An evaluation of intrapartum pain relief used by Black African and White British women

Background/Aims In the UK, women and neonates from ethnic minority groups are more likely to experience poor outcomes. Ineffective pain relief for Black women may contribute to disparities in outcomes. This study's aim was to evaluate methods of intrapartum pain relief accessed by Black African and White British women. Methods This evaluation gathered data from Black African (n=7) and White British (n=40) women's intrapartum records at a hospital in Birmingham. Data were analysed descriptively. Results White British women used more pharmacological and non-pharmacological methods of pain relief and accessed water immersion. When a single method of pain relief was used, White British women were more likely to use epidural analgesia, whereas Black African women were most likely to use Entonox. Conclusions This study highlights the need for further research to understand the differences between Black African and White British women's use of pain relief during labour and birth. Implications for practice By summarising the provision of intrapartum pain relief across Black African and White British groups, this study aids both professional reflection and insight into why identifying women's specific ethnic group in policy, practice and research may improve understanding of ethnic disparities.