Table 3.
Types of anaesthesia as risk factors for early maternal and perinatal mortality after caesarean section, unadjusted and adjusted for possible confounding factors*
|
Maternal death
|
Perinatal death
|
|||||
|---|---|---|---|---|---|---|
| Odds ratio (95% CI) | Adjusted odds ratio (95% CI) | P value | Odds ratio (95% CI) | Adjusted odds ratio (95% CI) | P value | |
| General v spinal anaesthesia: | ||||||
| All patients | 13.1 (4.7 to 35) | 6.6 (2.3 to 18.7) | <0.001 | 3.9 (3.2 to 4.7) | 1.8 (1.5 to 2.3) | <0.001 |
| Restricted† | 5.4 (1.9 to 15.4) | 4.4 (1.5 to 12.8) | 0.006 | 2.1 (1.7 to 2.6) | 1.7 (1.4 to 2.1) | <0.001 |
| Inhalation general v spinal anaesthesia, restricted‡ | 5.1 (1.8 to 14.8) | 4.2 (1.5 to 12.4) | 0.008 | 2.0 (1.7 to 2.5) | 1.7 (1.4 to 2.1) | <0.001 |
| Halothane (n=3124) v ether (n=1629) | 1.2 (0.7 to 2.1) | 0.75 (0.4 to 1.4) | 0.4 | 1.3 (1.1 to 1.5) | 0.93 (0.7 to 1.2) | 0.5 |
| Ketamine v other methods of anaesthesia | 11.9 (6.8 to 20.9) | 2.9 (1.5 to 5.2) | <0.001 | 13.6 (9.6 to 19.0) | 6.2 (4.1 to 9.3) | <0.001 |
Rural setting, previous caesarean section, haemorrhage, other preoperative medical complication, level of training of surgeon and anaesthetist.
Restricted to the 7460 without preoperative haemorrhage.
Restricted to the 7408 without preoperative haemorrhage not given ketamine.