Annals of African medicine · 2026
Status of Labor Analgesia as a Felt Need - A Questionnaire-based Survey in Antenatal Women at a Tertiary Care Center in North India.
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Khanna Vidisha, Agarwal Anjoo, Agrawal Smriti, Cherubin Rachael
Аннотация
BACKGROUND: Labor analgesia is recognized worldwide as the right of every laboring woman and the duty of the obstetrician. Although multiple modalities are available, demand for these services remainslow in government hospitals in India. With increasing emphasis on respectful maternity care, this is alarming. Pain relief in labor directly influences maternal satisfaction, choice of mode of delivery, and perceptions of maternity services.
OBJECTIVES: The aim of this study antenatal women's understanding of labor analgesia in North India, particularly regarding their knowledge of labor analgesia and epidural anesthesia. It also investigated the relationship between the willingness to seek labor analgesia and several sociodemographic factors, including age, education, occupation, parity, and past delivery experiences.
METHODOLOGY: Following ethical clearance, a crosssectional questionnairebased survey was conducted among consenting antenatal women attending the outpatient department of a tertiary care government hospital in North India. The validated questionnaire comprised three sections: one each for demographic details, obstetric history, and awareness and intentions regarding labor analgesia in the current pregnancy.
RESULTS: Of 477 enrolled women, more than half (50.9%) were aged 25-31 years, a majority were graduates, and over 80% were homemakers. Most participants (81.1%) expressed willingness for vaginal delivery, whereas 17.8% were unwilling, primarily due to previous difficult experiences (51.8%) or fear of pain (12.9%). Awareness of labor analgesia was extremely low: only 41 women (8.64%) had heard of epidural anesthesia, and just 42 expressed willingness to consider it.
CONCLUSION: Labor analgesia awareness and demand in India are low and vary by education and occupation, highlighting the need for targeted awareness initiatives and culturally sensitive interventions to improve patient education and integrate labor pain management into respectful maternity care.
OBJECTIVES: The aim of this study antenatal women's understanding of labor analgesia in North India, particularly regarding their knowledge of labor analgesia and epidural anesthesia. It also investigated the relationship between the willingness to seek labor analgesia and several sociodemographic factors, including age, education, occupation, parity, and past delivery experiences.
METHODOLOGY: Following ethical clearance, a crosssectional questionnairebased survey was conducted among consenting antenatal women attending the outpatient department of a tertiary care government hospital in North India. The validated questionnaire comprised three sections: one each for demographic details, obstetric history, and awareness and intentions regarding labor analgesia in the current pregnancy.
RESULTS: Of 477 enrolled women, more than half (50.9%) were aged 25-31 years, a majority were graduates, and over 80% were homemakers. Most participants (81.1%) expressed willingness for vaginal delivery, whereas 17.8% were unwilling, primarily due to previous difficult experiences (51.8%) or fear of pain (12.9%). Awareness of labor analgesia was extremely low: only 41 women (8.64%) had heard of epidural anesthesia, and just 42 expressed willingness to consider it.
CONCLUSION: Labor analgesia awareness and demand in India are low and vary by education and occupation, highlighting the need for targeted awareness initiatives and culturally sensitive interventions to improve patient education and integrate labor pain management into respectful maternity care.