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Psychosomatic Medicine 34:119-128 (1972)
© 1972 American Psychosomatic Society

The Relationship of Antenatal and Perinatal Psychologic Variables to Use of Drugs in Labor

WALTER A. BROWN MD1, TRACEY MANNING MA1, and JAY GRODIN MD1

1 National Institute of Child Health and Human Development

Address reprint requests to: Walter A. Brown, MD, Box 1505-A, Yale Station, New Haven, Conn 06520.

Sixty-four primigravidas were evaluated psychologically and medically throughout pregnancy and parturition. The present authors studied the relationship between psychologic variables and the amounts of sedative and analgesic medication administered during labor in 38 women with uncomplicated pregnancy and parturition. The correlates of oxytoxic administration were investigated in 22 additional women who received oxytoxics for induction (N=4) or enhancement (N=18) of labor. The amount of barbiturate administered during labor was negatively correlated with prenatal measures of psychologic adaptation. Similar relationships were found for meperidine administration. The use of these drugs was not related to psychologic variables measured during labor or to other perinatal variables, such as length of labor and time of hospital admission. Women who received oxytoxics were paired with women from the uncomplicated group who had the same obstetrician and similar course in labor. The oxytoxic group did not differ from the uncomplicated group on the prenatal psychologic variables.

Submitted on March 22, 1971
Revised on June 28, 1971







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Copyright © 1972 by the American Psychosomatic Society