Obstetric anesthesia

Racial and ethnic disparities in postpartum pain: a systematic review

Int J Obstet AnesthPublished Systematic review of observational studies

Authors' conclusion

Racial and ethnic disparities persist in pain frequency assessment, intensity and analgesic prescribing during the postpartum period.

Study context

Population
Postpartum patients (caesarean or all delivery modes), US and UK studies
Participants
22,259 patients · 8 observational studies
Comparison
Black and Hispanic vs White postpartum patients
Outcome
Racial and ethnic disparity in postpartum pain frequency assessment, severity and opioid prescribing
Methodological detailsUS (n=7) or UK (n=1) studies; 5 after caesarean delivery, 3 all delivery modes
  • US (n=7) or UK (n=1) studies; 5 after caesarean delivery, 3 all delivery modes

Pooled result

As reported in the abstract

Postpartum pain scores and analgesic dosing
  • Higher pain scores reported by Black and Hispanic vs White patients
  • Black patients less likely to receive equivalent analgesic doses vs White patients

Original publication

Racial and ethnic disparities in postpartum pain: a systematic review. Int J Obstet Anesth. Published 22 July 2025. doi:10.1016/j.ijoa.2025.104736

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