Cesarean Delivery in Queensland, Australia—A Retrospective Study of Factors Associated With Primary and Secondary General Anesthesia
Authors' conclusion
Institutions located in remote areas and with fewer resources cared for more women with obesity, with implications for women and healthcare services.
Study context
- Population
- Women undergoing cesarean delivery in Queensland, Australia, January 2019 to July 2022
- Participants
- 35,227 cases
- Outcome
- Primary and secondary GA
Methodological detailsbinary logistic regression, Data from the Anaesthesia Benchmarking System and Mater Health Services
- Binary logistic regression
- Data from the Anaesthesia Benchmarking System and Mater Health Services
Main finding
As reported in the abstract
Incidence of primary and secondary GA
- Primary GA
- 1562 (4.4%)
- Secondary GA
- 1336 (3.8%)
- Primary GA: category 1 cesarean, aOR (95% CI 27.00-36.84), p < 0.001
- 31.49
- Primary GA: mental health condition, aOR (95% CI 1.57-2.10), p < 0.001
- 1.82
- Primary GA: nulliparous women, aOR (95% CI 0.49-0.63), p < 0.001
- 0.56
- Secondary GA: category 1 surgical urgency, aOR (95% CI 10.58-15.07), p < 0.001
- 12.62
- Secondary GA: PPH, aOR (95% CI 2.32-3.23), p < 0.001
- 2.74
- Secondary GA: lowest BMI category, aOR (95% CI 1.44-3.07), p < 0.001
- 2.13
- Secondary GA: highest BMI category, aOR (95% CI 1.41-2.07), p < 0.001
- 1.71
- Secondary GA: mental health condition, aOR (95% CI 1.35-1.82), p < 0.001
- 1.57
Observational data: associations, not effects.
Further findings
BMI ≥ 40 kg m-2 by institution and remoteness
- Clinical Services Capability Framework level 4 and 5 institutions cared for significantly more women with BMI ≥ 40 kg m-2; more such women resided in remote/very remote locations
Original publication
Cesarean Delivery in Queensland, Australia—A Retrospective Study of Factors Associated With Primary and Secondary General Anesthesia. Acta Anaesthesiol Scand. Published 15 September 2025. doi:10. 1111/ aas. 70093
Composed by AI from the published abstract and checked against it. How Briefs are made →