• Atiya Barakzai
  • Gulfareen Haider
  • Farhana Yousuf
  • Ambreen Haider
  • Nasiruddin Muhammad


Background: Delivery pain is one of the most severe pains that women experience during their life soa change can affect all dimensions of pregnant women and her family life. Aim of this study was toassess the women’s knowledge of pain relief during labour, and their beliefs, fears, and misconceptionsregarding epidural analgesia. Methods: It was descriptive study conducted in Obstetric andGynaecology OPD of Liaquat University of Medical and Health Sciences, Hyderabad from September2007 to January 2008. Women were selected randomly. All pregnant females who had deliveredpreviously were interviewed. Primigravida were excluded from study. Information was collected onself-made questionnaire after an informed consent. Information was collected on computer softwareprogramme of SPSS 11.frequencies and percentages were calculated to express the results. Results:Total 131 women were included in this study. Out of these 65, (49.6%) had no education while 41(31.2%) had primary education. Majority of women (82, 62.5%) had knowledge about injections whilefew (12, 9.1%) women had knowledge about epidural analgesia. Seventy-nine (60.3%) had chosen theinjections as preferred method during next labour. Regarding attitude towards labour pains, 61 (46.5%)feels that labour pains as severe pain. Regarding epidural analgesia 4 (3%) women thought that epiduralanalgesia will lead to weakness of limbs and 3 (2.2%) women thought that it will cause permanentbackache. Conclusion: There was poor general awareness of women about the role of epiduralanalgesia in labour leading to a low patient demand for such services. Most of the women had gainedknowledge regarding pain relief from past experience or from friends and relatives.Keywords: Labour pains, epidural analgesia, awareness


Llewellyn Jones D. Child birth without pain. In: Llewellyn Jones

D ed. Every women: a gynecological guide for life. London:

Faber and Faber; 1971.p.177.

Caton D, Frolich MA, Euliano TY. Anaesthesia for childbirth:

controversy and change. Am J Obstet Gynecol 2002; 186(5 suppl


Caton D. Obstetric anaesthesia: the first ten years.

Anaesthesiology 1970;33(1):102–9.

Lowe Nk. The nature of labour pain. Am J Obstet Gynecol

;186(5 Suppl Nature):S16–24.

Norr KL, Block CR, Charles A, Meyering S, Meyers E.

Explaining pain and enjoyment in childbirth. J Health Soc Behav


Burstein R, Buckland R, Pickett JA. A Survey of epidural

analgesia for labour in United Kingdom. Anaesthesia


Hawkins JL, Gibbs CP, Orleans ML. Obstetric anaesthesia work

force survey, 1981 versus 1991.Anesthesiology 1997;87:135–43.

Vanderdriesen NM, Lim W, Peach MJ. Obstetricians’ knowledge

and attitudes towards epidural analgesia in labour. Anaesth

Intensive care 1998;26:463–7.

Vanderdriesen NM, Lim W, Peach MJ. Labour ward midwifery

staff epidural knowledge and practice. Anaesth Intensive care


Peach MJ, Gurrin LC. A Survey of parturients using epidural

analgesia during labour: considerations relevant to antenatal

educators. Aust NZ J Obstet Gynecol 1999;39:21–5.

Cascio M, Kabazie J, Ramanathan S. Consumer education and

patient attitude towards Labour analgesia. Anesth Analg


Stamer UM, Messerschmidt A, Wulf H. Practice of epidural

analgesia for labour pain: a Germany survey. Eur J Anesthesiol


Olayemi O, Aimakhu CO, Udoh ES. Attitudes of patients to

obstetric analgesia at the University College Hospital, Ibandan,

Nigeria. J Obstet Gynecol 2003;23(1):38–40.

Stewart A, Sodhi V, Harper N, Yentis SM. Assessment of the

effect upon maternal knowledge of an information leaflet about

pain relief in labour. Anesthesia 2003;58:1015–9.

Swan HD, Borshoff DC. Informed consent-recall of risk

information following epidural analgesia in labour. Anaesth

Intensive Care 1994;22(2):139–41.

Biswas G, Hariharan V. A Survey of antenatal women on their

knowledge of pain relief methods in labour. Bull Royal Coll

Anaesth 2002;11:530–1.