A national cohort study to investigate the association between ethnicity and the provision of care in obstetric anaesthesia in England between 2011 and 2021
Authors' conclusion
This observational study cannot determine the causes for these disparities, which may include unaccounted confounders.
Study context
- Population
- Women giving birth in England, March 2011–February 2021
- Exposure
- Ethnic groups vs British women
- Outcome
- Obstetric anaesthesia (GA and neuraxial anaesthesia), adjusted incidence ratios by ethnicity
Methodological detailsnational, routine data (Hospital Episode Statistics Admitted Patient Care), multivariable negative binomial regression
- National
- Routine data (Hospital Episode Statistics Admitted Patient Care)
- Multivariable negative binomial regression
Main finding
As reported in the abstract
GA, elective caesarean births
Adjusted incidence ratio
1.58
95% CI 1.26–1.97
Caribbean (black or black British) · 58% more common
Adjusted incidence ratio
1.35
95% CI 1.19–1.52
African (black or black British) · 35% more common
Observational data: associations, not effects.
Further findings
| Outcome | Adjusted incidence ratio (95% CI) |
|---|---|
| GA, emergency caesarean birthsCaribbean (black or black British) vs British (white) · 10% more common | 1.10 (1.00–1.21) |
| Neuraxial anaesthesia, vaginal births (excluding assisted)Bangladeshi (Asian or Asian British) vs British (white) · 24% less likely | 0.76 (0.74–0.78) |
| Neuraxial anaesthesia, vaginal births (excluding assisted)Pakistani (Asian or Asian British) vs British (white) · 15% less likely | 0.85 (0.84–0.87) |
| Neuraxial anaesthesia, vaginal births (excluding assisted)Caribbean (black or black British) vs British (white) · 8% less likely | 0.92 (0.89–0.94) |
Original publication
A national cohort study to investigate the association between ethnicity and the provision of care in obstetric anaesthesia in England between 2011 and 2021. Anaesthesia. Published 9 March 2023. doi:10.
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