Document Detail


Classification of cesarean sections among immigrants in Belgium.
MedLine Citation:
PMID:  22994320     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Objective. To provide insight into the differential effect of immigration on cesarean section (CS) rates, using Robson classification. Design. A population-based study using birth certificates from the birth registry of 2009. Setting. All births in two of the three Belgian regions excluding Flanders. Population. 37 628 deliveries from Belgian and immigrant mothers from Sub-Saharan Africa, Maghreb and Eastern Europe. Methods. Multivariate analyses using CS as the dependent variable and immigration status as the primary independent variable. Several multivariate logistic regression models were built including medical, anthropometric, socio-economic characteristics, and medical interventions. The impact of analyzing all delivery sites together was tested using mixed-effect analyses. Main Outcome measures. CSs of immigrant subgroups compared to Belgian women. Results. CS rates varied according to immigrant subgroups. Mothers from Sub-Saharan Africa had an adjusted odds ratio of 2.06 (1.62-2.63) for CS compared to Belgian natives. Increased risk for mothers from Sub-Saharan Africa compared to Belgian natives was found among nulliparous and multiparous women without previous CS, and a term, singleton fetus in cephalic position. On the contrary, nulliparous East European mothers with a term singleton fetus in cephalic position in spontaneous labor had an adjusted odds ratio of 0.29 (0.08-0.99) for CS. Conclusions. CS rates currently vary between Robson categories in immigrant subgroups. Immigrant mothers from Sub-Saharan Africa with a term, singleton infant in cephalic position, without previous CS, appear to carry the highest burden.
Authors:
Anne-Frederique Minsart; Myriam D E Spiegelaere; Yvon Englert; Pierre Buekens
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-9-20
Journal Detail:
Title:  Acta obstetricia et gynecologica Scandinavica     Volume:  -     ISSN:  1600-0412     ISO Abbreviation:  Acta Obstet Gynecol Scand     Publication Date:  2012 Sep 
Date Detail:
Created Date:  2012-9-21     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370343     Medline TA:  Acta Obstet Gynecol Scand     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2012 The Authors AOGS© 2012 Nordic Federation of Societies of Obstetrics and Gynecology.
Affiliation:
Perinatal Epidemiology Center (CEpiP) School of Public Health Department of Obstetrics and Gynecology and Research Laboratory for Human Reproduction, University Hospital Erasme and Faculty of Medicine, Free University of Brussels, Brussels, Belgium Brussels-Capital Health and Social Observatory, Brussels, Belgium School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA, USA.
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