International Journal of Nursing and Medical Science 2018; 7 (3),29-45 29 Poornima Ramasamy et al MEDICAL EDUCATION IMPLICATION ON KNOWLEDGE, ATTITUDE, PRACTICES AND BARRIERS ISSN: 2454-6674 http://internationaljournal.org.in/journal/index.php/ijnms Original Research Article Volume 7 Issue 3 MEDICAL EDUCATION IMPLICATION ON KNOWLEDGE, ATTITUDE, PRACTICES AND BARRIERS TO IMPLEMENTATION OF NON- PHARMACOLOGICAL PAIN MANAGEMENT DURING LABOR * Poornima Ramasamy 1 , Arthur V.M. Kwena 2 , Ashraf Emarah 3 , Simon Kang’ethe 4 1 School of Nursing, University of Eastern Africa, Baraton, Eldoret, Kenya 2 Department of Medical Biochemistry, School of Medicine, Moi University, Eldoret, Kenya 3 Department of Surgery and Anaesthesiology, School of Medicine, Moi University, Eldoret, Kenya 4 Department of Medical Education, School of Medicine, Moi University, Eldoret, Kenya Article history: Received: 28 th August 2018 Received in revised form: September 2018 Accepted: 10 th Sept. 2018 Available online: 30 th September 2018 *Corresponding author: Poornima Ramasamy poorniramasamy@gmail.com Present address School of Nursing, University of Eastern Africa, Baraton, Eldoret, Kenya The authors have no conflict of interest to declare. Copyright © 2012 All rights reserved Abstract A Study to Evaluate the Effectiveness of knowledge, attitude and practice of health care providers on non-pharmacological pain management and its barriers during labor using non-experimental cross sectional descriptive study design and used a structure questionnaire to collect data from a sample of the population. The tool consists of self-administer structured questions to assess the knowledge, three point Likert scale to identify the attitude and checklist to determine the practice and barriers for using non- pharmacological pain management during labor. The majority of the health care providers’ have inadequate knowl edge regarding no n- pharmacological pain management during labor. Health care providers have a positive attitude towards non-pharmacological pain management during labor. Most of the health care providers practice massaging, breathing exercise and encourage different laboring positions during labor. The main barriers were lack of time, lack of knowledge and patient unwillingness. The management of mothers’ pain in l abo r is uncomprehensive. Finally, the health care providers to expose their knowledge and trai ning program of non-pharmacological pain management during labor. Keywords: Knowledge; Attitude; Barriers; Health care providers,; Non- pharmacological; Pain management during labor