Obstetric Outcomes of Eritrean Immigrants in Switzerland: A Comparative Study.
Int J Public Health
; 69: 1606745, 2024.
Article
em En
| MEDLINE
| ID: mdl-38778832
ABSTRACT
Objectives:
This study aims to compare obstetric outcomes between Eritrean and Swiss women in Switzerland, focusing on instrumental or surgical interventions and analgesia use.Methods:
The study included data from 45,412 Swiss and 1,132 Eritrean women who gave birth in Swiss hospitals (2019-2022). Mixed-effects logistic regression was used to assess the effect of nationality on mode of delivery and analgesia use and multinomial mixed-effects logistic regression to assess the effect of nationality on mode of delivery in women intended for spontaneous vaginal delivery.Results:
Compared with Swiss, Eritrean women had a lower rate of primary C-section (Adj. OR 0.73, 95% CI [0.60, 0.89]) but a higher risk of initially planned vaginal deliveries ending in emergency C-section (RRR 1.31, 95% CI [1.05, 1.63]). Eritrean women were less likely to receive epidural analgesia (Adj. OR 0.53, 95% CI [0.45, 0.62]) and more likely to not receive any analgesia (Adj. OR 1.73, 95% CI [1.52, 1.96]).Conclusion:
This study reveals disparities in obstetric care, notably in higher emergency C-section rates and lower analgesia use among Eritrean women. For promoting equitable healthcare practices deeper understanding of obstetrics decision-making is needed.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Parto Obstétrico
/
Emigrantes e Imigrantes
Limite:
Adult
/
Female
/
Humans
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Pregnancy
País como assunto:
Africa
/
Europa
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article