1 Failure to achieve adequate anaesthesia to begin surgery |
4 |
364 |
Risk Ratio (M‐H, Random, 95% CI) |
0.98 [0.23, 4.24] |
1.1 Bupivacaine spinal versus bupivacaine epidural |
2 |
95 |
Risk Ratio (M‐H, Random, 95% CI) |
0.67 [0.04, 12.08] |
1.2 Lignocaine spinal versus lignocaine epidural |
1 |
238 |
Risk Ratio (M‐H, Random, 95% CI) |
2.37 [0.94, 5.97] |
1.3 Different local anaesthetics used |
1 |
31 |
Risk Ratio (M‐H, Random, 95% CI) |
0.35 [0.02, 8.08] |
2 Need for another anaesthetic technique during surgery |
1 |
238 |
Risk Ratio (M‐H, Random, 95% CI) |
1.53 [0.56, 4.15] |
3 Need for additional pain relief during surgery |
5 |
504 |
Risk Ratio (M‐H, Random, 95% CI) |
0.88 [0.59, 1.32] |
3.1 Bupivacaine spinal versus bupivacaine epidural |
3 |
116 |
Risk Ratio (M‐H, Random, 95% CI) |
0.95 [0.61, 1.50] |
3.2 Lignocaine spinal versus lignocaine epidural |
1 |
238 |
Risk Ratio (M‐H, Random, 95% CI) |
1.53 [0.56, 4.15] |
3.3 Spinal plus fentanyl versus epidural plus fentanyl |
1 |
50 |
Risk Ratio (M‐H, Random, 95% CI) |
0.5 [0.17, 1.45] |
3.4 Different local anaesthetics used |
1 |
100 |
Risk Ratio (M‐H, Random, 95% CI) |
0.17 [0.02, 1.33] |
4 Women unsatisfied with anaesthetic |
2 |
258 |
Risk Ratio (M‐H, Random, 95% CI) |
1.00 [0.71, 1.41] |
4.1 Bupivacaine spinal versus bupivacaine epidural |
1 |
20 |
Risk Ratio (M‐H, Random, 95% CI) |
0.33 [0.02, 7.32] |
4.2 Lignocaine spinal versus lignocaine epidural |
1 |
238 |
Risk Ratio (M‐H, Random, 95% CI) |
1.02 [0.72, 1.43] |
5 Maternal satisfaction |
2 |
258 |
Mean Difference (IV, Random, 95% CI) |
‐0.34 [‐0.98, 0.30] |
5.1 anaesthetic quality score |
1 |
20 |
Mean Difference (IV, Random, 95% CI) |
0.12 [‐0.93, 1.17] |
5.2 satisfaction score |
1 |
238 |
Mean Difference (IV, Random, 95% CI) |
‐0.57 [‐1.27, 0.13] |
6 Need for treatment for hypotension |
6 |
495 |
Risk Ratio (M‐H, Random, 95% CI) |
1.23 [1.00, 1.51] |
6.1 Bupivacaine spinal versus bupivacaine epidural |
3 |
126 |
Risk Ratio (M‐H, Random, 95% CI) |
1.18 [0.80, 1.76] |
6.2 Lignocaine spinal versus lignocaine epidural |
1 |
238 |
Risk Ratio (M‐H, Random, 95% CI) |
1.10 [0.87, 1.39] |
6.3 Different local anaesthetics used |
2 |
131 |
Risk Ratio (M‐H, Random, 95% CI) |
1.80 [0.85, 3.83] |
7 Any other intervention during surgery |
1 |
46 |
Risk Ratio (M‐H, Random, 95% CI) |
3.0 [0.13, 70.02] |
7.1 Nausea and vomiting |
1 |
46 |
Risk Ratio (M‐H, Random, 95% CI) |
3.0 [0.13, 70.02] |
8 Treatment for post dural puncture headache |
1 |
20 |
Risk Ratio (M‐H, Random, 95% CI) |
3.0 [0.14, 65.90] |
9 Postoperative interventions ‐ need for unplanned pain relief |
2 |
60 |
Risk Ratio (M‐H, Random, 95% CI) |
1.55 [0.67, 3.59] |
10 Postoperative interventions ‐ any other intervention |
1 |
55 |
Risk Ratio (M‐H, Random, 95% CI) |
0.65 [0.06, 6.71] |
11 Women unable to breastfeed satisfactorily |
0 |
0 |
Risk Ratio (M‐H, Random, 95% CI) |
0.0 [0.0, 0.0] |
12 Time to ambulation post‐surgery |
0 |
0 |
Mean Difference (IV, Random, 95% CI) |
0.0 [0.0, 0.0] |
13 Neonatal intervention required |
1 |
104 |
Risk Ratio (M‐H, Random, 95% CI) |
1.28 [0.30, 5.45] |
14 Time for surgery to commence |
4 |
345 |
Mean Difference (IV, Random, 95% CI) |
‐7.91 [‐11.59, ‐4.23] |
14.1 Bupivacaine spinal versus bupivacaine epidural |
3 |
107 |
Mean Difference (IV, Random, 95% CI) |
‐11.63 [‐18.27, ‐4.99] |
14.2 Lignocaine spinal versus lignocaine epidural |
1 |
238 |
Mean Difference (IV, Random, 95% CI) |
‐1.80 [‐2.78, ‐0.82] |