Socioeconomic and migration status as predictors of emergency caesarean section: a birth cohort study

Miani Vial C, Ludwig A, Breckenkamp J, Sauzet O, Doyle I-M, Hoeller-Holtrichter C, Spallek J, Razum O (2020)
BMC Pregnancy and Childbirth 20: 32.

Zeitschriftenaufsatz | Veröffentlicht | Englisch
 
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Abstract / Bemerkung
#### Background

Women with a migration background are reportedly at a higher risk of emergency caesarean section. There is evidence that this is due in part to suboptimal antenatal care use and quality of care. Despite the fact that migrant women and descendants of migrants are often at risk of socioeconomic disadvantage, there is, in comparison, scarce and incomplete evidence on the role of socioeconomic position as an independent risk factor for emergency caesarean delivery. We therefore investigate whether and how migration background and two markers of socioeconomic position affect the risk of an emergency caesarean section and whether they interact with each other. #### Methods

In 2013–2016, we recruited women during the perinatal period in Bielefeld, Germany, collecting data on health and socioeconomic and migration background, as well as routine perinatal data. We studied associations between migration background (1st generation migrant, 2nd/3rd generation woman, no migration background), socioeconomic status (educational attainment and net monthly household income), and the outcome emergency caesarean section. #### Results

Of the 881 participants, 21% (n = 185) had an emergency caesarean section. Analyses showed no association between having an emergency caesarean section and migration status or education. Women in the lowest (< 800€/month) and second lowest (between 800 and 1750€/month) income categories were more likely (aOR: 1.96, CI: 1.01–3.81; and aOR: 2.36, CI: 1.27–4.40, respectively) to undergo an emergency caesarean section than women in the higher income groups. #### Conclusions

Migration status and education did not explain heterogeneity in mode of birth. Having a low household income, however, increased the chances of emergency caesarean section and thereby contributed towards producing health disadvantages. Awareness of these findings and measures to correct these inequalities could help to improve the quality of obstetric care.
Erscheinungsjahr
2020
Zeitschriftentitel
BMC Pregnancy and Childbirth
Band
20
Art.-Nr.
32
eISSN
1471-2393
Finanzierungs-Informationen
Article Processing Charge funded by the Deutsche Forschungsgemeinschaft and the Open Access Publication Fund of Bielefeld University.
Page URI
https://pub.uni-bielefeld.de/record/2940003

Zitieren

Miani Vial C, Ludwig A, Breckenkamp J, et al. Socioeconomic and migration status as predictors of emergency caesarean section: a birth cohort study. BMC Pregnancy and Childbirth. 2020;20: 32.
Miani Vial, C., Ludwig, A., Breckenkamp, J., Sauzet, O., Doyle, I. - M., Hoeller-Holtrichter, C., Spallek, J., et al. (2020). Socioeconomic and migration status as predictors of emergency caesarean section: a birth cohort study. BMC Pregnancy and Childbirth, 20, 32. doi:10.1186/s12884-020-2725-5
Miani Vial, C., Ludwig, A., Breckenkamp, J., Sauzet, O., Doyle, I. - M., Hoeller-Holtrichter, C., Spallek, J., and Razum, O. (2020). Socioeconomic and migration status as predictors of emergency caesarean section: a birth cohort study. BMC Pregnancy and Childbirth 20:32.
Miani Vial, C., et al., 2020. Socioeconomic and migration status as predictors of emergency caesarean section: a birth cohort study. BMC Pregnancy and Childbirth, 20: 32.
C. Miani Vial, et al., “Socioeconomic and migration status as predictors of emergency caesarean section: a birth cohort study”, BMC Pregnancy and Childbirth, vol. 20, 2020, : 32.
Miani Vial, C., Ludwig, A., Breckenkamp, J., Sauzet, O., Doyle, I.-M., Hoeller-Holtrichter, C., Spallek, J., Razum, O.: Socioeconomic and migration status as predictors of emergency caesarean section: a birth cohort study. BMC Pregnancy and Childbirth. 20, : 32 (2020).
Miani Vial, Céline, Ludwig, Arnika, Breckenkamp, Jürgen, Sauzet, Odile, Doyle, I-M, Hoeller-Holtrichter, C., Spallek, Jacob, and Razum, Oliver. “Socioeconomic and migration status as predictors of emergency caesarean section: a birth cohort study”. BMC Pregnancy and Childbirth 20 (2020): 32.
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2020-01-15T14:20:18Z
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