Racial and ethnic disparity in obstetric anaesthesia: a systematic review and meta‐analysis
Authors' conclusion
Racial and ethnic disparities exist in obstetric anaesthesia.
Study context
- Population
- Obstetric patients receiving analgesia or anaesthesia, studies in all countries (data from USA and UK)25 studies, 19 pooled
- Comparison
- Asian or Black vs White patients
- Outcome
- Disparities in labour neuraxial analgesia utilisation and GA use for caesarean delivery
Methodological detailsrandom effects model, observational studies, High or very high risk of bias in 13 of the 25 included studies
- Random effects model
- Observational studies
- High or very high risk of bias in 13 of the 25 included studies
Pooled result
As reported in the abstract
Labour neuraxial analgesia utilisation
Each group vs whiteOdds ratio (95% CI)
Asian
0.80(0.65–0.99)
Black
0.72(0.61–0.85)
Further pooled results
| Outcome | OR (95% CI) | |
|---|---|---|
| GA for caesarean deliveryBlack vs White | 1.60 (1.15–2.22) | |
| 0.512Odds ratio (log scale) |
- GA for caesarean delivery: 6 studies, 2,139,763 patients
Original publication
Racial and ethnic disparity in obstetric anaesthesia: a systematic review and meta‐analysis. Anaesthesia. Published 6 March 2025. doi:10.
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