Evidence map›Paper›PMID 33371900›Full record

ArticleReproductive health2020

Non-pharmacological labor pain management and associated factor among skilled birth attendants in Amhara Regional State health institutions, Northwest Ethiopia.

Almaz Aklilu Getu, Simegnew Asmer Getie, Getahun Belay Gela, Eleni Admassu Maseresha, Birhanu Elifu Feleke, Alemtsehay Mekonen Muna

Open access · goldAbstract read
In one paragraph

Article in Reproductive health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 3 pooled it
1.0field-weighted citation impact, top 18% 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

12 citing papers in PubMed, 3 syntheses or guidelines pooled it, 20 citations in OpenAlex.

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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

6 authors at 1 institution in 1 country.

Almaz Aklilu GetuDepartment of Midwifery, College of Medicine and Health Science, BahirDar University, BahirDar, Ethiopia. almakel@yahoo.com.ORCID http://orcid.org/0000-0002-6837-7862
Simegnew Asmer GetieDepartment of Midwifery, College of Medicine and Health Science, BahirDar University, BahirDar, Ethiopia.
Getahun Belay GelaDepartment of Midwifery, College of Medicine and Health Science, BahirDar University, BahirDar, Ethiopia.
Eleni Admassu MasereshaSchool of Public Health, College of Medicine and Health Science, BahirDar University, BahirDar, Ethiopia.
Birhanu Elifu FelekeSchool of Public Health, College of Medicine and Health Science, BahirDar University, BahirDar, Ethiopia.
Alemtsehay Mekonen MunaSchool of Public Health, College of Medicine and Health Science, BahirDar University, BahirDar, Ethiopia.
Bahir Dar University · ET

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHealthcare providers have a responsibility to provide pain management support to women during labor. Labor pain management in low and middle income countries primarily relies on non-pharmacological methods, as there is little access to pharmacologic pain management. This study aimed to determine the utilization of non-pharmacological labor pain management (NPLPM) and associated factors among skilled birth attendants (SBAs) in Amhara Regional State health institutions, Ethiopia.

methodsA cross-sectional study was conducted on 592 SBAs working in the Amhara Region, Ethiopia. A multistage sampling was used to collect data using a pretested interview-administered questionnaire. Descriptive analysis was done to characterize the study population. Logistic regression was used to model predictors of NPLPM utilization among SBAs, including age, qualifications, type of medical institution, knowledge, attitudes, and the presence of a protocol.

resultNearly forty seven percent 277(46.8%) of SBAs in the study cohort utilized NPLPM. SBAs who had adequate knowledge of NPLPM had 2.8 times increased odds of using NPLPM than SBAs who had inadequate knowledge. (95%CI 1.89-4.014). SBAs who had a positive attitude had 4.12 times increased odds of using NPLPM than SBAs with a negative attitude (95%CI 2.36, 7.2). SBAs who had labor a pain management protocol in their facility had 3.98 times increased odds of using NPLPM than those who didn't have a labor pain management protocol (95%CI 1.83, 8.62).

conclusionsThe analysis pointed to a gap in the utilization of NPLPM in the Amhara Region facilities studied. Less than half of SBAs used NPLPM when caring for laboring women. Professional factors related to use of NPLPM included the age of SBAs, their attitudes, level of education, and knowledge concerning pain management. NPLPM was also significantly associated with the availability of labor pain management protocols.

Indexed as

Labor, ObstetricMidwiferyPain ManagementAdultCross-Sectional StudiesEthiopiaFemaleHumansMalePregnancyEthiopiaNon-pharmacologicalPain managementSkilled birth attendant

Identifiers

PMID33371900
PMCPMC7768651
OpenAlexW3114466885

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.