215 posters, 5 topics, 22 sessions, 596 authors, 283 institutions
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Obstetric Anaesthesia Annual Scientific Meeting 2025
May 15 - 16, 2025 | ICC, 2 Lanyon Place, Belfast BT1 3WH
6780465
A retrospective cohort study of attendance to antenatal anaesthetic clinic
Poster Presenter
Part of Topic
Original Research
Antenatal anaesthesia clinics are an important part of the multidisciplinary care of the high-risk parturient and are recommended by the RCOA as part of the Guidelines for the Provision of Anaesthetic Services.
Inadequate utilisation of antenatal care is associated with an increased risk of maternal morbidity and mortality in the UK (1).
Patients from non-White ethnic backgrounds and those from more deprived socioeconomic groups experience worse perinatal outcomes (2).
We sought to review the demographics of attendances to our antenatal anaesthec clinic.
Following ethical approval, we performed a single centre retrospective cohort study. Patients of all ages who delivered between January 2020 and December 2024 at our institution were included.
We analysed the following variables from the electronic health record:
- Patient demographics
- Anaesthetic
- Obstetric
- Neonatal
- Medical
Patients from Asian or non-reported ethnic backgrounds had lower odds OR (95% CI) of attending clinic, 0.55 (0.46-0.66) and 0.62 (0.52-0.75), respectively, when compared with patients from a White ethnic background. When correcting for measured variables the differences remain.
These findings suggest disparities in antenatal clinic access across different ethnic groups.
We have demonstrated disparities related to racial ethnic background in access to
antenatal clinics.
Racial/ethnic disparities in utilisation of antenatal clinics may be reflective of structural access barriers that can then lead to inequity in experience and outcome.
Further research is needed to identify the causes and design interventions that address them.