This research was supported by a grant from the Eunice Kennedy Shriver National Institutes of Child Health and Human Development (NICHD; grant number R03HD070868) and the Building Interdisciplinary Research Careers in Women's Health Grant (grant number K12HD055887) from NICHD, the Office of Research on Women's Health, and the National Institute on Aging, at the National Institutes of Health, administered by the University of Minnesota Deborah E. Powell Center for Women's Health.
Use of Nonmedical Methods of Labor Induction and Pain Management Among U.S. Women
Article first published online: 17 DEC 2013
© 2013, Copyright the Authors Journal compilation © 2013, Wiley Periodicals, Inc.
Volume 40, Issue 4, pages 227–236, December 2013
How to Cite
Birth 40:4 December 2013
- Issue published online: 17 DEC 2013
- Article first published online: 17 DEC 2013
- Manuscript Accepted: 13 SEP 2013
- Eunice Kennedy Shriver National Institutes of Child Health and Human Development. Grant Number: R03HD070868
- Building Interdisciplinary Research Careers in Women's Health. Grant Number: K12HD055887
- the Office of Research on Women's Health
- National Institute on Aging
- National Institutes of Health
- complementary and alternative therapies;
- labor induction;
- labor pain management;
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.
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.
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.
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.