Obstetric anesthesia

Patient-reported postoperative pain and stigmatizing language in anesthesia notes: a cross-sectional study (2017–2019)

Int J Obstet AnesthPublished Cross-sectional study

Main finding · Any stigmatizing languageResult — go to the resultAdjusted odds ratio 1.64 95% CI 1.26–2.13

Authors' conclusion

In this cross-sectional study, postpartum patients with pain had increased odds of stigmatizing language.

Study context

Population
Obstetric patients at two hospitals, 2017–2019, with cesarean delivery or other operative procedure during delivery hospitalization
Participants
4,383 electronic health records
Exposure
Postoperative pain vs no pain
Outcome
Any stigmatizing language in free-text postoperative anesthesia notes (NLP algorithm)
Methodological detailstwo hospitals, multivariable logistic regression, natural language processing
  • Two hospitals
  • Multivariable logistic regression
  • Natural language processing

Main finding

Any stigmatizing language

Adjusted odds ratio

1.64

95% CI 1.26–2.13

Pain vs No pain
aOR 1.64 (95% CI 1.26–2.13)

As reported in the abstract

Stigmatizing language in postoperative notes (all patients)
9.9%

Observational data: associations, not effects.

Further findings

OutcomeaOR (95% CI)
Language labeling patient as 'difficult'1.81 (1.34–2.45)

Marginalized language/identities, unilateral/authoritarian decisions, questioning patient credibility

No significant differences between patients with and without postoperative pain

Original publication

Patient-reported postoperative pain and stigmatizing language in anesthesia notes: a cross-sectional study (2017–2019). Int J Obstet Anesth. Published 24 November 2025. doi:10.1016/j.ijoa.2025.104824

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