Ethnicity, socio‐economic deprivation and postpartum outcomes following caesarean delivery: a multicentre cohort study

AnaesthesiaPublished Prospective cohort study

Authors' conclusion

Patients from White ethnic backgrounds experience shorter postpartum duration of stay compared with patients from Asian and Black ethnic groups. Ethnic background impacts pain scores and recovery at day 1 postpartum and following hospital discharge, even after adjusting for socio-economic group.

Study context

Population
Patients who underwent caesarean delivery; socio-economic group by Index of Multiple Deprivation quintile of usual residence
Participants
1,000 patients
Exposure
Ethnic groups and socio-economic deprivation quintiles
Outcome
Postpartum duration of hospital stay
Methodological detailsmulticentre, planned analysis
  • Multicentre
  • Planned analysis

Main finding

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeOR (95% CI)
Moderate to severe pain (NRS ≥ 4) at rest · day 30Asian vs White · adjusted · adjusted models2.42 (1.24–4.74)
Moderate to severe pain (NRS ≥ 4) on movement · day 30Asian vs White · adjusted · adjusted models2.32 (1.40–3.87)

Distribution of ethnicity by deprivation

More Asian, Black and mixed ethnicity patients in the more deprived quintiles

Safety

Readmission and complications

No differences between groups

Original publication

Ethnicity, socio‐economic deprivation and postpartum outcomes following caesarean delivery: a multicentre cohort study. Anaesthesia. Published 15 February 2024. doi:10.1111/anae.16241

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