Experiences with Non-pharmacological Interventions for Labour Pain Relief Among Midwives' and Women in Tertiary Institutions, Nigeria

Abstract

Background: Non-pharmacological interventions for labour pain relief are non-invasive, cost-effective alternatives to pharmacological methods, yet their utilization in Nigerian federal hospitals remains underexplored. Understanding both midwives' and women experiences is crucial for optimizing positive childbirth experiences.

Methods: This convergent mixed-methods study was conducted across six federal hospitals representing Nigeria's six geopolitical zones. Quantitative data were collected from 160 postpartum mothers and 122 midwives using structured questionnaires, while qualitative data were obtained through semi-structured interviews with 15 midwives. Analysis employed descriptive statistics and  Braun and Clarke’s thematic analysis.

Results: Commonly used non-pharmacological methods included breathing techniques emotional support massage maternal positioning and warm compresses. Mothers expressed predominantly negative perceptions regarding effectiveness (grand mean=1.00), whereas midwives demonstrated positive perceptions (grand mean=2.50).

Conclusion: While midwives employ various non-pharmacological techniques, significant perceptual gaps exist between providers and recipients. Addressing barriers through targeted training, resource provision, and enhanced antenatal education is essential for optimising labour pain management in Nigerian federal hospitals.