Use of pain management in childbirth among migrant women in Iceland: A population‐based cohort study
Abstract Background Immigration is rapidly increasing in Iceland with 13.6% of the population holding foreign citizenship in 2020. Earlier findings identified inequities in childbirth care for some women in Iceland. To gain insight into the quality of intrapartum midwifery care, migrant women's...
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crwiley:10.1111/birt.12619 2024-09-15T18:13:10+00:00 Use of pain management in childbirth among migrant women in Iceland: A population‐based cohort study Guðmundsdóttir, Embla Ýr Nieuwenhuijze, Marianne Einarsdóttir, Kristjana Hálfdánsdóttir, Berglind Gottfreðsdóttir, Helga Icelandic Centre for Research 2022 http://dx.doi.org/10.1111/birt.12619 https://onlinelibrary.wiley.com/doi/pdf/10.1111/birt.12619 https://onlinelibrary.wiley.com/doi/full-xml/10.1111/birt.12619 en eng Wiley http://creativecommons.org/licenses/by-nc-nd/4.0/ Birth volume 49, issue 3, page 486-496 ISSN 0730-7659 1523-536X journal-article 2022 crwiley https://doi.org/10.1111/birt.12619 2024-08-06T04:17:18Z Abstract Background Immigration is rapidly increasing in Iceland with 13.6% of the population holding foreign citizenship in 2020. Earlier findings identified inequities in childbirth care for some women in Iceland. To gain insight into the quality of intrapartum midwifery care, migrant women's use of pain management methods during birth in Iceland was explored. Methods A population‐based cohort study including all women with a singleton birth in Iceland between 2007 and 2018, in total 48 173 births. Logistic regression analyses with odds ratios (ORs) and 95% confidence intervals (CIs) were used to investigate the relationship between migrant backgrounds defined as holding foreign citizenship and the use of pain management during birth. The main outcome measures were use of nonpharmacological and pharmacological pain management methods. Results Data from 6097 migrant women were included. Migrant women had higher adjusted OR (aORs) for no use of pain management (aOR = 1.23 95% CI [1.12, 1.34]), when compared to Icelandic women. Migrant women also had lower aORs for the use of acupuncture (0.73 [0.64, 0.83]), transcutaneous electrical nerve stimulation (TENS) (0.92 [0.01, 0.67]), shower/bath (0.73 [0.66, 0.82]), aromatherapy (0.59 [0.44, 0.78]), and nitrous oxide inhalation (0.89 [0.83, 0.96]). Human Development Index (HDI) scores of countries of citizenship <0.900 were associated with lower aORs for the use of various pain management methods. Conclusions Our results suggest that being a migrant in Iceland is an important factor that limits the use of nonpharmacological pain management, especially for migrant women with citizenship from countries with HDI score <0.900. Article in Journal/Newspaper Iceland Wiley Online Library Birth |
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Abstract Background Immigration is rapidly increasing in Iceland with 13.6% of the population holding foreign citizenship in 2020. Earlier findings identified inequities in childbirth care for some women in Iceland. To gain insight into the quality of intrapartum midwifery care, migrant women's use of pain management methods during birth in Iceland was explored. Methods A population‐based cohort study including all women with a singleton birth in Iceland between 2007 and 2018, in total 48 173 births. Logistic regression analyses with odds ratios (ORs) and 95% confidence intervals (CIs) were used to investigate the relationship between migrant backgrounds defined as holding foreign citizenship and the use of pain management during birth. The main outcome measures were use of nonpharmacological and pharmacological pain management methods. Results Data from 6097 migrant women were included. Migrant women had higher adjusted OR (aORs) for no use of pain management (aOR = 1.23 95% CI [1.12, 1.34]), when compared to Icelandic women. Migrant women also had lower aORs for the use of acupuncture (0.73 [0.64, 0.83]), transcutaneous electrical nerve stimulation (TENS) (0.92 [0.01, 0.67]), shower/bath (0.73 [0.66, 0.82]), aromatherapy (0.59 [0.44, 0.78]), and nitrous oxide inhalation (0.89 [0.83, 0.96]). Human Development Index (HDI) scores of countries of citizenship <0.900 were associated with lower aORs for the use of various pain management methods. Conclusions Our results suggest that being a migrant in Iceland is an important factor that limits the use of nonpharmacological pain management, especially for migrant women with citizenship from countries with HDI score <0.900. |
author2 |
Icelandic Centre for Research |
format |
Article in Journal/Newspaper |
author |
Guðmundsdóttir, Embla Ýr Nieuwenhuijze, Marianne Einarsdóttir, Kristjana Hálfdánsdóttir, Berglind Gottfreðsdóttir, Helga |
spellingShingle |
Guðmundsdóttir, Embla Ýr Nieuwenhuijze, Marianne Einarsdóttir, Kristjana Hálfdánsdóttir, Berglind Gottfreðsdóttir, Helga Use of pain management in childbirth among migrant women in Iceland: A population‐based cohort study |
author_facet |
Guðmundsdóttir, Embla Ýr Nieuwenhuijze, Marianne Einarsdóttir, Kristjana Hálfdánsdóttir, Berglind Gottfreðsdóttir, Helga |
author_sort |
Guðmundsdóttir, Embla Ýr |
title |
Use of pain management in childbirth among migrant women in Iceland: A population‐based cohort study |
title_short |
Use of pain management in childbirth among migrant women in Iceland: A population‐based cohort study |
title_full |
Use of pain management in childbirth among migrant women in Iceland: A population‐based cohort study |
title_fullStr |
Use of pain management in childbirth among migrant women in Iceland: A population‐based cohort study |
title_full_unstemmed |
Use of pain management in childbirth among migrant women in Iceland: A population‐based cohort study |
title_sort |
use of pain management in childbirth among migrant women in iceland: a population‐based cohort study |
publisher |
Wiley |
publishDate |
2022 |
url |
http://dx.doi.org/10.1111/birt.12619 https://onlinelibrary.wiley.com/doi/pdf/10.1111/birt.12619 https://onlinelibrary.wiley.com/doi/full-xml/10.1111/birt.12619 |
genre |
Iceland |
genre_facet |
Iceland |
op_source |
Birth volume 49, issue 3, page 486-496 ISSN 0730-7659 1523-536X |
op_rights |
http://creativecommons.org/licenses/by-nc-nd/4.0/ |
op_doi |
https://doi.org/10.1111/birt.12619 |
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Birth |
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1810450726905708544 |