Abstract:

Patient’s satisfaction with pain management is vital for quality care. Therefore, pharmacological and non-pharmacological interventions do contribute significantly to pain control. The aim was to determine patients’ satisfaction with non-pharmacological pain management in labour. A descriptive, cross-sectional design was conducted from June 2017 to March 2019. Participants were conveniently sampled to include 311 women three days after normal delivery. The research tools were Pain Satisfaction and American Pain Society Outcome Questionnaires were used to collect data. Univariate logistic regression was used to test for associations between variables. Findings of the study revealed a mean age of the women was 26.9 years, and 90.4% were Black, IsiZulu speakers, having two children and had secondary education. Moderate pain was experienced in 49.2%, and herbs or prayer were used by 55.3%. To relieve pain, participants reported deep breathing (26.2%), walking (22%), massage (21%) and prayer (14%). Effective pain relief was in 53.1%, while satisfaction was by 56.3%. The only statistically significant predictor of dissatisfaction was the number of live births (p=0.003). One live birth compared to four live births was more likely to be dissatisfied (OR=11.5; 95% CI 1.4-97.2). Findings suggest that non-pharmacological interventions are effective. The moderate pain experienced by a significant proportion may signify the need for pharmacological treatments. The association between low parity and dissatisfaction warrants further research.

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