Allophone immigrant women’s knowledge and perceptions of epidural analgesia for labour pain: a qualitative study

Dao, Melissa Dominicé; Gerosa, Désirée; Pelieu, Iris; Haller, Guy

doi:10.1136/bmjopen-2021-057125

Cited by 3 publications

(2 citation statements)

References 37 publications

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“…Consistent with the findings of other studies in which fears of pharmaceutical pain relief have been expressed [ 17 , 26 , 28 ], Eritrean women in Switzerland in a qualitative study, expressed particular concerns about the potential side effects associated with epidural analgesia [ 48 ]. These concerns included worries about interference with the natural birth process, such as the inability to push or the fear of being unable to walk after receiving epidural analgesia.…”

Section: Discussionsupporting

confidence: 74%

Obstetric Outcomes of Eritrean Immigrants in Switzerland: A Comparative Study

Erhardt,

Jafflin,

Zepro

et al. 2024

Int J Public Health

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Objectives: This study aims to compare obstetric outcomes between Eritrean and Swiss women in Switzerland, focusing on instrumental or surgical interventions and analgesia use.Methods: The study included data from 45,412 Swiss and 1,132 Eritrean women who gave birth in Swiss hospitals (2019–2022). Mixed-effects logistic regression was used to assess the effect of nationality on mode of delivery and analgesia use and multinomial mixed-effects logistic regression to assess the effect of nationality on mode of delivery in women intended for spontaneous vaginal delivery.Results: Compared with Swiss, Eritrean women had a lower rate of primary C-section (Adj. OR 0.73, 95% CI [0.60, 0.89]) but a higher risk of initially planned vaginal deliveries ending in emergency C-section (RRR 1.31, 95% CI [1.05, 1.63]). Eritrean women were less likely to receive epidural analgesia (Adj. OR 0.53, 95% CI [0.45, 0.62]) and more likely to not receive any analgesia (Adj. OR 1.73, 95% CI [1.52, 1.96]).Conclusion: This study reveals disparities in obstetric care, notably in higher emergency C-section rates and lower analgesia use among Eritrean women. For promoting equitable healthcare practices deeper understanding of obstetrics decision-making is needed.

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Section: Discussionsupporting

confidence: 74%

Obstetric Outcomes of Eritrean Immigrants in Switzerland: A Comparative Study

Erhardt,

Jafflin,

Zepro

et al. 2024

Int J Public Health

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“…Our findings are in contrast to the global reports. According to the literature worldwide, the level of women’s knowledge about non-pharmacological [ 10 , 18 , 38 , 39 ] and pharmacological [ 18 , 32 , 40 , 41 , 42 ] methods of pain management strategies in labor remains low. Approximately 16.3%–35.3% of the respondents report awareness of at least one technique of non-pharmacological pain relief in labor [ 10 , 18 , 38 , 39 ].…”

Section: Discussionmentioning

confidence: 99%

Women’s Knowledge about Pharmacological and Non-Pharmacological Methods of Pain Relief in Labor

et al. 2023

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This study aimed to assess knowledge about non-pharmacological pain-relief methods in labor among women who have given birth at least once. This cross-sectional study was conducted using an online survey among 466 adult women. The minimum sample size was estimated based on the number of labor admissions in the year before the study in Poland. The survey included questions about respondents’ sociodemographics and knowledge of pain-relief methods. The knowledge score was calculated using the sum of correct answers. Non-parametric Spearman’s correlation, Kruskal–Wallis and Wilcoxon variance tests were used. Antenatal classes (313/68.9%) and the Internet (248/54.6%) were the most common sources of knowledge. The most popular pharmacological pain-relief methods included epidural anesthesia (386/85.0%) and nitrous oxide (301/66.3%). Massage and breathing techniques were the most commonly known non-pharmacological methods (405/89.2% and 400/88.1%, respectively). The knowledge score about non-pharmacological methods was significantly higher as compared to the pharmacological methods score (rc = 0.85; p < 0.001). Respondents’ age correlated with knowledge about non-pharmacological methods (rs = −0.10,p = 0.026) but did not correlate with knowledge about pharmacological methods. Educational level correlated with knowledge about pharmacological (rs = −0.13,p = 0.007) and non-pharmacological (rs = 0.14, p = 0.003) methods concerning pain relief in labor. No correlation was found between respondents’ knowledge and gravidity, number of vaginal or cesarean deliveries, and hospital referral levels for previous deliveries. Our findings support the need to implement educational programs to increase evidence-based knowledge about pain-relief methods during labor in women.

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Do the Antenatal Care and Perinatal Outcomes of Women with a Vietnamese Migration Background Differ from Those of Other Women?

Lorenz-Meyer,

Sziborra,

Henrich

et al. 2025

Geburtshilfe Frauenheilkd

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In Germany, 0.25% of the total population are persons with a Vietnamese migration background. There are almost no studies on this particular group of immigrants. We compared the perinatal data of women with a Vietnamese migration background with the pregnancy outcomes of non-Vietnamese women also living in Germany.After using name analysis to allocate women into different groups, the perinatal data of women with a Vietnamese migration background who gave birth between 1.1.2016 and 31.12.2019 in Campus Charité Mitte in Berlin were retrospectively evaluated. These data were compared in a 3:1 ratio with the data of women of non-Vietnamese origin and the same age and parity. Multivariate regression analysis was used to determine factors which influenced caesarean section rates, the transfer rates of neonates to the neonatal department, and the rates of higher degree perineal tears.The perinatal data of 470 women with a Vietnamese migration background, 209 (44.5%) of whom were registered as living in a refugee shelter, were compared with those of 1410 controls. An “ideal pregnancy outcome,” which included giving birth after 37 + 0 weeks of gestation, a 5-minute Apgar score ≥ 8, arterial cord blood pH ≥ 7.20, no transfer of the newborn to the neonatal department, and spontaneous birth or vacuum extraction without a higher degree perineal tear, was recorded for 44.5% of women with and 38.1% of women without a Vietnamese migration background (p = 0.1), despite the lower attendance rates at antenatal screening appointments of Vietnamese women. Accommodation in a shelter for refugees was a protective factor against caesarean section (OR 0.5, 95% CI: 0.36–0.73) and transfer of the newborn to the neonatal department (OR 0.45, 95% CI: 0.23–0.89). A Vietnamese migration background was a risk factor for a third-degree perineal tear (OR 5.4, 95% CI: 1.4–21.30)Despite lower levels of antenatal care, women with a Vietnamese migration background did not have poorer pregnancy outcomes.

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Allophone immigrant women’s knowledge and perceptions of epidural analgesia for labour pain: a qualitative study

Cited by 3 publications

References 37 publications

Obstetric Outcomes of Eritrean Immigrants in Switzerland: A Comparative Study

Obstetric Outcomes of Eritrean Immigrants in Switzerland: A Comparative Study

Women’s Knowledge about Pharmacological and Non-Pharmacological Methods of Pain Relief in Labor

Do the Antenatal Care and Perinatal Outcomes of Women with a Vietnamese Migration Background Differ from Those of Other Women?

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