Ethnicity, socio‐economic deprivation and postpartum outcomes following caesarean delivery: a multicentre 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
| Outcome | OR (95% CI) | |
|---|---|---|
| Moderate to severe pain (NRS ≥ 4) at rest · day 30Asian vs White · adjusted · adjusted models | 2.42 (1.24–4.74) | |
| Moderate to severe pain (NRS ≥ 4) on movement · day 30Asian vs White · adjusted · adjusted models | 2.32 (1.40–3.87) | |
| 0.20.5125Odds ratio (log scale) |
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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