Publication:

Attitude of obstetricians regarding labour analgesia and limitations in practising it

Background Parturient experience labour pain of varying degrees which intensifies as labour progresses. Providing adequate pain relief during labour is important for positive experience of child birth.

Methods This cross-sectional survey was conducted among obstetricians working in five teaching hospitals in Tamil Nadu in 2015. Obstetricians working in these medical colleges were given structured questionnaire to be filled by them. It had questions regarding the obstetricians knowledge, experience and attitude towards labour analgesia and limitations in its practise.

Results Majority of them considered epidural labour analgesia as most effective (91%).Only 55% of them have had practical experience of conducting deliveries under epidural. Parenteral injection of opioid (tramadol hydrochloride) or NSAIDs remain the most commonly practised method. 82% of the participants don’t discuss about labour analgesia services while providing antenatal care.

Conclusions Obstetricians should sensitize the antenatal women regarding labour pain and its management. Supportive role should be provided by midwives. Where resources are limited non-pharmacological means of pain relief should also be encouraged.