Challenges in migrant women’s maternity care in a high‐income country: A population‐based cohort study of maternal and perinatal outcomes
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...
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2021
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Online Access: | http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8453980/ http://www.ncbi.nlm.nih.gov/pubmed/34022065 https://doi.org/10.1111/aogs.14186 |
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ftpubmed:oai:pubmedcentral.nih.gov:8453980 2023-05-15T16:47:42+02:00 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 2021-06-17 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8453980/ http://www.ncbi.nlm.nih.gov/pubmed/34022065 https://doi.org/10.1111/aogs.14186 en eng John Wiley and Sons Inc. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8453980/ http://www.ncbi.nlm.nih.gov/pubmed/34022065 http://dx.doi.org/10.1111/aogs.14186 © 2021 The Authors. Acta Obstetricia et Gynecologica Scandinavica published by John Wiley & Sons Ltd on behalf of Nordic Federation of Societies of Obstetrics and Gynecology (NFOG) https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. CC-BY-NC-ND Acta Obstet Gynecol Scand Birth Text 2021 ftpubmed https://doi.org/10.1111/aogs.14186 2021-10-03T00:43:08Z 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 and ... Text Iceland PubMed Central (PMC) Acta Obstetricia et Gynecologica Scandinavica 100 9 1665 1677 |
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Birth 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 |
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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 and ... |
format |
Text |
author |
Guðmundsdóttir, Embla Ýr Gottfreðsdóttir, Helga Hálfdánsdóttir, Berglind Nieuwenhuijze, Marianne Gissler, Mika Einarsdóttir, Kristjana |
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 |
John Wiley and Sons Inc. |
publishDate |
2021 |
url |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8453980/ http://www.ncbi.nlm.nih.gov/pubmed/34022065 https://doi.org/10.1111/aogs.14186 |
genre |
Iceland |
genre_facet |
Iceland |
op_source |
Acta Obstet Gynecol Scand |
op_relation |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8453980/ http://www.ncbi.nlm.nih.gov/pubmed/34022065 http://dx.doi.org/10.1111/aogs.14186 |
op_rights |
© 2021 The Authors. Acta Obstetricia et Gynecologica Scandinavica published by John Wiley & Sons Ltd on behalf of Nordic Federation of Societies of Obstetrics and Gynecology (NFOG) https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. |
op_rightsnorm |
CC-BY-NC-ND |
op_doi |
https://doi.org/10.1111/aogs.14186 |
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Acta Obstetricia et Gynecologica Scandinavica |
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100 |
container_issue |
9 |
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1665 |
op_container_end_page |
1677 |
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1766037788836233216 |