Barriers to spousal contribution to childbirth pain relief in Nigeria

Authors: Emelonye, A.U., Pitkäaho, T., Aregbesola, A. and Vehviläinen-Julkunen, K.

Journal: International Nursing Review

Volume: 64

Issue: 4

Pages: 568-575

eISSN: 1466-7657

ISSN: 0020-8132

DOI: 10.1111/inr.12330

Abstract:

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.

Source: Scopus

Barriers to spousal contribution to childbirth pain relief in Nigeria.

Authors: Emelonye, A.U., Pitkäaho, T., Aregbesola, A. and Vehviläinen-Julkunen, K.

Journal: Int Nurs Rev

Volume: 64

Issue: 4

Pages: 568-575

eISSN: 1466-7657

DOI: 10.1111/inr.12330

Abstract:

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.

Source: PubMed

Barriers to spousal contribution to childbirth pain relief in Nigeria

Authors: Emelonye, A.U., Pitkaaho, T., Aregbesola, A. and Vehvilainen-Julkunen, K.

Journal: INTERNATIONAL NURSING REVIEW

Volume: 64

Issue: 4

Pages: 568-575

eISSN: 1466-7657

ISSN: 0020-8132

DOI: 10.1111/inr.12330

Source: Web of Science (Lite)

Barriers to spousal contribution to childbirth pain relief in Nigeria.

Authors: Emelonye, A.U., Pitkäaho, T., Aregbesola, A. and Vehviläinen-Julkunen, K.

Journal: International nursing review

Volume: 64

Issue: 4

Pages: 568-575

eISSN: 1466-7657

ISSN: 0020-8132

DOI: 10.1111/inr.12330

Abstract:

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.

Source: Europe PubMed Central