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Evidence LibraryLabor pain and epiduralsPain relief
Evidence Library · Pain relief

What labor pain is actually like

Most American women choose an epidural, and that number is rising.

In 2024, 75.4% of American women having a vaginal birth used epidural or spinal anesthesia. This matters for a cesarean because an epidural already in place is usually topped up rather than replaced, and that route carries a far higher rate of pain during the operation.

Where this comes from:
5. Valenzuela CP, Osterman MJK. Epidural or spinal anesthesia use for singleton vaginal deliveries: United States, 2016-2024. NCHS Data Brief no 553. Hyattsville, MD: National Center for Health Statistics; 2026.

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