دورية أكاديمية
أعرض في EDS

Women's and maternity care providers' perceptions of pain management during childbirth in hospitals in Southern Tanzania.

التفاصيل البيبلوغرافية
العنوان: Women's and maternity care providers' perceptions of pain management during childbirth in hospitals in Southern Tanzania.
المؤلفون: Thorgaard-Rasmussen K; Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden., Alvesson HM; Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden., Pembe AB; Department of Obstetrics and Gynaecology, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania., Mselle LT; Department of Clinical Nursing, School of Nursing, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania., Unkels R; Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden., Metta E; Department of Behavioural Sciences, School of Public Health and Social Sciences, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania., Alwy Al-Beity FM; Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden. fadhlun.alwy.al-beity@ki.se.; Department of Obstetrics and Gynaecology, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania. fadhlun.alwy.al-beity@ki.se.
المصدر: BMC pregnancy and childbirth [BMC Pregnancy Childbirth] 2024 Jun 10; Vol. 24 (1), pp. 417. Date of Electronic Publication: 2024 Jun 10.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 100967799 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2393 (Electronic) Linking ISSN: 14712393 NLM ISO Abbreviation: BMC Pregnancy Childbirth Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BioMed Central, [2001-
مواضيع طبية MeSH: Pain Management*/methods , Attitude of Health Personnel* , Focus Groups* , Qualitative Research*, Humans ; Female ; Tanzania ; Adult ; Pregnancy ; Parturition/psychology ; Delivery, Obstetric/psychology ; Labor Pain/psychology ; Labor Pain/therapy ; Young Adult ; Maternal Health Services ; Health Personnel/psychology
مستخلص: Background: The majority of women experience pain during childbirth. Offering and supporting women to use different methods for coping with pain is an essential competency for maternity care providers globally. Research suggests a gap between what women desire for pain management and what is available and provided in many low-and middle-income settings. The study aimed to understand how pain management is perceived by those involved: women experiencing childbirth and maternity care providers.
Methods: Individual semi-structured interviews with women (n = 23), maternity care providers (n = 17) and focus group discussions (n = 4) with both providers and women were conducted in two hospitals in Southern Tanzania in 2021. Transcribed interviews were analysed using reflexive thematic analysis. Coding and analysis were supported by the software MAXQDA.
Results: Three main themes were generated from the data. The first, 'pain management is multifaceted', describes how some providers and women perceived pain management as entailing various methods to manage pain. Providers perceived themselves as having a role in utilization of pain management to varying degree. The second theme 'pain management is primarily a woman's task' highlights a perception of pain management as unnecessary, which appeared to link with some providers' perceptions of pain as natural and necessary for successful childbirth. Few women explicitly shared this perception. The third theme 'practice of pain management can be improved' illustrates how women and maternity care providers perceived current practices of pain management as suboptimal. According to providers, this is primarily due to contextual factors such as shortage of staff and poor ward infrastructure.
Conclusion: Women's and maternity care providers' perceptions ranged from perceiving pain management as involving a combination of physiological, psychological and social aspects to perceive it as related with limited to no pain relief and/or support. While some women and providers had similar perceptions about pain management, other women also reported a dissonance between what they experienced and what they would have preferred. Efforts should be made to increase women's access to respectful pain management in Tanzania.
(© 2024. The Author(s).)
References: Health Policy Plan. 2018 Jan 1;33(1):e26-e33. (PMID: 29304252)
Soc Sci Med. 2016 Nov;169:157-170. (PMID: 27723514)
Midwifery. 2015 Mar;31(3):349-58. (PMID: 25600326)
BMC Pregnancy Childbirth. 2019 Jul 5;19(1):231. (PMID: 31277609)
BMC Health Serv Res. 2021 Dec 11;21(1):1324. (PMID: 34895216)
Midwifery. 1998 Jun;14(2):105-10. (PMID: 10382479)
PLoS Med. 2015 Jun 30;12(6):e1001847; discussion e1001847. (PMID: 26126110)
BMC Pregnancy Childbirth. 2018 Nov 14;18(1):444. (PMID: 30428840)
BMC Anesthesiol. 2015 Jul 07;15:98. (PMID: 26148501)
BMC Public Health. 2005 Dec 22;5:140. (PMID: 16372911)
Pain Manag Nurs. 2003 Dec;4(4):145-54. (PMID: 14663792)
Reprod Health. 2017 Oct 16;14(1):128. (PMID: 29037252)
Am J Obstet Gynecol. 2002 May;186(5 Suppl Nature):S160-72. (PMID: 12011880)
BMC Pregnancy Childbirth. 2017 May 30;17(1):157. (PMID: 28558667)
BMC Pregnancy Childbirth. 2022 Apr 30;22(1):376. (PMID: 35490235)
Midwifery. 2013 Apr;29(4):407-15. (PMID: 23399319)
East Afr Med J. 2008 Sep;85(9):438-41. (PMID: 19537416)
Reprod Health. 2014 Sep 19;11(1):71. (PMID: 25238684)
Cochrane Database Syst Rev. 2012 Mar 14;(3):CD009234. (PMID: 22419342)
Glob Health Action. 2015 Oct 22;8:28567. (PMID: 26498576)
J Adv Nurs. 2001 Jul;35(2):171-9. (PMID: 11442696)
Soc Sci Med. 2009 Jan;68(2):368-79. (PMID: 19027216)
J Obstet Gynaecol. 2003 Jan;23(1):38-40. (PMID: 12623480)
BMC Pregnancy Childbirth. 2017 Feb 22;17(1):73. (PMID: 28228096)
Am J Obstet Gynecol. 2002 May;186(5 Suppl Nature):S16-24. (PMID: 12011870)
BMC Pregnancy Childbirth. 2017 Feb 7;17(1):56. (PMID: 28173771)
BMC Pregnancy Childbirth. 2014 Jan 08;14:6. (PMID: 24397421)
Lancet. 2007 Dec 22;370(9605):2158-63. (PMID: 17574662)
Reprod Health. 2019 May 30;16(1):71. (PMID: 31146759)
Contemp Nurse. 1998 Jun;7(2):68-71. (PMID: 9763995)
BMC Pregnancy Childbirth. 2012 Jun 24;12:55. (PMID: 22727217)
Qual Health Res. 2016 Nov;26(13):1753-1760. (PMID: 26613970)
فهرسة مساهمة: Keywords: Childbirth; Labour pain; Maternity care providers; Midwifery; Pain management; Tanzania
تواريخ الأحداث: Date Created: 20240610 Date Completed: 20240610 Latest Revision: 20240613
رمز التحديث: 20240613
مُعرف محوري في PubMed: PMC11163787
DOI: 10.1186/s12884-024-06606-9
PMID: 38858626
قاعدة البيانات: MEDLINE
الوصف
تدمد:1471-2393
DOI:10.1186/s12884-024-06606-9