Non-Pharmacological Labor Pain Management Utilization and Its Associated Factors Among Skilled Birth Attendants in North Showa, Ethiopia: A Cross-Sectional Study

^1,4,5Department of Midwifery, College of Health Science, Debre Berhan University, Debre Berhan, Ethiopia

^2,3,9Department of Midwifery, College of Medicine and Health Science, School of Nursing and Midwifery, Wollo University, Dessie, Ethiopia

^6,7,10Department of Midwifery, College of Health Science, Mattu University, Mattu, Ethiopia

⁸Department of Midwifery, College of Health Science, School of Nursing and Midwifery, Jigjiga University, Jijiga, Ethiopia

*Corresponding author: Desta Mekete, Department of Midwifery, College of Health Science, Debre Berhan University, Debre Berhan, Ethiopia, Email: [email protected]

Received Date: June 25, 2024

Published Date: February 10, 2025

Citation: Mekete D, et al. (2025). Non-Pharmacological Labor Pain Management Utilization and Its Associated Factors Among Skilled Birth Attendants in North Showa, Ethiopia: A Cross-Sectional Study. Mathews J Gynecol Obstet. 9(1):43.

Copyrights: Mekete D, et al. © (2025).

ABSTRACT

Introduction: Non-pharmacological labor pain management (NPLPM) is effective for labor pain management, with minimal or no harm to the mother and fetus. However, there is limited research conducted on the practice of non-pharmacological labor pain management and associated factors among skilled birth attendants (SBAs) in North Showa Zone public hospitals, Ethiopia. This study aimed to assess non-pharmacological labor pain management utilization and its associated factors among skilled birth attendants in North Showa, Amhara Region, Ethiopia. Methods: A facility cross-sectional study design was conducted among 418 SBAs from March 1 to 30, 2021. All SBAs who were working in the labor ward were included in the study. Data were collected from pretested, self-administered, and structured questionnaires. The collected data were coded, entered EpiData version 4.6, and exported to SPSS version 25 for analysis. Descriptive statistics were computed. Logistic regression was used to assess the association between explanatory and outcome variables. The odds ratio with its 95% confidence interval was used to estimate the strength of the association, and statistical significance was declared at a P-value less than 0.05. Results: 176 (42.8%) of respondents had a good practice with NPLPM. Work experience of 6–9 years [AOR=4.21, 95%CI=1.75–13.8%]], work experience ≥10 years [AOR= 5.45, 95%CI=1.94–14.97]], moderate labor pain [AOR=2.18, 95%CI=1.00–8.308)], severe labor pain [AOR=3.23, 95%CI=1.37-9.13]], presence of management protocol [AOR=1.72, 95% CI=(1.21-2.64)], good knowledge [AOR=4.3, 95%CI=(1.032–7.99)], and positive attitude [AOR=1.605(1.032–2.49)] were found to be significantly associated factors to practice of NPLPM among SBAs. Conclusions: Most SBAs failed to provide NPLPM. There is a need to develop strategies that help SBAs to provide NPLPM for the women to relief labor pain.

Keywords: Practice, Non-Pharmacological, Labor Pain Management, SBAs, Ethiopia.