Premium
Use of Nonmedical Methods of Labor Induction and Pain Management Among U.S. Women
Author(s) -
Kozhimannil Katy B,
Johnson Pamela J,
Attanasio Laura B,
Gjerdingen Dwenda K,
McGovern Patricia M
Publication year - 2013
Publication title -
birth
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.233
H-Index - 83
eISSN - 1523-536X
pISSN - 0730-7659
DOI - 10.1111/birt.12064
Subject(s) - medicine , odds , odds ratio , childbirth , psychological intervention , labor pain , logistic regression , labor induction , pregnancy , psychiatry , biology , oxytocin , genetics
Background There exists limited documentation of nonmedical methods of labor induction and pain management during childbirth in the United States. We estimated the prevalence of nonmedical interventions for induction and pain management and examined the association between medical and nonmedical care during labor. Methods We used a nationally representative survey of U.S. women who gave birth in 2005 ( N = 1,382) to examine use of nonmedical methods of labor induction and pain management. Using logistic regression, we calculated odds of nonmedical and medical interventions to induce labor or mitigate pain, and the odds of medical induction and obstetric analgesia by whether nonmedical methods were reported. Results Nearly 30 percent of women used nonmedical methods to start labor, and over 70 percent of women used nonmedical pain management. Doula support was the strongest predictor of nonmedical methods of labor induction (Adjusted Odds Ratio [ AOR ] = 3.0) and labor pain management ( AOR = 5.7). Use of nonmedical pain management was significantly associated with decreased odds of medical pain management ( OR = 0.65); this relationship was attenuated with covariate adjustment. Conclusions Nonmedical methods to induce labor and manage pain during childbirth are commonly used by U.S. women. Future research should examine effectiveness of these strategies and their influence on medical services use.