Nurse workforce diversity and use of neuraxial labor analgesia in the United States
Main finding · NLA useResult — go to the resultAdjusted odds ratio 1.10 95% CI 1.06–1.14Authors' conclusion
RN workforce diversity was positively associated with NLA use and reduced disparities in NLA use.
Study context
- Population
- Vaginal and intrapartum cesarean deliveries, US birth certificates 2019–2022
- Participants
- 10,979,988 birth certificates
- Exposure
- Hospital county registered nurse (RN) diversity index quartiles
- Outcome
- Neuraxial labor analgesia (NLA) use
Methodological detailsUS birth certificate data 2019-2022, mixed-effects logistic regression
- US birth certificate data 2019-2022
- Mixed-effects logistic regression
Main finding
NLA use
Adjusted odds ratio
1.10
95% CI 1.06–1.14
Fourth quartile vs First quartile
aOR 1.10 (95% CI 1.06–1.14)
As reported in the abstract
Observational data: associations, not effects.
Further findings
Overall neuraxial labor analgesia (NLA) use
- Overall NLA use recorded
- 80.0%
Disparities in NLA use by race and ethnicity (subgroup)
- Increased odds of NLA with higher RN diversity more pronounced among Hispanic, Black, Asian, American Indian or Alaskan Native, and Native Hawaiian or Other Pacific Islander women vs White women
Original publication
Nurse workforce diversity and use of neuraxial labor analgesia in the United States. Int J Obstet Anesth. Published 1 November 2025. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →