Challenges in migrant women’s maternity care in a high‐income country: A population‐based cohort study of maternal and perinatal outcomes
Abstract Introduction This study aims to explore maternal and perinatal outcomes of migrant women in Iceland. Material and methods This prospective population‐based cohort study included women who gave birth to a singleton in Iceland between 1997 and 2018, comprising a total of 92 403 births. Migran...
Published in: | Acta Obstetricia et Gynecologica Scandinavica |
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crwiley:10.1111/aogs.14186 2024-06-02T08:09:03+00:00 Challenges in migrant women’s maternity care in a high‐income country: A population‐based cohort study of maternal and perinatal outcomes Guðmundsdóttir, Embla Ýr Gottfreðsdóttir, Helga Hálfdánsdóttir, Berglind Nieuwenhuijze, Marianne Gissler, Mika Einarsdóttir, Kristjana 2021 http://dx.doi.org/10.1111/aogs.14186 https://onlinelibrary.wiley.com/doi/pdf/10.1111/aogs.14186 https://onlinelibrary.wiley.com/doi/full-xml/10.1111/aogs.14186 https://obgyn.onlinelibrary.wiley.com/doi/pdf/10.1111/aogs.14186 en eng Wiley http://creativecommons.org/licenses/by-nc-nd/4.0/ Acta Obstetricia et Gynecologica Scandinavica volume 100, issue 9, page 1665-1677 ISSN 0001-6349 1600-0412 journal-article 2021 crwiley https://doi.org/10.1111/aogs.14186 2024-05-03T11:42:06Z Abstract Introduction This study aims to explore maternal and perinatal outcomes of migrant women in Iceland. Material and methods This prospective population‐based cohort study included women who gave birth to a singleton in Iceland between 1997 and 2018, comprising a total of 92 403 births. Migrant women were defined as women with citizenship other than Icelandic, including refugees and asylum seekers, and categorized into three groups, based on their country of citizenship Human Development Index score. The effect of country of citizenship was estimated. The main outcome measures were onset of labor, augmentation, epidural, perineum support, episiotomy, mode of birth, obstetric anal sphincter injury, postpartum hemorrhage, preterm birth, a 5‐minute Apgar <7, neonatal intensive care unit admission and perinatal mortality. Odds ratios (ORs) and 95% confidence intervals (CIs) for maternal and perinatal outcomes were calculated using logistic regression models. Results A total of 8158 migrant women gave birth during the study period: 4401 primiparous and 3757 multiparous. Overall, migrant women had higher adjusted ORs (aORs) for episiotomy (primiparas: aOR 1.43, 95% CI 1.26–1.61; multiparas: 1.39, 95% CI 1.21–1.60) and instrumental births (primiparas: 1.14, 95% CI 1.02–1.27, multiparas: 1.41, 95% CI 1.16–1.72) and lower aORs of induction of labor (primiparas: 0.88, 95% CI 0.79–0.98; multiparas: 0.74, 95% CI 0.66–0.83), compared with Icelandic women. Migrant women from countries with a high Human Development Index score (≥0.900) had similar or better outcomes compared with Icelandic women, whereas migrant women from countries with a lower Human Development Index score than that of Iceland (<0.900) had additionally increased odds of maternal and perinatal complications and interventions, such as emergency cesarean and postpartum hemorrhage. Conclusions Women’s citizenship and country of citizenship Human Development Index scores are significantly associated with a range of maternal and perinatal complications ... Article in Journal/Newspaper Iceland Wiley Online Library Acta Obstetricia et Gynecologica Scandinavica 100 9 1665 1677 |
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English |
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Abstract Introduction This study aims to explore maternal and perinatal outcomes of migrant women in Iceland. Material and methods This prospective population‐based cohort study included women who gave birth to a singleton in Iceland between 1997 and 2018, comprising a total of 92 403 births. Migrant women were defined as women with citizenship other than Icelandic, including refugees and asylum seekers, and categorized into three groups, based on their country of citizenship Human Development Index score. The effect of country of citizenship was estimated. The main outcome measures were onset of labor, augmentation, epidural, perineum support, episiotomy, mode of birth, obstetric anal sphincter injury, postpartum hemorrhage, preterm birth, a 5‐minute Apgar <7, neonatal intensive care unit admission and perinatal mortality. Odds ratios (ORs) and 95% confidence intervals (CIs) for maternal and perinatal outcomes were calculated using logistic regression models. Results A total of 8158 migrant women gave birth during the study period: 4401 primiparous and 3757 multiparous. Overall, migrant women had higher adjusted ORs (aORs) for episiotomy (primiparas: aOR 1.43, 95% CI 1.26–1.61; multiparas: 1.39, 95% CI 1.21–1.60) and instrumental births (primiparas: 1.14, 95% CI 1.02–1.27, multiparas: 1.41, 95% CI 1.16–1.72) and lower aORs of induction of labor (primiparas: 0.88, 95% CI 0.79–0.98; multiparas: 0.74, 95% CI 0.66–0.83), compared with Icelandic women. Migrant women from countries with a high Human Development Index score (≥0.900) had similar or better outcomes compared with Icelandic women, whereas migrant women from countries with a lower Human Development Index score than that of Iceland (<0.900) had additionally increased odds of maternal and perinatal complications and interventions, such as emergency cesarean and postpartum hemorrhage. Conclusions Women’s citizenship and country of citizenship Human Development Index scores are significantly associated with a range of maternal and perinatal complications ... |
format |
Article in Journal/Newspaper |
author |
Guðmundsdóttir, Embla Ýr Gottfreðsdóttir, Helga Hálfdánsdóttir, Berglind Nieuwenhuijze, Marianne Gissler, Mika Einarsdóttir, Kristjana |
spellingShingle |
Guðmundsdóttir, Embla Ýr Gottfreðsdóttir, Helga Hálfdánsdóttir, Berglind Nieuwenhuijze, Marianne Gissler, Mika Einarsdóttir, Kristjana Challenges in migrant women’s maternity care in a high‐income country: A population‐based cohort study of maternal and perinatal outcomes |
author_facet |
Guðmundsdóttir, Embla Ýr Gottfreðsdóttir, Helga Hálfdánsdóttir, Berglind Nieuwenhuijze, Marianne Gissler, Mika Einarsdóttir, Kristjana |
author_sort |
Guðmundsdóttir, Embla Ýr |
title |
Challenges in migrant women’s maternity care in a high‐income country: A population‐based cohort study of maternal and perinatal outcomes |
title_short |
Challenges in migrant women’s maternity care in a high‐income country: A population‐based cohort study of maternal and perinatal outcomes |
title_full |
Challenges in migrant women’s maternity care in a high‐income country: A population‐based cohort study of maternal and perinatal outcomes |
title_fullStr |
Challenges in migrant women’s maternity care in a high‐income country: A population‐based cohort study of maternal and perinatal outcomes |
title_full_unstemmed |
Challenges in migrant women’s maternity care in a high‐income country: A population‐based cohort study of maternal and perinatal outcomes |
title_sort |
challenges in migrant women’s maternity care in a high‐income country: a population‐based cohort study of maternal and perinatal outcomes |
publisher |
Wiley |
publishDate |
2021 |
url |
http://dx.doi.org/10.1111/aogs.14186 https://onlinelibrary.wiley.com/doi/pdf/10.1111/aogs.14186 https://onlinelibrary.wiley.com/doi/full-xml/10.1111/aogs.14186 https://obgyn.onlinelibrary.wiley.com/doi/pdf/10.1111/aogs.14186 |
genre |
Iceland |
genre_facet |
Iceland |
op_source |
Acta Obstetricia et Gynecologica Scandinavica volume 100, issue 9, page 1665-1677 ISSN 0001-6349 1600-0412 |
op_rights |
http://creativecommons.org/licenses/by-nc-nd/4.0/ |
op_doi |
https://doi.org/10.1111/aogs.14186 |
container_title |
Acta Obstetricia et Gynecologica Scandinavica |
container_volume |
100 |
container_issue |
9 |
container_start_page |
1665 |
op_container_end_page |
1677 |
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1800754654002282496 |