title: Effect of ethnicity and body mass index on the distance from skin to lumbar epidural space in parturients.
abstract: With the current prevalence of obesity and trends in ethnic diversity amongst parturients in UK maternity units, we performed a prospective, observational study to establish the effect of ethnicity and body mass index on the distance from skin to epidural space in parturients. A total of 1210 parturients participated in this study. The mean (SD) distance from skin to lumbar epidural space was 5.4 (1.1) cm. When tested in a multiple regression model, both body mass index and ethnicity significantly influenced the distance from skin to lumbar epidural space in parturients. The distance from skin to lumbar epidural space amongst ethnic groups differed at any given body mass index. It was significantly greater in Black/British Black and White parturients compared with their Asian and Chinese counterparts. You can respond to this article at http://www.anaesthesiacorrespondence.com.
authors: Singapore General Hospital, Singapore, Singapore. drvvs@rediffmail.com
authors: V
authors: V
authors: Sharma
authors: A K
authors: AK
authors: Swinson
authors: C
authors: C
authors: Hughes
authors: S
authors: S
authors: Mokashi
authors: R
authors: R
authors: Russell
mesh_terms: D000328:Adult; D000767:Anesthesia, Epidural; D000773:Anesthesia, Obstetrical; D044466:Asian People; D044383:Black People; D001827:Body Height; D015992:Body Mass Index; D001835:Body Weight; D004824:Epidural Space / Q000033:anatomy & histology*; D005006:Ethnicity; D005260:Female; D006801:Humans; D008161:Lumbosacral Region; D011247:Pregnancy; D011446:Prospective Studies; D012044:Regression Analysis; D012867:Skin / Q000033:anatomy & histology*; D017211:Treatment Failure; D006113:United Kingdom; D044465:White People