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. 2003 Sep 13;327(7415):587. doi: 10.1136/bmj.327.7415.587

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.