Obstetric neuraxial analgesia - is it a matter of ethnic disparity?

Eur Rev Med Pharmacol Sci. 2023 Apr;27(7):2994-3002. doi: 10.26355/eurrev_202304_31932.

Abstract

Objective: Pain is an essential element of humane childbirth. Neuraxial analgesia is the most effective method for relieving pain during childbirth. More and more women are using this type of analgesia in childbirth. The aim of the study was to identify ethnic differences in the application of neuraxial analgesia.

Subjects and methods: The research was conducted through a face-to-face survey. The respondents are patients after vaginal delivery. The experimental group consists of patients of the ethnic minority, the Romani group (32 women), and the control group consists of patients of the majority, the Serb group (99 women). We investigated the quality and quantity of prenatal care, information about regional anesthesia, and its application in these two groups.

Results: There is a significant ethnic disparity between the Serb and Romani ethnic groups. Patients of the Romani ethnic group have qualitatively and quantitatively poorer antenatal care, less information regarding the use of neuraxial analgesia, and use it significantly less often.

Conclusions: Neuraxial analgesia must be available to all patients regardless of ethnicity or social status.

MeSH terms

  • Analgesia, Epidural*
  • Analgesia, Obstetrical* / methods
  • Delivery, Obstetric
  • Ethnicity
  • Female
  • Humans
  • Minority Groups
  • Pain
  • Parturition
  • Pregnancy