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Research article

Is knowledge and attitude on epidural analgesia during labour satisfactory among pregnant women attending antenatal clinics in Colombo District?

Authors:

Shehani Lakshika Delwatta ,

University of Sri Jayawardenapura, LK
About Shehani Lakshika
Medical Student, Department of Community Medicine, Faculty of Medical Sciences
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Pingamage Dona Jayamini Kaushalya,

University of Sri Jayawardenapura, LK
About Pingamage Dona Jayamini
Medical Student, Department of Community Medicine, Faculty of Medical Sciences

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Amugoda Kankanamalage Ravindu Shehan,

University of Sri Jayawardenapura, LK
About Amugoda Kankanamalage
Medical Student, Department of Community Medicine, Faculty of Medical Sciences
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Chamila Pilimatalawwe,

Sri Jayewardenepura General Hospital, Kotte, LK
About Chamila
Consultant Anaesthetist
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Shamini Prathapan

University of Sri Jayawardenapura, LK
About Shamini
Senior Lecturer, Department of Community Medicine, Faculty of Medical Sciences
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Abstract

Labour pain management is a major challenge in maternity care. Epidural analgesia provides safe and effective pain relief during labour. The objective was to assess the knowledge, attitudes and associated factors towards epidural analgesia during labour among pregnant women in Colombo region, Sri Lanka.

 

This was a descriptive study conducted at two selected hospitals in Colombo Sri Lanka. The sample size was 260 and those below 18yrs were excluded. Participants were provided with a pretested questionnaire. Ethical approval was obtained from Faculty of Medical Sciences, University of Sri Jayewardenepura. Both knowledge and attitude were given separate scores and were categorized as ‘good’ or ‘poor’ based on their mean.

 

Within the study population, 41.9% had heard of labour analgesia. Among them, only 6.7% had good knowledge and 15.6% had a positive attitude towards labour epidural analgesia. The patients with good knowledge about labour epidural analgesia had good attitude towards the procedure (p<0.05) and there was a positive association between those who had heard of analgesia and their sources of information.

 

However, as the total level of knowledge and attitudes towards labour epidural analgesia was poor, it is recommended that the health care workers issue pamphlets carrying necessary information following discussions with the pregnant women. After admission they should be given clear information about risks and benefits of the procedure and a post-partum feedback would help in quality improvement.
How to Cite: Delwatta, S.L., Kaushalya, P.D.J., Ravindu Shehan, A.K., Pilimatalawwe, C. and Prathapan, S., 2019. Is knowledge and attitude on epidural analgesia during labour satisfactory among pregnant women attending antenatal clinics in Colombo District?. Sri Lankan Journal of Anaesthesiology, 27(1), pp.21–27. DOI: http://doi.org/10.4038/slja.v27i1.8364
Published on 06 Feb 2019.
Peer Reviewed

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