Association of Acculturation with Cesarean Section among Latinas

Zlot, Amy; Jackson, Debra; Korenbrot, Carol C.

doi:10.1007/s10995-005-2447-3

Cited by 28 publications

(24 citation statements)

References 27 publications

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“…As previously reported, 16 women at SFGH who had higher educational attainment were more likely to have a cesarean delivery, which is consistent with national data on minority births since SFGH is a public hospital that provides services to an urban, underserved population. At the Kaiser Permanente site, we found that women who reported greater English proficiency were more likely to deliver via cesarean, which is consistent with another study 17 and indicates a need to address linguistic issues that influence the provision of care, especially at health care centers that serve women with limited English proficiency.…”

Section: Discussionsupporting

confidence: 90%

Interpersonal Processes of Care and Cesarean Delivery in Two Health Care Settings

et al. 2012

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Section: Discussionsupporting

confidence: 90%

Interpersonal Processes of Care and Cesarean Delivery in Two Health Care Settings

et al. 2012

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“…While there is insufficient evidence to support the biological argument [29, 30], the influence of socio-cultural attitudes toward childbirth has been demonstrated [31–35] in areas such as mode of delivery preferences [36], fear of birth [37], and communication patterns with delivery care providers [38–40]. Socio-cultural factors likely play a role in the decision to have a repeat cesarean or VBAC as such decisions are subject to clinical discretion and sensitive to women’s preferences.…”

Section: Discussionmentioning

confidence: 99%

Variation in Vaginal Birth After Cesarean by Maternal Race and Detailed Ethnicity

Edmonds

Hawkins

Cohen

2015

Matern Child Health J

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Objective Our objective was to examine the likelihood of vaginal birth after cesarean (VBAC) for women in Massachusetts. Methods We used birth certificate data among term, singleton, vertex presentation births by repeat cesarean or VBAC to conduct logistic regression models to examine the likelihood of VBAC for women categorized into standard classifications of race and ethnicity and into 31 detailed ethnicities. Data were analyzed for the entire study period (1996–2010, N = 119,752) and for the last 5 years (2006–2010, N = 46,081). Results The adjusted odds of VBAC were lowest for non-Hispanic Black mothers (0.91, CI [0.85, 0.98]) and highest for Asian/Pacific Islander mothers (1.41, CI [1.31, 1.53]) relative to non-Hispanic White women. VBAC rates ranged from 5.8 % among Brazilians to 29.3 % among Cambodians. The adjusted odds of VBAC were lower for 7 of the 30 ethnic groups (range of AORs 0.40–0.89) and higher for 8 of the 30 ethnic groups (range of AORs 1.18–2.11) relative to self-identified American mothers. For the last 5 years, Asian/Pacific Islander mothers had a higher adjusted VBAC rate (1.39, CI [1.21, 1.60]), as did 9 of the 30 ethnic groups (range of 1.25–1.84). Only Brazilian mothers had lower rates (0.37, CI [0.27, 0.50]), relative to self-identified American mothers. Conclusions Detailed maternal ethnicity explains the variation in VBAC rates more precisely than broad race/ethnicity categories. Improvements in our public health data infrastructure to capture detailed ethnicity are recommended to identify and address disparities and improve the quality of maternity care.

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“…Within a context of medicalized childbirth, pregnant women and caregivers can negotiate the decision to perform a cesarean section [29], [42], [43]. Ambiguities in the evaluation of obstetric risks,[29] and the practice of defensive medicine[44] allow non-medical factors play a role in the decision-making process [29], [42], [43].…”

Section: Discussionmentioning

confidence: 99%

“…Ambiguities in the evaluation of obstetric risks,[29] and the practice of defensive medicine[44] allow non-medical factors play a role in the decision-making process [29], [42], [43]. It has been reported that obstetricians in different European countries would perform a cesarean section in the absence of strict medical indication, simply because this is a woman's choice.…”

Section: Discussionmentioning

confidence: 99%

The Brazilian Preference: Cesarean Delivery among Immigrants in Portugal

et al. 2013

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ObjectiveTo evaluate how the country of origin affects the probability of being delivered by cesarean section when giving birth at public Portuguese hospitals.Study DesignWomen delivered of a singleton birth (n = 8228), recruited from five public level III maternities (April 2005–August 2006) during the procedure of assembling a birth cohort, were classified according to the country of origin and her migration status as Portuguese (n = 7908), non-Portuguese European (n = 84), African (n = 77) and Brazilian (n = 159). A Poisson model was used to evaluate the association between country of birth and cesarean section that was measured by adjusted prevalence ratio (PR) and respective 95% confidence intervals (95%CI).ResultsThe cesarean section rate varied from 32.1% in non-Portuguese European to 48.4% in Brazilian women (p = 0.008). After adjustment for potential confounders and compared to Portuguese women as a reference, Brazilian women presented significantly higher prevalence of cesarean section (PR = 1.26; 95%CI: 1.08–1.47). The effect was more evident among multiparous women (PR = 1.39; 95%CI: 1.12–1.73) and it was observed when cesarean section was performed either before labor (PR = 1.43; 95%CI: 0.99–2.06) or during labor (PR = 1.30; 95%CI: 1.07–1.58).ConclusionsThe rate of cesarean section was significantly higher among Brazilian women and it was independent of the presence of any known risk factors or usual clinical indications, suggesting that cultural background influences the mode of delivery overcoming the expected standard of care and outcomes in public health services.

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Association of Acculturation with Cesarean Section among Latinas

Abstract: In order to reduce the chances of unnecessary cesarean sections among Latinas, the role of acculturation in women who have and have not already given birth needs to be investigated further.

Cited by 28 publications

References 27 publications

Interpersonal Processes of Care and Cesarean Delivery in Two Health Care Settings

Interpersonal Processes of Care and Cesarean Delivery in Two Health Care Settings

Variation in Vaginal Birth After Cesarean by Maternal Race and Detailed Ethnicity

The Brazilian Preference: Cesarean Delivery among Immigrants in Portugal

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