Obstetric anesthesia

Cesarean Delivery in Queensland, Australia—A Retrospective Study of Factors Associated With Primary and Secondary General Anesthesia

Acta Anaesthesiol ScandPublished Retrospective cohort study

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 →

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