Attitude and Utilization of Non-Pharmacological Labor Pain Management among Obstetrics Care Providers in Harari Regional State Health Facilities, Ethiopia.

Abstract Background: In a woman’s life, labor pain is the most severe pain that they have ever face. In Ethiopia, the provision of pain relief in labor is often neglected. Furthermore, evidence strongly urged that further research is needed on non-pharmacological labor pain management. Therefore, healthcare providers’ attitudes and utilization of non-pharmacological labor pain management need to be assessed. Method: A facility-based cross-sectional study was conducted from May 20 to June 10, 2021, in Harari regional state health facilities, Ethiopia. All obstetric caregivers in Harari regional state health facilities were included in the study. A structured questionnaire adapted from the previous studies was used to collect data. The data was entered into Epi-data version 3.1 statistical software. Statistical analysis was carried out by using SPSS for windows version 22. Multivariate linear regression analysis was employed to determine the association between independent variables and the outcome variable.Result: The overall utilization of non-pharmacological labor pain relief methods was 59.3% [(95% CI (53.9,63.4)]. Three hundred five (65.5%) of the study participants had unfavorable attitudes. Females compared to males (β= -0.420; 95% CI: -0.667, -0.173), clinical experience (β= -0.201; 95% CI: -0.268, -0.134), knowledge sum score (β =0.227: 95%; CI: 0.18,0.247), and attitude sum score (β=0.376; 95% CI: 0.283, 0.47) were showed significantly association with utilization of non-pharmacological labor pain management.Conclusion: The overall utilization of non-pharmacological labor pain relief methods was relatively good compared to other studies done in Ethiopia but all women’s need for labor relief methods should not be ignored. In this study sex of the respondents, clinical experience, individual preference, attitude and knowledge were factors associated with utilization of non-pharmacological labor pain management. All stake holds need to work together to improve the attitude of health providers and to increase utilization of non-pharmacologic labor pain management.