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Welgamage Punsika Roshani Perera

District General Hospital, Horana, Sri Lanka

Presentation Title:

Knowledge of pregnant mothers on pharmacological and non pharmacological methods of pain management during vaginal delivery in District General Hospital, Horana

Abstract

Introduction: Women often lack the knowledge and access to effective pain relief options during labour which has resulted in normal vaginal delivery to be associated with negative emotions due to experience of severe pain. This study explored the knowledge of pregnant mothers regarding the pharmacological pain management (PPM) and non-pharmacological pain management (NPPM) techniques during vaginal delivery in a tertiary care center in Sri Lanka.

Methods: A descriptive cross-sectional study was conducted at antenatal clinics from 31/05/2023 to 15/06/2023. 100 pregnant mothers participated to the study. Participants verbally responded to invigilator administered pre-designed questionnaire after informed consent.

Results: Most participants had studied up to Ordinary Level 61(61%) and were not employed 78(78%). A total of 87% reported they will accept any kind of labour analgesia during labour while 13% said not required. Regarding pain management, 16% mothers were familiar solely with PPM methods, 6% only NPPM methods, 68% knew both methods and 10% mothers did not know any method. Among those who knew about NPPM methods 41(54.6%) knew breathing exercises, 47(62.6%) walking/upright, 51(67.1%) massage, 17(22.6%) aroma therapy, 43(57.3%) pray and 31(41.3%) focused on an interesting picture. Additionally, 24% had heard about NPPM methods, but did not know the specific techniques. Knowledge of available PPM methods showed that 12% of mothers were aware of oral methods, 14% knew about injections, 49% were familiar with both, and 25% did not know any method. A significant correlation with the multiple gestation and the knowledge on PPM methods (P=0.001)

Conclusion: Knowledge of pregnant mothers on PPM methods is more compared to NPPM methods. Antenatal clinics should enhance their efforts to educate and encourage mothers to use NPPM techniques, which can be just as effective in reducing pain during delivery. 

Biography

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