An audit of patient perception regarding labour pain and provision of analgesia in a teaching hospital.

Abstract

BACKGROUND: Provision of adequate analgesia in labour remains a neglected aspect of our health care system. The perception and attitudes of patients regarding labour pain and analgesia has not received sufficient attention. METHODS: A questionnaire was adminlstered by the investigator to parturients In a teaching hospital prior to and after delivery. RESULTS: All patients had received regular antenatal care. Patients anticipated severe pain In labour (P<O.05) and expected to be given analgesics. (P<O.05), though they were unaware of methods of analgesia available to them (P<O.05). Majority (96%) received labour analgesia (P<O.05), 81 % Pethidine intramuscularly, and 16% epidural analgesia. 94% experienced pain during labour, with 80% having severe pain. Al patients who had severe unrelieved pain had received intramuscular Pethldine as the sole analgesic. Patients who reported distressing effects following analgesics also experienced severe pain that was not relieved. (P<O.05). CONCLUSIONS: There was Inadequate provlslon of effectMe labour analgesia that fulfilled patient expectations. Several misconceptions regarding labour pain and analgesia were noted, with Inadequate health education. Relief of severe pain was poor. The usefulness of intramuscular Pethldine for pain relief In labour is questionable.