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There were generally limited local studies on the ratio between natural and strictly augmented labour in Nigeria.
Pain relief is advocated for both natural and induced or augmented labour, more especially in situations of induction/augmentation, since induction or augmentation have been associated with enhanced labour pain which is expected to increase the demand for analgesia by parturients in labour.
Mothers from Community 2 had a high proportion of augmented labour (39.4%) compared to less than 30% for Community 1 and less than 25% for the reference group (P = 0.006).
Table 2 shows significant differences in most risk factors or outcomes between Indigenous mothers by region and remoteness, except for maternal age ≥35 years, first pregnancy, narcotics for pain relief, augmented labour, instrumental vaginal birth, and 3rd/4th degree tears.
There were few significant differences between the outcomes for Indigenous mothers from our two remote Indigenous communities of interest and those for other TE Remote women, with the exception of smoking; alcohol use; augmented labour and whether an episiotomy was performed (Table 3).
e Normal birth model adjusted for: age of mother, first pregnancy, four or more pregnancies, smoking, alcohol, diabetes in pregnancy, inadequate number of antenatal visits (Yes/No), out-of-hospital birth, epidural/spinal pain relief (Yes/No) and augmented labour (Yes/No).
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Results of that study indicated 92.7% of women had medically augmented labours (artificial rupture of the membranes, oxytocin and epidural analgesia).
Education augments labour market productivity and income growth, and an educated woman has beneficial effects on child health and social well-being [5].
The use of oxytocin to augment labour did not differ significantly between the two groups.
A good candidate is the administration of oxytocin, commonly used to induce or augment labour.
**Augmentation of labour: A drug (Intravenous oxytocin/Intramuscular oxytocin/dinoprostone gel/misoprostol) used to augment labour pains.
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