United States State-Level Variation in the Use of Neuraxial Analgesia During Labor for Pregnant Women | Zendy

Alexander J. Butwick | Zendy; Jason Bentley | Zendy; Cynthia A. Wong | Zendy; Jonathan M. Snowden | Zendy; Eric Sun | Zendy; Nan Guo | Zendy

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United States State-Level Variation in the Use of Neuraxial Analgesia During Labor for Pregnant Women

Author(s) -

Alexander J. Butwick,

Jason Bentley,

Cynthia A. Wong,

Jonathan M. Snowden,

Eric Sun,

Nan Guo

Publication year - 2018

Publication title -

jama network open

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 3.278

H-Index - 39

ISSN - 2574-3805

DOI - 10.1001/jamanetworkopen.2018.6567

Subject(s) - variation (astronomy) , obstetrics , medicine , state (computer science) , pregnancy , anesthesia , computer science , physics , biology , genetics , algorithm , astrophysics

Key Points Question Does the prevalence of neuraxial labor analgesia vary across US states? Findings In this population-based, cross-sectional analysis of 2 625 950 pregnant women who underwent labor, Maine had the lowest adjusted neuraxial analgesia prevalence (36.6%) and Nevada the highest (80.1%). The odds of receiving neuraxial analgesia were 1.5-fold higher if the same patient received neuraxial analgesia in a high-use vs a low-use state; and 5.4% of the overall variation in neuraxial analgesia prevalence is explained by US state. Meaning Results of this study suggest that wide variation exists in neuraxial analgesia use across US states, with a small portion of the overall variation explained by US states.

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