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CC BY-NC-ND 4.0 · Geburtshilfe Frauenheilkd 2018; 78(07): 697-706
DOI: 10.1055/a-0636-4224
GebFra Science
Original Article/Originalarbeit
Georg Thieme Verlag KG Stuttgart · New York

Perinatal Outcome in Women with a Vietnamese Migration Background – Retrospective Comparative Data Analysis of 3000 Deliveries

Article in several languages: English | deutsch
Nicole Boxall   *
1   Charité – Universitätsmedizin Berlin, Klinik für Gynäkologie, Campus Virchow-Klinikum, Berlin, Germany
,
Matthias David   *
1   Charité – Universitätsmedizin Berlin, Klinik für Gynäkologie, Campus Virchow-Klinikum, Berlin, Germany
,
Elisabeth Schalinski
2   Vivantes Klinikum im Friedrichshain, Klinik für Gynäkologie und Geburtsmedizin, Berlin, Germany
,
Jürgen Breckenkamp
3   Universität Bielefeld, Fakultät für Gesundheitswissenschaften, AG 3 – Epidemiologie & International Public Health, Bielefeld, Germany
,
Oliver Razum
3   Universität Bielefeld, Fakultät für Gesundheitswissenschaften, AG 3 – Epidemiologie & International Public Health, Bielefeld, Germany
,
Lars Hellmeyer
2   Vivantes Klinikum im Friedrichshain, Klinik für Gynäkologie und Geburtsmedizin, Berlin, Germany
› Author Affiliations
Further Information

Publication History

received 10 October 2017
revised 29 May 2018

accepted 29 May 2018

Publication Date:
25 July 2018 (online)

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Abstract

Introduction Perinatal data of women with a Vietnamese migration background have not been systematically studied in Germany to date. Numerous details of important maternal and child outcomes were compared and analysed. The studyʼs primary parameters were the frequency of and indication for c-section.

Methodology The perinatal data from a Berlin hospital were analysed retrospectively. The women (Vietnamese migration background vs. autochthonous) were grouped using name analysis. Datasets of 3002 women giving birth, including 999 women with a Vietnamese migration background, were included. The associations between primary or secondary cesarean delivery and different child outcomes depending on the migration background (exposure) were studied using logistical regression analysis.

Results Women with a Vietnamese migration background have a lower c-section rate of 8.0% for primary and 12.6% for secondary c-section than women without a migration background (11.1% primary and 16.4% secondary c-section respectively). Regression analysis shows that the odds that women with a Vietnamese migration background will have a primary (OR 0.75; p = 0.0884) or secondary c-section (OR 0.82; p = 0.1137) are not significantly lower. A Vietnamese migration background was associated with higher odds for an episiotomy but not for a grade 3 – 4 perineal tear. A Vietnamese migration background does not have a significant influence on poor 5-min Apgar scores ≤ 7 and low umbilical cord arterial pH values ≤ 7.10. Newborns of mothers with a Vietnamese migration background have higher odds of a relatively higher birth weight (> 3110 g).

Summary There was no evidence that women with a Vietnamese migration background are delivered more often by caesarean section. There were also no differences as regards important child outcome data from women in the comparator group. Overall, the results do not provide any evidence for poorer quality of care of women with a Vietnamese migration background in Berlin despite the cultural and communication barriers in the reality of care provision.

Key words

migration - women with a Vietnamese migration background - perinatal data - caesarean section

* Joint first authors


 

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