Keywords
Non-pharmacological
Labour pain
How to Cite
Abstract
Background: Effective labour pain management is a critical component of respectful maternity care, yet in Namibia, only 37% women receive adequate pain relief during childbirth. Non-pharmacological labour pain management (NPLPM) offers safe, cost-effective alternatives aligned with World Health Organization recommendations. The knowledge and attitudes of nursing students, as future frontline providers, are crucial for the integration of these methods into clinical practice.
Objectives: To assess the knowledge of and attitudes towards NPLPM among third-year nursing students at Welwitchia University, Katima Mulilo Campus.
Methods: A quantitative, descriptive cross-sectional study was conducted with 48 third-year nursing students (100% response rate), selected using a simple random sampling. A structured, self-administered questionnaire was used, and data were analysed using descriptive statistics (frequencies, percentages) in Microsoft Excel®.
Results: The majority of respondents (89.6%, n=43) had received formal NPLPM training. While conceptual understanding was high, 97.9% (n=47) correctly defined NPLPM and 100% (n=48) identified the nurse/midwife as the primary provider; a critical gap was noted: 8.3% (n=4) misclassified epidural anaesthesia as non-pharmacological. Attitudes were overwhelmingly positive; 87.5% (n=42) rejected the notion that labour pain should be endured naturally, and 85.4% (n=41) expressed confidence in applying NPLPM. However, 33.3% (n=16) were neutral regarding NPLPM being time-consuming in busy wards, indicating a perceived practical barrier.
Conclusion. Students demonstrated strong foundational knowledge and positive attitudes towards NPLPM. However, misconceptions about pharmacological methods and concerns about clinical feasibility highlight a theory-practice gap. Enhancing practical training and addressing systemic barriers are essential to translate knowledge into consistent, competent care.
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