Caesarean Section Frequency among Immigrants, Second- and Third-Generation Women, and Non-Immigrants: Prospective Study in Berlin/Germany

David M, Borde T, Brenne S, Henrich W, Breckenkamp J, Razum O (2015)
PLoS ONE 10(5): e0127489.

Zeitschriftenaufsatz | Veröffentlicht | Englisch
 
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Autor*in
David, Matthias; Borde, Theda; Brenne, Silke; Henrich, Wolfgang; Breckenkamp, JürgenUniBi; Razum, OliverUniBi
Abstract / Bemerkung
Objective The frequency of caesarean section delivery varies between countries and social groups. Among other factors, it is determined by the quality of obstetrics care. Rates of elective (planned) and emergency (in-labor) caesareans may also vary between immigrants (first generation), their offspring (second- and third-generation women), and non-immigrants because of access and language barriers. Other important points to be considered are whether caesarean section indications and the neonatal outcomes differ in babies delivered by caesarean between immigrants, their offspring, and non-immigrants. Methods A standardized interview on admission to delivery wards at three Berlin obstetric hospitals was performed in a 12-month period in 2011/2012. Questions on socio-demographic and care aspects and on migration (immigrated herself vs. second- and third-generation women vs. non-immigrant) and acculturation status were included. Data was linked with information from the expectant mothers' antenatal records and with perinatal data routinely documented in the hospital. Regression modeling was used to adjust for age, parity and socio-economic status. Results The caesarean section rates for immigrants, second- and third-generation women, and non-immigrant women were similar. Neither indications for caesarean section delivery nor neonatal outcomes showed statistically significant differences. The only difference found was a somewhat higher rate of crash caesarean sections per 100 births among first generation immigrants compared to non-immigrants. Conclusion Unlike earlier German studies and current studies from other European countries, this study did not find an increased rate of caesarean sections among immigrants, as well as second- and third-generation women, with the possible exception of a small high-risk group. This indicates an equally high quality of perinatal care for women with and without a migration history.
Erscheinungsjahr
2015
Zeitschriftentitel
PLoS ONE
Band
10
Ausgabe
5
Art.-Nr.
e0127489
ISSN
1932-6203
Page URI
https://pub.uni-bielefeld.de/record/2759860

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David M, Borde T, Brenne S, Henrich W, Breckenkamp J, Razum O. Caesarean Section Frequency among Immigrants, Second- and Third-Generation Women, and Non-Immigrants: Prospective Study in Berlin/Germany. PLoS ONE. 2015;10(5): e0127489.
David, M., Borde, T., Brenne, S., Henrich, W., Breckenkamp, J., & Razum, O. (2015). Caesarean Section Frequency among Immigrants, Second- and Third-Generation Women, and Non-Immigrants: Prospective Study in Berlin/Germany. PLoS ONE, 10(5), e0127489. doi:10.1371/journal.pone.0127489
David, Matthias, Borde, Theda, Brenne, Silke, Henrich, Wolfgang, Breckenkamp, Jürgen, and Razum, Oliver. 2015. “Caesarean Section Frequency among Immigrants, Second- and Third-Generation Women, and Non-Immigrants: Prospective Study in Berlin/Germany”. PLoS ONE 10 (5): e0127489.
David, M., Borde, T., Brenne, S., Henrich, W., Breckenkamp, J., and Razum, O. (2015). Caesarean Section Frequency among Immigrants, Second- and Third-Generation Women, and Non-Immigrants: Prospective Study in Berlin/Germany. PLoS ONE 10:e0127489.
David, M., et al., 2015. Caesarean Section Frequency among Immigrants, Second- and Third-Generation Women, and Non-Immigrants: Prospective Study in Berlin/Germany. PLoS ONE, 10(5): e0127489.
M. David, et al., “Caesarean Section Frequency among Immigrants, Second- and Third-Generation Women, and Non-Immigrants: Prospective Study in Berlin/Germany”, PLoS ONE, vol. 10, 2015, : e0127489.
David, M., Borde, T., Brenne, S., Henrich, W., Breckenkamp, J., Razum, O.: Caesarean Section Frequency among Immigrants, Second- and Third-Generation Women, and Non-Immigrants: Prospective Study in Berlin/Germany. PLoS ONE. 10, : e0127489 (2015).
David, Matthias, Borde, Theda, Brenne, Silke, Henrich, Wolfgang, Breckenkamp, Jürgen, and Razum, Oliver. “Caesarean Section Frequency among Immigrants, Second- and Third-Generation Women, and Non-Immigrants: Prospective Study in Berlin/Germany”. PLoS ONE 10.5 (2015): e0127489.

5 Zitationen in Europe PMC

Daten bereitgestellt von Europe PubMed Central.

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Migration Background Should Be Considered.
Razum O, David M., Dtsch Arztebl Int 115(26), 2018
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