OBJECTIVE: To determine the predictors of emergency cesarean delivery among international migrant women. METHODS: Between February 2006 and May 2009, 1025 postpartum migrant women were recruited from 12 hospitals in Toronto, Montreal, and Vancouver. Logistic regression was used to model migration, social, health service, and biomedical factors predictive of emergency cesarean. RESULTS: Overall, 14% percent of participants underwent emergency cesarean. The greatest risk was for women having their first delivery (odds ratio [OR], 5.9; 95% confidence interval [CI], 3.1-11.3); newborns weighing 4000g or more (OR, 3.5; 95% CI, 1.9-6.5); no health insurance (OR, 2.8; 95% CI, 1.2-6.4); delivery on a Friday (OR, 2.2; 95% CI, 1.2-3.9); incomes of less than 30 000 Canadian dollars (OR, 1.9; 1.2-3.0); and induced labor (OR, 1.8; 95% CI, 1.1-3.0). Compared with immigrants, asylum seekers (OR, 0.3; 95% CI, 0.2-0.6) and refugees (OR, 0.5; 95% CI, 0.2-1.0) were protected against emergency cesarean. CONCLUSION: Indicators specific to, or more common among, migrants were informative in assessing the likelihood of emergency cesarean. The risk associated with being uninsured, day of delivery, income, and immigration class suggests the importance of considering non-biomedical factors in reducing the need for emergency cesarean among migrants.
OBJECTIVE: To determine the predictors of emergency cesarean delivery among international migrant women. METHODS: Between February 2006 and May 2009, 1025 postpartum migrant women were recruited from 12 hospitals in Toronto, Montreal, and Vancouver. Logistic regression was used to model migration, social, health service, and biomedical factors predictive of emergency cesarean. RESULTS: Overall, 14% percent of participants underwent emergency cesarean. The greatest risk was for women having their first delivery (odds ratio [OR], 5.9; 95% confidence interval [CI], 3.1-11.3); newborns weighing 4000g or more (OR, 3.5; 95% CI, 1.9-6.5); no health insurance (OR, 2.8; 95% CI, 1.2-6.4); delivery on a Friday (OR, 2.2; 95% CI, 1.2-3.9); incomes of less than 30 000 Canadian dollars (OR, 1.9; 1.2-3.0); and induced labor (OR, 1.8; 95% CI, 1.1-3.0). Compared with immigrants, asylum seekers (OR, 0.3; 95% CI, 0.2-0.6) and refugees (OR, 0.5; 95% CI, 0.2-1.0) were protected against emergency cesarean. CONCLUSION: Indicators specific to, or more common among, migrants were informative in assessing the likelihood of emergency cesarean. The risk associated with being uninsured, day of delivery, income, and immigration class suggests the importance of considering non-biomedical factors in reducing the need for emergency cesarean among migrants.
Authors: Susitha Wanigaratne; Donald C Cole; Kate Bassil; Ilene Hyman; Rahim Moineddin; Marcelo L Urquia Journal: Am J Public Health Date: 2015-10-15 Impact factor: 9.308
Authors: Mon H Tun; Radha Chari; Padma Kaul; Fabiana V Mamede; Mike Paulden; Diana L Lefebvre; Stuart E Turvey; Theo J Moraes; Malcolm R Sears; Padmaja Subbarao; Piush J Mandhane Journal: PLoS One Date: 2022-10-06 Impact factor: 3.752
Authors: Helen J Rogers; Lily Hogan; Dominiek Coates; Caroline S E Homer; Amanda Henry Journal: BMC Womens Health Date: 2021-05-27 Impact factor: 2.809
Authors: Fatou Jatta; Johanne Sundby; Siri Vangen; Benedikte Victoria Lindskog; Ingvil Krarup Sørbye; Katrine Mari Owe Journal: Int J Environ Res Public Health Date: 2021-06-01 Impact factor: 3.390