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Racial and Ethnic Disparities in Mode of Anesthesia for Cesarean Delivery

Butwick, A.J. MBBS, FRCA, MS; Blumenfeld, Y.J. MD; Brookfield, K.F. MD, PhD, MPH; Nelson, L.M. PhD, MS; Weiniger, C.F. MBCHB

doi: 10.1097/01.aoa.0000489451.59629.b6
Epidemiologic Reports, Surveys

(Anesth Analg. 2016;122:472–479)

Neuraxial anesthesia is usually the preferred anesthetic mode for cesarean delivery (CD). However, for African American women undergoing CD, the odds of general anesthesia use are 1.5-fold higher than for whites. The authors of the present study thus investigated whether racial/ethnic disparities exist for mode of anesthesia (general vs. neuraxial, which includes spinal, epidural, or combined spinal-epidural anesthesia) among women undergoing CD. The authors also evaluated whether or not these associations are influenced by demographic and maternal factors, obstetric morbidities, and indications for CD.

Department of Anesthesia, Stanford University School of Medicine, Stanford, CA

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