Use of nonmedical methods of labor induction and pain management among U.S. women

Katy B. Kozhimannil, Pamela J. Johnson, Laura B. Attanasio, Dwenda K. Gjerdingen, Patricia M. Mcgovern

Research output: Contribution to journalArticle

14 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)227-236
Number of pages10
JournalBirth
Volume40
Issue number4
DOIs
StatePublished - Dec 2013

Keywords

  • Childbirth
  • Complementary and alternative therapies
  • Labor induction
  • Labor pain management
  • Obstetrics

Fingerprint Dive into the research topics of 'Use of nonmedical methods of labor induction and pain management among U.S. women'. Together they form a unique fingerprint.

  • Cite this