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Caesarean delivery in a migration context: the role of prior delivery in the host country

Migrant women in industrialised countries experience high caesarean section (CS) rates but little is known about the effect of a previous delivery in the host country. This study set out to investigate this effect among migrant women in France, using data from the DSAFHIR study on healthcare access...

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Autores principales: Poncet, Lorraine, Panjo, Henri, Andro, Armelle, Ringa, Virginie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Taylor & Francis 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7888083/
https://www.ncbi.nlm.nih.gov/pubmed/32544031
http://dx.doi.org/10.1080/26410397.2020.1763576
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author Poncet, Lorraine
Panjo, Henri
Andro, Armelle
Ringa, Virginie
author_facet Poncet, Lorraine
Panjo, Henri
Andro, Armelle
Ringa, Virginie
author_sort Poncet, Lorraine
collection PubMed
description Migrant women in industrialised countries experience high caesarean section (CS) rates but little is known about the effect of a previous delivery in the host country. This study set out to investigate this effect among migrant women in France, using data from the DSAFHIR study on healthcare access of migrant women living in emergency housing hotels, collected in the Paris Metropolitan area in 2017. Respondents reported life-long history of deliveries. We focused on deliveries occurring in France in 2000–2017: 370 deliveries reported by 242 respondents. We conducted chi-square tests and multivariate logistic regressions, adjusting for the clustering of deliveries among respondents by computing standard errors allowing for intragroup correlation. Mode of delivery was associated with duration of residence among multiparous women with no prior CS, with a higher CS rate with shorter duration of residence (16% vs. 7%, p = 0.04). In this group, a previous delivery in France was associated with a lower CS rate (5% vs. 16%, p = 0.008). In multivariate analysis, compared with women with previous birth in France, women giving birth in France for the first time had a higher risk of CS, regardless of duration of residence (aOR = 4.0, 95% CI = 1.3–12.1 for respondents with short duration of residence, aOR = 4.7, 95% CI = 1.2–18.0 for respondents with longer duration of residence). Efforts directed at decreasing the CS rate among migrant women should target women giving birth in the host country for the first time.
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spelling pubmed-78880832021-03-30 Caesarean delivery in a migration context: the role of prior delivery in the host country Poncet, Lorraine Panjo, Henri Andro, Armelle Ringa, Virginie Sex Reprod Health Matters Research Articles Migrant women in industrialised countries experience high caesarean section (CS) rates but little is known about the effect of a previous delivery in the host country. This study set out to investigate this effect among migrant women in France, using data from the DSAFHIR study on healthcare access of migrant women living in emergency housing hotels, collected in the Paris Metropolitan area in 2017. Respondents reported life-long history of deliveries. We focused on deliveries occurring in France in 2000–2017: 370 deliveries reported by 242 respondents. We conducted chi-square tests and multivariate logistic regressions, adjusting for the clustering of deliveries among respondents by computing standard errors allowing for intragroup correlation. Mode of delivery was associated with duration of residence among multiparous women with no prior CS, with a higher CS rate with shorter duration of residence (16% vs. 7%, p = 0.04). In this group, a previous delivery in France was associated with a lower CS rate (5% vs. 16%, p = 0.008). In multivariate analysis, compared with women with previous birth in France, women giving birth in France for the first time had a higher risk of CS, regardless of duration of residence (aOR = 4.0, 95% CI = 1.3–12.1 for respondents with short duration of residence, aOR = 4.7, 95% CI = 1.2–18.0 for respondents with longer duration of residence). Efforts directed at decreasing the CS rate among migrant women should target women giving birth in the host country for the first time. Taylor & Francis 2020-06-16 /pmc/articles/PMC7888083/ /pubmed/32544031 http://dx.doi.org/10.1080/26410397.2020.1763576 Text en © 2020 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Articles
Poncet, Lorraine
Panjo, Henri
Andro, Armelle
Ringa, Virginie
Caesarean delivery in a migration context: the role of prior delivery in the host country
title Caesarean delivery in a migration context: the role of prior delivery in the host country
title_full Caesarean delivery in a migration context: the role of prior delivery in the host country
title_fullStr Caesarean delivery in a migration context: the role of prior delivery in the host country
title_full_unstemmed Caesarean delivery in a migration context: the role of prior delivery in the host country
title_short Caesarean delivery in a migration context: the role of prior delivery in the host country
title_sort caesarean delivery in a migration context: the role of prior delivery in the host country
topic Research Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7888083/
https://www.ncbi.nlm.nih.gov/pubmed/32544031
http://dx.doi.org/10.1080/26410397.2020.1763576
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