What question did this study set out to answer?

This study aims to examine how birthplace influences neuraxial labor analgesia rates among Hispanic women in the U.S.

May 3, 20260 citations

The Impact of Birthplace on Neuraxial Labor Analgesia Rates among Hispanic Women in the United States.

Key Points

This study aims to examine how birthplace influences neuraxial labor analgesia rates among Hispanic women in the U.S.
Retrospective cross-sectional study using CDC WONDER's Natality Expanded-Results Database (2016-2023)
Analyzed birth characteristics across several Hispanic subgroups
Chi-Square test assessed differences in neuraxial labor analgesia rates by birthplace
704,913 participants included in the study.
U.S.-born mothers of Mexican origin had a higher NLA rate of 80.30% compared to 74.2% for foreign-born counterparts (p<0.05).
U.S.-born mothers of Cuban origin had a lower NLA rate of 82.30% compared to 85.70% for foreign-born counterparts (p<0.05).

Abstract

INTRODUCTION: The Hispanic population in the United States (U.S.) is rapidly growing. Prior research indicates that foreign-born women have lower neuraxial labor analgesia (NLA) rates than U.S.-born counterparts but influence of maternal country of origin remains unclear. This study examines the association between birthplace (foreign-born vs. US-born) and NLA during labor. METHODS: This retrospective cross-sectional study utilized CDC WONDER's Natality Expanded-Results Database (2016-2023) to analyze birth characteristics amongst several populous Hispanic subgroups. A Chi-Square test assessed overall differences in NLA by birthplace, Statistical significance was set at p .05). CONCLUSION: Intra-racial differences in NLA exist based on maternal birthplace and Hispanic origin, highlighting need for further research on cultural influences in obstetric pain management. These trends should be continuously monitored to formulate tailored public health interventions.

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