Do foreign-born women in Sweden have an increased risk of non-normal childbirth?
Do foreign-born women in Sweden have an increased risk of non-normal childbirth?
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DOI：
10.1111/j.0001-6349.2005.00686.x
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发表时间：
2005-09-01
影响因子：
4.3
通讯作者：
Johansson, SE
中科院分区：
文献类型：
--
作者：
Robertson, E;Malmström, M;Johansson, SE
背景。在这项横断面研究中，我们分析了1996-1998年期间在瑞典出生的外国妇女是否比在瑞典出生的妇女有更多的非正常分娩，调整了年龄、胎次、教育水平、产前检查次数和妊娠并发症。该研究包括1996-1998年期间瑞典18-47岁妇女的215497例单胎分娩（包括每个妇女在此期间的第一次分娩），分为12个国家亚组。采用logistic回归的方法分析早产风险。在主效应模型中，来自撒哈拉以南非洲、伊朗、亚洲和拉丁美洲的妇女发生非正常分娩的年龄调整风险高于瑞典出生的妇女，非洲和拉丁美洲妇女的年龄调整风险甚至更高。出生国与产前保健访问之间的相互作用表明，来自撒哈拉以南非洲、伊朗、亚洲和拉丁美洲的妇女，与瑞典出生的妇女相比，进行bb0 = 13次产前保健访问的妇女发生非正常分娩的风险几乎高出50%。出生国与妊娠并发症之间的相互作用表明，来自土耳其、伊朗、亚洲和拉丁美洲的妇女发生非正常分娩的风险比瑞典出生的妇女高出50%以上。这项研究显示了在外国出生和非正常分娩之间的联系。在产科护理中，我们是否意识到、是否给予了足够的重视，是否分配了足够的资源，这是一个问题。
Background. In this cross-sectional study, we analyze whether foreign-born women in Sweden had more non-normal childbirths than Swedish-born women during 1996-1998, adjusting for age, parity, level of education, number of antenatal care visits, and complications in pregnancy.Methods. The study includes 215 497 singleton deliveries (including the first childbirth of each woman during the time period) of women aged 18-47 in Sweden during 1996-1998, divided into 12 subgroups of countries. The risk of non-normal birth was analyzed by means of logistic regression.Results. Women from Sub-Saharan Africa, Iran, Asia, and Latin America had a higher age-adjusted risk of non-normal childbirth than Swedish-born women that remained and even increased for the African and Latin American women in the main effect model. Interactions between country of birth and antenatal care visits showed that women from Sub-Saharan Africa, Iran, Asia, and Latin America had almost 50% higher risk of non-normal birth with >= 13 antenatal care visits than Swedish-born women. Interactions between country of birth and complications in pregnancy showed that women from Turkey, Iran, Asia, and Latin America had over 50% higher risk of non-normal birth than the Swedish-born women.Conclusions. This study shows an association between being foreign-born and non-normal childbirth. Questions can be raised whether we are aware of, pay sufficient attention to, and allocate sufficient resources for these women at higher risk of non-normal birth in maternity care.