EC Gynaecology

Background: Obstetric epidural analgesia (OEA) is an effective method for pain relief during labor, yet its utilization remains limited in Nigeria, potentially due to inadequate awareness and misconceptions. This study aims to assess the knowledge and attitude towards OEA among pregnant women attending antenatal clinics in Southeast Nigeria.

Materials and Methods: A descriptive cross-sectional study was conducted in five states within Southeast Nigeria. A total of 417 pregnant women attending antenatal clinics in both public and private health facilities participated. The sample was selected using a multistage sampling technique. Data were collected using a structured questionnaire covering socio-demographic characteristics, knowledge, attitudes, and barriers to the use of OEA. Data analysis was conducted using SPSS version 26, with results presented in frequencies and percentages.

Results: Among the 417 participants, 29.74% had heard of OEA, with health facilities being the most common source of information (7.43%). However, only 28.3% understood its use for labor pain relief, while 70.98% were unaware of its benefits. Regarding attitudes, 38.85% were willing to consider using OEA, while fear of side effects (52.27%) and lack of information (11.47%) were common reasons for hesitancy. Cultural and religious beliefs also contributed to reluctance (8.27%). A majority (80.34%) felt comfortable with the idea of being awake but pain-free during labor.

Conclusion: The study revealed low awareness and understanding of OEA among pregnant women in Southeast Nigeria. Increased education and counseling from healthcare providers could improve acceptance rates and address misconceptions surrounding OEA.

 Keywords: Obstetric Epidural Analgesia; Knowledge; Attitudes; Pregnant Women; Southeast Nigeria; Pain Relief; Cultural Beliefs

1. Anim-Somuah M., et al. “Epidural versus non-epidural or no analgesia for pain management in labour”. Cochrane Database of Systematic Reviews5 (2018): CD000331.
2. Ezebialu IU., et al. “Factors influencing women's choice of pain relief during labor in a tertiary health institution in Southeast Nigeria”. Nigerian Journal of Clinical Practice7 (2019): 946-952.
3. Ruppen W., et al. “Epidural analgesia during childbirth: Current evidence and practice”. Best Practice and Research Clinical Anaesthesiology3 (2021): 317-328.
4. Kuti O., et al. “The use of obstetric analgesia in Nigeria: Current status”. Journal of Obstetrics and Gynaecology4 (2019): 546-550.
5. Obuna JA., et al. “Perceptions of epidural analgesia for labor among obstetricians in Southeast Nigeria”. Nigerian Journal of Clinical Practice9 (2018): 1160-1164.
6. World Health Organization. “Maternal mortality: Levels and trends 2000 to 2020”. WHO (2023).
7. World Health Organization. “WHO recommendations: Intrapartum care for a positive childbirth experience”. WHO (2018).
8. Okojie M., et al. “Awareness and attitude of pregnant women toward epidural analgesia”. Nigerian Postgraduate Medical Journal 1 (2021): 37-42.
9. Airaodion AI., et al. “Prevalence of erectile dysfunction in men with type 2 diabetes mellitus in Osun State, Nigeria”. Direct Research Journal of Agriculture and Food Science 6 (2023): 45-52.
10. Shawahna R., et al. “Knowledge, attitudes, and practices of pregnant women regarding epidural analgesia: a multicentre study from a developing country”. Journal of Obstetrics and Gynaecology1 (2024): 2354575.
11. Faponle AF., et al. “Awareness and Acceptance of Epidural Analgesia in Labor Among Pregnant Women in a Nigerian Tertiary Hospital”. African Journal of Reproductive Health4 (2016): 69-76.
12. Afolabi BB., et al. “Perception and Utilization of Epidural Analgesia in Labor Among Nigerian Women”. International Journal of Women's Health 11 (2019): 237-244.
13. Oladokun AO., et al. “Obstetric Pain Management in Nigeria: Current Practices and Future Prospects”. Annals of African Medicine 3 (2018): 121-128.
14. Anaba AE., et al. “Knowledge and Perception of Labor Pain Management Among Women in a Nigerian Tertiary Hospital”. Nigerian Journal of Clinical Practice4 (2021): 516-522.
15. Kolawole A and Fadare T. “Obstetric Epidural Analgesia: Knowledge and Attitudes Among Nigerian Pregnant Women”. Journal of Clinical Medicine Research12 (2017): 100-106.