokun A, Eyelade O, Marhason-Bello I, Fadare O, Akinyemi J, et al. Awareness and desirability of labour epidural analgesia: A survey of Nigerian women. Int J Obstet Anaesth 2009; 18(1): 38-42.
Olayemi O, Aimakhu CO, Akinyemi OA. The influence of westernization on pain perception in labour among parturients at the University College Hospital Ibadan. Journal of Obstetrics and Gynaecology 2006; 4: 329-331.
Olayemi O, Aimakhu CO, Udoh ES. Attitudes of patients to obstetric analgesia at the University College Hospital, Ibadan, Nigeria. Journal Obstet Gynaecol 2003; 1: 38-40.
Revil SI, Robins JO, Rosen M. The reliability of a linear analogue scale for evaluating pain. Anaesthesia 1976; 31: 1191-1198.
Myles PS, Ttoedel S. The pain visual scale: Is it linear or non-linear? Anaesth Analg1999; 89: 517-520.
Ludington E, Dexter F. Statistical analysis of total labour pain using the Visual Analogue Scale and application to studies of analgesic effectiveness during childbirth. Anaesth Analg 1998; 87; 723-727.
Collins SL, Moore RA, McQuay HJ. The visual analogue pain intensity scale: What is moderate pain in millimeters? Pain 1997; 72: 95-97.
Size M, Soyannwo OA, Justins DM. Pain management in developing countries. Anaesthesia, 2007; 62 (Suppl. 1): 38–43.
Fortescue C, Wee MYK. Analgesia in labour: non-regional techniques. Continuing Education in Anaesthesia, Critical Care, and Pain. 2005. 5(1): 219-223.
Famewo CE. Lectures in anaesthesia and intensive care for medical students and practitioner. Third Edition. Lovemost Printers Ltd. Ibadan. 2004: 84.
Bamigboye AA, Holfmeyr GJ. Caesarean section wound infiltration. SAMJ. 2010. 100(5): 313-317.
Global year against pain in women, real women, real pain. Obstetric pain. www.iasp.com.
Flavia A, Renato P, Adriana SOM, Leila K, Isabella CC, Melania MRA. Combined spinal epidural analgesia and non-pharmacological methods of pain relief during normal childbirth and maternal satisfaction: a randomised clinical trial. Rev Assoc Med Bras. 2012. 58(1): 112-117.
Fields H. Depression and pain: a neurobiological model. Neuropsychiatry Neuropsychol Behav Neurol 1991;4(1):83–92
Long J, Yue Y. Patient controlled intravenous analgesic with tramadol for labour pain relief. Chin Med J (Engl) 2003; 116: 1752-5.
Iliadou M. Labour pain and pharmacological pain relief practice points. Health Sci J. 2009. 3(4): 197-201.
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