SynthesisBMC pregnancy and childbirth2025
Utilization of nonpharmacological labor pain management and associated factors among healthcare providers in Ethiopia: a systematic review and meta-analysis.
Synthesis in BMC pregnancy and childbirth, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- The Effect of Foot Reflexology on Pain and Comfort During Labor: A Randomized Controlled Trial.Healthcare (Basel, Switzerland) · 2026Article
- Labor Pain Management Practices and Associated Factors Among Licensed Obstetric Care Providers in Ethiopia: A Systematic Review and Meta-Analysis.Health science reports · 2026Review
- Companionship care and associated factors among childbirth women in Ethiopia: a systematic review and meta-analysis.Therapeutic advances in reproductive healthReview
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHealth outcomes are a global priority, and the use of nonpharmacological methods for labor pain relief is recommended to improve these outcomes. However, there is a lack of a review regarding on the utilization of nonpharmacological labor pain management.
objectivesthis study aimed to assess the pooled utilization of nonpharmacological labor pain management and the associated factors among healthcare providers in Ethiopia.
methodsThe Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed for this review. A total of 2837 articles were retrieved from international databases, including Scopus, PubMed, Web of Science, Science Direct, and National Digital Library repositories. The search for articles was conducted from February 1, 2024, to February 30, 2024. To assess the methodological quality Newcastle Ottawa Scale was utilized. Data extraction was performed using Excel, and the analysis was conducted with Stata 11 software.The effect size measurement utilization of nonpharmacological labor pain management was estimated using the Random Effect Mode. The Cochran's Q test and I
resultsFourteen studies met the eligibility criteria with a total sample size of 4,821. The overall pooled utilization of nonpharmacological labor pain management among healthcare provider was 45.48% (95% CI: 35.74-55.22). Healthcare providers aged 20-29 years (AOR: 4.10; 95% CI: 1.79-9.39), those having with knowledge about nonpharmacological pain management (AOR: 3.11; 95% CI: 1.88-5.16), and those who allowed companions to support laboring mothers (AOR: 3.37; 95% CI: 1.56-7.24) were determinants of outcome variables.
conclusionOver half of Ethiopian healthcare providers did not use nonpharmacological pain management during childbirth. Key factors healthcare providers aged 20-29, those with adequate knowledge, and healthcare providers' ability who allowed companions to enter labor ward to support laboring mothers. Providing updated in-service training programs for older healthcare providers are recommended to utilize nonpharmacological pain management techniques. Policymakers should also create clear understand about obstetric guidelines to promote pain management during childbirth.
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