Geburtshilfe und Frauenheilkunde
Volume 78, Issue 7, 2018, Pages 697-706

Perinatal Outcome in Women with a Vietnamese Migration Background - Retrospective Comparative Data Analysis of 3000 Deliveries (Article) (Open Access)

Boxall N. , David M.* , Schalinski E. , Breckenkamp J. , Razum O. , Hellmeyer L.
  • a Charité - Universitätsmedizin Berlin, Klinik für Gynäkologie, Campus Virchow-Klinikum, Augustenburger Platz 1, Berlin, 13353, Germany
  • b Charité - Universitätsmedizin Berlin, Klinik für Gynäkologie, Campus Virchow-Klinikum, Augustenburger Platz 1, Berlin, 13353, Germany
  • c Vivantes Klinikum im Friedrichshain, Klinik für Gynäkologie und Geburtsmedizin, Berlin, Germany
  • d Universität Bielefeld, Fakultät für Gesundheitswissenschaften, AG 3 - Epidemiologie and International Public Health, Bielefeld, Germany
  • e Universität Bielefeld, Fakultät für Gesundheitswissenschaften, AG 3 - Epidemiologie and International Public Health, Bielefeld, Germany
  • f Vivantes Klinikum im Friedrichshain, Klinik für Gynäkologie und Geburtsmedizin, Berlin, Germany

Abstract

Introduction Perinatal data of women with a Vietnamese migration background have not been systematically studied in Germany to date. Numerous details of important maternal and child outcomes were compared and analysed. The study?s primary parameters were the frequency of and indication for c-section. Methodology The perinatal data from a Berlin hospital were analysed retrospectively. The women (Vietnamese migration background vs. autochthonous) were grouped using name analysis. Datasets of 3002 women giving birth, including 999 women with a Vietnamese migration background, were included. The associations between primary or secondary cesarean delivery and different child outcomes depending on the migration background (exposure) were studied using logistical regression analysis. Results Women with a Vietnamese migration background have a lower c-section rate of 8.0% for primary and 12.6% for secondary c-section than women without a migration background (11.1% primary and 16.4% secondary c-section respectively). Regression analysis shows that the odds that women with a Vietnamese migration background will have a primary (OR 0.75; p = 0.0884) or secondary c-section (OR 0.82; p = 0.1137) are not significantly lower. A Vietnamese migration background was associated with higher odds for an episiotomy but not for a grade 3?-?4 perineal tear. A Vietnamese migration background does not have a significant influence on poor 5-min Apgar scores ≤ 7 and low umbilical cord arterial pH values ≤ 7.10. Newborns of mothers with a Vietnamese migration background have higher odds of a relatively higher birth weight (> 3110 g). Summary There was no evidence that women with a Vietnamese migration background are delivered more often by caesarean section. There were also no differences as regards important child outcome data from women in the comparator group. Overall, the results do not provide any evidence for poorer quality of care of women with a Vietnamese migration background in Berlin despite the cultural and communication barriers in the reality of care provision. © 2018 Georg Thieme Verlag KG Stuttgart · New York.

Author Keywords

perinatal data Migration women with a Vietnamese migration background caesarean section

Index Keywords

communication barrier Germany regression analysis human controlled study female newborn episiotomy arterial pH perineum Apgar score umbilical cord Article major clinical study mother data analysis outcome assessment childbirth retrospective study Birth Weight cesarean section Child

Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85058618231&doi=10.1055%2fa-0636-4224&partnerID=40&md5=e1457518f5e68585ee1074fac3683702

DOI: 10.1055/a-0636-4224
ISSN: 00165751
Original Language: English