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Offering and supporting women to use different methods for coping with pain is an essential competency for maternity care providers globally. Research suggests a gap between what women desire for pain management and what is available and provided in many low-and middle-income settings. The study aimed to understand how pain management is perceived by those involved: women experiencing childbirth and maternity care providers.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>Individual semi-structured interviews with women (<jats:italic>n<\/jats:italic>\u2009=\u200923), maternity care providers (<jats:italic>n<\/jats:italic>\u2009=\u200917) and focus group discussions (<jats:italic>n<\/jats:italic>\u2009=\u20094) with both providers and women were conducted in two hospitals in Southern Tanzania in 2021. Transcribed interviews were analysed using reflexive thematic analysis. Coding and analysis were supported by the software MAXQDA.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Three main themes were generated from the data. The first, \u2018pain management is multifaceted\u2019, describes how some providers and women perceived pain management as entailing various methods to manage pain. Providers perceived themselves as having a role in utilization of pain management to varying degree. The second theme \u2018pain management is primarily a woman\u2019s task\u2019 highlights a perception of pain management as unnecessary, which appeared to link with some providers\u2019 perceptions of pain as natural and necessary for successful childbirth. Few women explicitly shared this perception. The third theme \u2018practice of pain management can be improved\u2019 illustrates how women and maternity care providers perceived current practices of pain management as suboptimal. According to providers, this is primarily due to contextual factors such as shortage of staff and poor ward infrastructure.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Women\u2019s and maternity care providers\u2019 perceptions ranged from perceiving pain management as involving a combination of physiological, psychological and social aspects to perceive it as related with limited to no pain relief and\/or support. While some women and providers had similar perceptions about pain management, other women also reported a dissonance between what they experienced and what they would have preferred. Efforts should be made to increase women\u2019s access to respectful pain management in Tanzania.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12884-024-06606-9","type":"journal-article","created":{"date-parts":[[2024,6,10]],"date-time":"2024-06-10T08:02:44Z","timestamp":1718006564000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Women\u2019s and maternity care providers\u2019 perceptions of pain management during childbirth in hospitals in Southern Tanzania"],"prefix":"10.1186","volume":"24","author":[{"given":"Katrine","family":"Thorgaard-Rasmussen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helle M\u00f6lsted","family":"Alvesson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea B.","family":"Pembe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lilian T.","family":"Mselle","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Regine","family":"Unkels","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emmy","family":"Metta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fadhlun M.","family":"Alwy Al-beity","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,6,10]]},"reference":[{"issue":"1","key":"6606_CR1","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s12884-017-1343-3","volume":"17","author":"LY Whitburn","year":"2017","unstructured":"Whitburn LY, Jones LE, Davey MA, et al. 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The study protocol was carried out in accordance with relevant guidelines and regulations. All participants were informed about the purpose of the study and signed a consent form prior to their engagement in the interviews and\/or FGDs. Written informed consent was obtained from all study participant, or if participants were under 16, from a parent and\/or legal guardian. Legally authorized representatives of illiterate participants provided informed consent for the study.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}},{"value":"The first author of this study is a midwife with previous work experience from Denmark and West Africa. All background information and contextual understanding of Tanzania is based on extensive literature review and collaboration, supervision and discussions with the local research team based in Tanzania. Furthermore, the author had the chance to visit Tanzania and the two study sites during a one-month period during the analysis process to facilitate better contextualization and discussion. All authors have contextual knowledge of Tanzania and have worked extensively in the country.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Authors? information"}}],"article-number":"417"}}