Evidence map›Paper›PMID 29037252›Full record

ArticleReproductive health2017

Experiences of midwives on pharmacological and non-pharmacological labour pain management in Ghana.

Lydia Aziato, Abigail A Kyei, Godsway Deku

Open access · goldAbstract read
In one paragraph

Article in Reproductive health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
2.8field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 46 citations in OpenAlex.

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  16. Patient satisfaction with peri-partum care at Bertha Gxowa district hospital, South Africa.African journal of primary health care & family medicine · 2020
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Lydia AziatoDepartment of Adult Health, School of Nursing, University of Ghana, Legon, Accra, Ghana. aziatol@yahoo.com.ORCID http://orcid.org/0000-0002-7813-5525
Abigail A KyeiDepartment of Nursing, Pentecost University College, Accra, Ghana.
Godsway DekuDepartment of Adult Health, School of Nursing, University of Ghana, Legon, Accra, Ghana.
University of Ghana · GHPentecost University College · GH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDue to the debilitating effects of severe labour pains, labour pain management continues to be an important subject that requires much attention. Thus, this study sought to gain a detailed insight into the experiences of midwives on pharmacological and non-pharmacological labour pain management strategies in a resource limited clinical context.

methodsA descriptive exploratory qualitative design was adopted for this study which allowed in-depth follow-up of the midwives' comments resulting in a full understanding of emerging findings. Face-to-face individual interviews were conducted, transcribed and data were analysed using content analysis procedures. Verbatim quotes were used to support the findings.

resultsMidwives employed different pain control measures including pharmacological and non-pharmacological methods such as psychological care, sacral massage and deep breathing exercises. Doctors prescribed analgesics most of the time while in some cases, the midwives independently administered the drugs. They assisted women who had epidural anaesthesia given by anaesthetists. The midwives did not administer adequate analgesics because of fear of side effects of analgesics. Although the midwives exhibited knowledge on drugs used for labour pain management, they did not regularly administer analgesics and non-pharmacological care provided were inadequate due to increased workload. Some of the midwives showed empathy towards women and supported the women. Most of the midwives perceived labour pain as normal and encouraged women to bear pain.

conclusionMidwives require regular education on labour pain management and they should pay attention to women in labour individually and administer the care that meets their need.

Indexed as

Breathing ExercisesLabor, ObstetricAdultAnalgesics, OpioidFemaleGhanaHumansLabor PainMiddle AgedMidwiferyPain ManagementPregnancyQualitative ResearchAnalgesics, OpioidGhanaLabourLabour painMidwivesPain managementQualitative research

Identifiers

PMID29037252
PMCPMC5644162
OpenAlexW2765332736

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.