Racial and Ethnic Disparities in Receipt of General Anesthesia for Cesarean Delivery
Authors' conclusion
Racial disparities in rates of general anesthesia continue to exist; however, this study suggests that, for laboring patients who had labor epidural catheters in situ, no disparity by race or ethnicity existed.
Study context
- Population
- Patients undergoing cesarean delivery at Northwestern Medicine's Prentice Women's Hospital, January 1, 2007 to March 2, 2018
- Participants
- 35,117 patients
- Exposure
- GA use for cesarean delivery by race and ethnicity
- Asiann = 2,422
- Blackn = 3,895
- Hispanicn = 5,305
- Non-Hispanic Whiten = 19,479reference
- Othern = 4,016
- Outcome
- Rate of GA for cesarean delivery by race and ethnicity
Methodological detailsretrospective, single-centre
- Retrospective
- Single-centre
Main finding
As reported in the abstract
Rate of GA
P < 0.001
- Overall GA rate
- 1147 (3.3%)
Observational data: associations, not effects.
Further findings
| Outcome | P value |
|---|---|
| Racial and ethnic distribution of GA vs neuraxial analgesia among laboring patients with epidural catheter in situ (subgroup)No racial or ethnic differences | P = 0.16 |
- Racial and ethnic distribution of GA vs neuraxial analgesia among laboring patients with epidural catheter in situ (subgroup) — Asian: GA vs neuraxial
- 34 of 503 [6.8%] vs 1289 of 15 860 [8.1%]
- Racial and ethnic distribution of GA vs neuraxial analgesia among laboring patients with epidural catheter in situ (subgroup) — Black: GA vs neuraxial
- 78 of 503 [15.5%] vs 1925 of 15 860 [12.1%]
- Racial and ethnic distribution of GA vs neuraxial analgesia among laboring patients with epidural catheter in situ (subgroup) — Hispanic: GA vs neuraxial
- 80 of 503 [15.9%] vs 2415 of 15 860 [15.2%]
- Racial and ethnic distribution of GA vs neuraxial analgesia among laboring patients with epidural catheter in situ (subgroup) — Non-Hispanic White: GA vs neuraxial
- 255 of 503 [50.7%] vs 8285 of 15 860 [52.2%]
- Racial and ethnic distribution of GA vs neuraxial analgesia among laboring patients with epidural catheter in situ (subgroup) — Other: GA vs neuraxial
- 56 of 503 [11.1%] vs 1946 of 15 860 [12.3%]
- Racial and ethnic distribution of GA vs neuraxial analgesia among laboring patients with epidural catheter in situ (subgroup) — In labor at cesarean delivery
- 19 933 (56.8%)
- Racial and ethnic distribution of GA vs neuraxial analgesia among laboring patients with epidural catheter in situ (subgroup) — Neuraxial labor analgesia in situ among those in labor
- 16 363 (82.1%)
Indications for cesarean delivery and for GA
- Not different when stratified by race and ethnicity
Original publication
Racial and Ethnic Disparities in Receipt of General Anesthesia for Cesarean Delivery. JAMA Netw Open. Published 2 January 2024. doi:10.
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