Implementation of an Evidence-Based Practice Change to Offer Nitrous Oxide During Labor

Abstract

ObjectiveThe aim of this evidence-based practice change was to implement use of nitrous oxide as a pain management option during labor and to examine women’s satisfaction with that option. DesignEvidence-based practice change guided by the model for evidence-based practice change. SettingLabor and delivery unit in a tertiary medical center in the southwestern United States. ParticipantsLaboring women who met eligibility criteria were offered the option of nitrous oxide during a 2-month period. MeasurementsProcess indicators to measure compliance with the practice change among staff, uptake of nitrous oxide among women, and women’s satisfaction with the choice to use nitrous oxide. ResultsNitrous oxide was offered to 26% (n = 55) of eligible women. Most of the 55 women who used nitrous oxide during the implementation period reported satisfaction with it and indicated that they would consider nitrous oxide for a future labor. ConclusionOur experience implementing a practice change to offer nitrous oxide to laboring women indicated that use of nitrous oxide was feasible in this setting and that women were receptive to this option, were satisfied with its use, and would use nitrous oxide for a future labor.