Category Ranking

98%

Total Visits

921

Avg Visit Duration

2 minutes

Citations

20

Article Abstract

Background: Non-Hispanic Black pregnant individuals utilize up to 50% less labor epidural analgesia compared to non-Hispanic White individuals.

Purpose: This Outlook and Perspectives aims to evaluate the factors contributing to racial differences in the utilization of labor epidural analgesia.

Methods: Literature on scientific evidence regarding racial disparities in maternal outcomes and labor pain management was reviewed and summarized.

Findings: We identified that trust issues with healthcare and providers, ineffective patient-provider communication, and perceived mistreatment and discrimination contribute to these disparities in labor pain management.

Discussion: Further research is needed to develop strategies to enhance birthing experiences for Black individuals, including improving patient-provider communication and providing accurate, culturally sensitive patient education on labor pain management.

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.outlook.2025.102467DOI Listing

Publication Analysis

Top Keywords

labor epidural
12
labor pain
12
utilization labor
8
epidural analgesia
8
pain management
8
patient-provider communication
8
labor
6
untrustworthiness ineffective
4
ineffective communication
4
communication discrimination
4

Similar Publications

Effect of Epidural Catheter Design on Analgesic Efficacy During Programmed Intermittent Epidural Boluses: A Randomized Double-Blinded Controlled Trial.

Drug Des Devel Ther

September 2025

Department of anesthesiology, Obstetrics & Gynecology Hospital of Fudan University, Shanghai Key Lab of Reproduction and Development, Shanghai Key Lab of Female Reproductive Endocrine Related Diseases, Shanghai, 200433 People's Republic of China.

Purpose: To compare analgesic outcomes between single- and multi-orifice epidural catheters at a 360-mL/h delivery rate during programmed intermittent epidural bolus.

Patients And Methods: In this prospective randomized double-blinded controlled trial, 102 healthy nulliparous parturients requesting labor analgesia at the Shanghai First Maternity and Infant Hospital were enrolled from July to September 2023. Participants were given either single- or multi-orifice catheters for epidural analgesia (0.

View Article and Find Full Text PDF

Background: Epidural analgesia is the gold standard for labor pain relief, yet performing patient education remains challenging due to time constraints, language barriers, and variable health literacy. Traditional educational approaches often fail to ensure adequate patient understanding. Artificial intelligence (AI) interactive avatars offer a novel solution for delivering standardized, empathetic, and accessible patient education.

View Article and Find Full Text PDF

Background: Maternal cardiovascular disease (CVD) is a leading cause of maternal mortality. Data on anaesthetic management in patients with CVD is limited.

Methods: This ten-year retrospective cohort study of 508 pregnancies in women with CVD, stratified by modified World Health Organization (mWHO) risk category, compared lowrisk (mWHO I-II) (n = 323) and high-risk (mWHO II to III-IV) (n = 185) groups to a control obstetric population (n = 55,153).

View Article and Find Full Text PDF