Merrer J, Chantry AA, Khoshnood B, et al. - Along with neuraxial analgesia, nonpharmacological methods are proposed to aid women coping with pain during labor. Researchers here investigated the individual and organizational factors that correlate with using nonpharmacological analgesia for labor pain management. From participants included in the 2016 National Perinatal Survey, a population-based cross-sectional study, they included 9,231 women who attempted vaginal delivery with labor analgesia; of these, 62.4% had neuraxial analgesia alone, 6.4% had nonpharmacological analgesia alone, and 31.2% had both. High educational level, antenatal preference to deliver without neuraxial analgesia, and public maternity unit status were the factors linked with using nonpharmacological analgesia alone as well as in combination with neuraxial analgesia. Frequency of using nonpharmacological analgesia alone was higher among multiparous women, and in maternity units with an anesthesiologist not dedicated to delivery unit and with the lowest midwife workload. Neuraxial and nonpharmacological analgesia combined was noted to be negatively linked with inadequate prenatal care. The use of nonpharmacological analgesia combined with neuraxial analgesia was mainly influenced by the woman's preference, as well as by the socioeconomic factors, quality of prenatal care, and care organization.