Investigating disparity in labor epidural analgesia management in black vs. white women: a retrospective case-control study (2018–2022)
Main finding · LEA management (time from first top-up to LEA replacement) by raceResult — go to the resultHazard ratio 0.82 95% CI 0.63–1.06Authors' conclusion
We didn't detect disparity in treatment at our institution with standardized LEA management protocols. However, Black women and those with LEA replacements were less satisfied.
Study context
- Population
- Patients with labor epidural analgesia (LEA), 2018–2022; scheduled cesarean delivery, previous back instrumentation or maternal age < 18 excluded
- Participants
- 11,168 patients
- Exposure
- Black vs White women: time from first top-up to LEA replacement
- Outcome
- LEA management (time from first top-up to LEA replacement) by race
Main finding
As reported in the abstract
Hazard ratio
0.82
95% CI 0.63–1.06
P = 0.13
Black vs White women: time from first top-up to LEA replacement
HR 0.82 (95% CI 0.63–1.06); P = 0.13
- LEAs with a top-up followed by replacement within 24 hours
- 387 (3.5%)
Observational data: associations, not effects.
Secondary outcomes
Incidence of epidural replacement · no association detected
P = 0.23
Lower postpartum satisfaction
- Race associated with increased odds of lower postpartum satisfaction
- P = 0.02
- LEA replacement associated with increased odds of lower postpartum satisfaction
- P < 0.001
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
Investigating disparity in labor epidural analgesia management in black vs. white women: a retrospective case-control study (2018–2022). Int J Obstet Anesth. Published 6 January 2025. doi:10.
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