Introduction. Delivery of the infant into the arms of a conscious and pain-free mother is the most exciting and rewarding moment in maternal care services. Physical and mental care of women during delivery requires good knowledge and a positive insight to the needs and rights of the mothers. Little was known regarding skilled birth attendants’ knowledge, attitude, and practice towards labor pain management in the study area. Hence, the current study aimed at assessing knowledge, attitude, and practice, and associated factors towards labor pain management among skilled birth attendants working at hospitals found in central, west, and north Gondar zones, northwest Ethiopia, 2019. Method. A multicenter institution-based cross-sectional study was conducted from June 1 to 30, 2019. A census sampling technique was used to include a total of 336 skill birth attendants. A pretested standardized self-administered questionnaire was used to collect the data. The data were then entered into Epi Info 7.1.2 and exported to SPSS version 25 for analysis. Multivariable logistic regression analyses were undertaken to identify factors associated with outcome variables. The level of significance of the study was declared based on adjusted odds ratio with 95% confidence interval at a value of ≤0.05. Result. The proportion of skill birth attendants having good knowledge, a favorable attitude, and a good practice on labor pain relief methods was 47%, 41.96%, and 57.14%, respectively. Age of ≤30 years (AOR = 5.43; 95% CI: 1.25, 23.53), educational status of 2^nd degree and above (AOR = 3.56; 95% CI: 1.32, 9.60), working at a private primary hospital (AOR: = 6.55; 95% CI: 2.15, 19.93), and working at a referral hospital (AOR = 2.24 : 95% CI: 1.01, 4.93) are factors significantly associated with good knowledge while having good knowledge on labor pain relief methods (AOR = 2.26; 95% CI: 1.42, 3.60) and working at private primary hospitals (AOR = 7.01; 95% CI: 1.92, 25.65) had statistically significant association with favorable attitude and good practice on labor pain relief methods, respectively. Conclusion and Recommendations. Poor knowledge, unfavorable attitude, and poor practice towards labor pain management were found in this study. Strengthening the capacity of public health facilities and providing continuous professional development (CPD) training for the skilled birth attendants would be helpful in improving knowledge, attitude, and practice towards labor pain management.

中文翻译：

---

西北埃塞俄比亚中部，西部和北部贡德尔地区的医院工作的熟练服务生对劳动痛管理的知识，态度和实践以及相关因素，2019年：多中心跨部门研究

引言。将婴儿分娩给有意识且无痛苦的母亲怀抱是孕产妇护理服务中最激动人心和最有意义的时刻。妇女在分娩过程中的身心保健需要丰富的知识，并对母亲的需求和权利有积极的洞察力。关于熟练助产士在研究区域中对分娩痛管理的知识，态度和实践知之甚少。因此，本研究旨在评估埃塞俄比亚西北部中部，西部和北部贡达尔地区的医院中熟练的接生员的知识，态度和做法以及有关分娩痛管理的相关因素，2019年。方法。2019年6月1日至30日进行了一项基于多中心机构的横断面研究。人口普查技术被用于包括总共336名技能接生员。使用预先测试过的标准化自我管理调查表收集数据。然后将数据输入Epi信息7.1.2，并导出到SPSS 25版进行分析。进行多变量逻辑回归分析以鉴定与结果变量相关的因素。研究的显着性水平是根据调整后的比值比和95％的置信区间（≤0.05 ）宣布的。结果。具有良好知识，良好态度和良好实践的缓解分娩疼痛方法的熟练接生员的比例分别为47％，41.96％和57.14％。的≤30岁（AOR = 5.43; 95％CI：1.25，23.53），2教育状况^第二度和上述（AOR = 3.56; 95％CI：1.32，9.60），在私人初级医院工作（AOR： = 6.55； 95％CI：2.15，19.93），以及在转诊医院工作（AOR = 2.24：95％CI：1.01，4.93）是与良好知识显着相关，同时对分娩疼痛缓解方法有充分了解的因素（AOR =在统计学上分别为2.26； 95％CI：1.42、3.60）和在私立基层医院工作（AOR = 7.01； 95％CI：1.92、25.65）在统计学上与劳动态度缓解方法的良好态度和良好实践相关。结论和建议。在这项研究中发现知识不足，态度恶劣以及对分娩痛的处理不佳。加强公共卫生设施的能力，并为熟练的接生员提供持续的专业发展（CPD）培训，将有助于提高对分娩痛管理的知识，态度和实践。