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    Perinatal complications and cesarean delivery among foreign-born and Australian-born women in Western Australia, 1998-2006

    Access Status
    Fulltext not available
    Authors
    von Katterfeld, B.
    Li, Jianghong
    McNamara, Beverley
    Langridge, A.
    Date
    2012
    Type
    Journal Article
    
    Metadata
    Show full item record
    Citation
    von Katterfeld, Brilliana and Li, Jianghong and McNamara, Beverley and Langridge, Amanda T. 2012. Perinatal complications and cesarean delivery among foreign-born and Australian-born women in Western Australia, 1998-2006. International Journal of Gynaecology and Obstetrics. 116 (2): pp. 153-157.
    Source Title
    International Journal of Gynaecology and Obstetrics
    DOI
    10.1016/j.ijgo.2011.09.012
    ISSN
    00207292
    School
    Centre for Population Health
    URI
    http://hdl.handle.net/20.500.11937/10912
    Collection
    • Curtin Research Publications
    Abstract

    Objective: To determine whether common perinatal complications could explain variation in risk of cesarean among foreign-born and Australian-born women in Western Australia (WA). Methods: Complication prevalence was calculated using the linked records of 208 982 confinements to non-indigenous women in WA between 1998 and 2006. Logistic regression was used to estimate differences in risk of elective cesarean and emergency cesarean compared with vaginal delivery for foreign-born women from different regions. Results: The most common complications in emergency cesareans were failure to progress (36.7%) and fetal distress (35.7%). The most common complications in elective cesareans were previous cesarean (56.2%) and malpresentation (16.3%). Women from Sub-Saharan Africa, Southeast Asia, and Southern and Central Asia had an increased risk of emergency cesarean compared with Australian-born women (P < 0.05), whereas women from Oceania, North Africa and the Middle East, and Northeast Asia had a decreased likelihood of elective cesarean compared with Australian-born women (P < 0.05). Conclusion: Complication prevalence varied by maternal region of birth. However, variation in these complications does not completely explain differences in mode of delivery among foreign-born and Australian-born women in WA. Sociocultural factors must be considered in future research and when establishing culturally appropriate guidelines for obstetric staff dealing with foreign-born women.

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