ArticleBMC pregnancy and childbirth2020
The provision of epidural analgesia during labor according to maternal birthplace: a Norwegian register study.
Article in BMC pregnancy and childbirth, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.
- A systematic review and meta-analysis on labour pain management methods utilization and its associated factors among obstetric caregivers in Ethiopia.BMC pregnancy and childbirth · 2026Pooled it
- Epidural Analgesia in Labor: A Nationwide Evaluation of Utilization in Germany.Deutsches Arzteblatt international · 2026Observational
- Does Speaking the Same Language With the Caretakers Associate With a Higher Neuraxial Labor Analgesia Use Rate?Acta anaesthesiologica Scandinavica · 2026Article
- Determinants of labor epidural analgesia uptake and associations with maternal-neonatal outcomes: a stratified cohort study with risk prediction modeling.BMC pregnancy and childbirth · 2026Article
- Disparities in Obstetric and Anaesthetic Care Between Migrant and Native Populations in High-Income Countries: A Narrative Review.Acta medica academica · 2025Review
- Changes in the choice of anaesthetic techniques for caesarean sections among Turkish citizens and migrants during the COVID-19 pandemic: an interrupted time series analysis.BMC pregnancy and childbirth · 2025Observational
- Impact of epidural analgesia on outcomes of vaginal birth after cesarean delivery.Archives of gynecology and obstetrics · 2025Article
- Multicultural doula support and obstetric and neonatal outcomes: a multi-centre comparative study in Norway.BMC pregnancy and childbirth · 2024Article
- Somali women's perceptions and experiences of pain and pain relief during childbirth in Norway: A qualitative study.European journal of midwifery · 2024Article
- Women's hospital birth experiences in Harar, eastern Ethiopia: a qualitative study using Roy's Adaptation Model.BMJ open · 2022Article
- Obstetric Anesthesia Practice in the Tertiary Care Center: A 7-Year Retrospective Study and the Impact of the COVID-19 Pandemic on Obstetric Anesthesia Practice.Journal of clinical medicine · 2022Article
- Prenatal care adequacy of migrants born in conflict-affected countries and country-born parturients in Finland.Journal of migration and health · 2022Article
- Community-based bilingual doulas for migrant women in labour and birth - findings from a Swedish register-based cohort study.BMC pregnancy and childbirth · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe provision of epidural analgesia during labor is ideally a shared decision between the woman and her health care provider. However, immigrant characteristics such as maternal birthplace could affect decision-making and thus access to pain relief. We aimed to assess disparities in the provision of epidural analgesia in planned vaginal birth according to maternal region of birth.
methodsWe performed a nation-wide register study of 842,496 live-born singleton deliveries in Norway between 2000 and 2015. Maternal birthplace was categorized according to the Global Burden of Disease framework. The provision of epidural analgesia was compared in regression models stratified by parity and mode of delivery.
resultsCompared to native-born women, primiparous women from Latin America/Caribbean countries with an instrumental vaginal delivery were most likely to be provided epidural analgesia (OR 2.12, 95%CI 1.69-2.66), whilst multiparous women from Sub-Saharan Africa with a spontaneous vaginal delivery were least likely to be provided epidural analgesia (OR 0.42, 95% C 0.39-0.44). Longer residence time was associated with a higher likelihood of being provided analgesia, whereas effects of maternal education varied by Global Burden of Disease group.
conclusionsDisparities in the likelihood of being provided epidural analgesia were observed by maternal birthplace. Further studies are needed to consider whether the identified disparities represent women's own preferences or if they are the result of heterogeneous access to analgesia during labor.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.