Barriers to spousal contribution to childbirth pain relief in Nigeria
| Autor: | Katri Vehviläinen-Julkunen, Emelonye Au, Alex Aregbesola, Taina Pitkäaho |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Male Attitude of Health Personnel Nurse Midwives media_common.quotation_subject Pain relief Nigeria Staff education 03 medical and health sciences 0302 clinical medicine Nursing Pregnancy Surveys and Questionnaires Humans Pain Management Childbirth Medicine 030212 general & internal medicine Spouses General Nursing Health policy media_common Labor Pain Staff Attitudes 030219 obstetrics & reproductive medicine business.industry Pain management Delivery Obstetric Cross-Sectional Studies Feeling Spouse Female Pregnant Women business |
| Zdroj: | International Nursing Review. 64:568-575 |
| ISSN: | 0020-8132 |
| DOI: | 10.1111/inr.12330 |
| Popis: | Aim The aim of this study was to investigate the barriers inhibiting the use of spousal presence for childbirth pain relief in health facilities and recommendations from three perspectives: the midwife, the woman, and the spouse. Background Spousal presence is a non-invasive, participatory and inexpensive technique used in pain management during childbirth. Although it contributes to a large extent in relieving childbirth pain, it is underutilized in Nigerian hospitals. Overcoming the challenges impeding spousal presence and participation during childbirth will improve maternal outcome, satisfaction and midwifery care practices. Method A cross-sectional survey conducted in four hospitals in Nigeria involving midwives (n = 100), women (n = 142) and their spouses (n = 142) from June to December 2014 using pretested questionnaires. Results Five themes were identified: poor infrastructural facility, lack of adequate pain management policy, lack of midwife pain management practices, midwives' attitudes towards spousal presence during childbirth and feelings about spousal presence during childbirth pain relief. Conclusion Infrastructural defects in the health facilities resulting in the lack of privacy in maternity units for both spouses and partners negatively influence the presence of a spouse during childbirth and pain relief. Adopting effective strategies such as good infrastructural facilities, staff training and spouse-friendly hospital policies will encourage spouses to fully participate in and contribute to childbirth pain relief. Implications for nursing and health policy This study identified poor staff attitudes towards pain relief and spousal presence during childbirth as barriers. Providing adequate policies on pain management, continuous staff education and orientation on spousal relationship will improve active spousal participation and maternal satisfaction during childbirth. |
| Databáze: | OpenAIRE |
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