Delivery and its complications among women of Somali, Kurdish, and Russian origin, and women in the general population in Finland

Bastola, Kalpana; Koponen, Päivikki; Härkänen, Tommi; Luoto, Riitta; Gissler, Mika; Kinnunen, Tarja I.

doi:10.1111/birt.12357

Cited by 14 publications

(24 citation statements)

References 22 publications

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“…Our findings are broadly comparable to these findings, although we studied emergency and elective caesarean deliveries separately. Our previous study on delivery complications among Somali‐, Russian‐, and Kurdish‐origin migrant women in Finland reported that Russian women were less likely to have a caesarean delivery, which is similar to the findings of this study. We had a smaller and individual country‐specific sample in our previous study, whereas the current study used a larger nationwide data set.…”

Section: Commentsupporting

confidence: 90%

“…The most common risk factors associated with caesarean delivery among migrants are low‐level language skills, lower socio‐economic position, poor maternal health, higher BMI, foetopelvic disproportion, and lack of prenatal care . It has been suggested that the higher risk of elective caesarean deliveries among Latin American/Caribbean‐origin women may also be related to their cultural preferences . Our previous studies on pre‐pregnancy BMI and pregnancy complications (unpublished, under review) among migrant women in Finland showed that Russian women had lower pre‐pregnancy BMI and statistically insignificant lower incidence of pregnancy‐related diabetes and pregnancy‐induced hypertension compared with women in the general population.…”

Section: Commentmentioning

confidence: 98%

“…An earlier Finnish study found that women from Eastern Europe, the Middle East, North Africa, South Asia, and Somalia had a significantly higher risk of low birthweight and preterm birth than Finnish women . Some more recent studies with relatively small sample sizes among women of Somali, Kurdish, and Russian origin in Finland found that women of Somali and Kurdish origin had a higher pre‐pregnancy body mass index (BMI), and Somali women had an increased risk of any delivery complication (obstructed labour, foetal stress, perineal laceration, or postpartum haemorrhage) compared with women in the general Finnish population. Based on these findings, we assumed that some differences would be observed in neonatal outcomes between women of migrant origin and women of Finnish origin.…”

Section: Introductionmentioning

confidence: 99%

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Differences in caesarean delivery and neonatal outcomes among women of migrant origin in Finland: A population‐based study

Bastola

Koponen

Gissler

et al. 2020

Paediatric Perinatal Epid

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Background: In Finland, limited information is available on neonatal disparities among women of migrant origin.Objective: This study investigated differences in caesarean delivery and neonatal outcomes between women of migrant origin and Finnish women in Finland. Methods:The study was based on nationwide data from the Medical Birth Register of Finland. Our study included information on the most recent singleton birth of women delivering between January 2004 and December 2014 (N = 382 233). Women were classified into nine regional categories based on their country of origin. Generalized linear models were used to describe associations between country of origin and pregnancy outcomes adjusted for maternal age, socio-economic status, pre-pregnancy body mass index, parity, marital status, smoking during pregnancy, and delivery year.Finnish women were the reference group.Results: Among the study population, almost 92% of women were of Finnish origin; the remaining 8% were of migrant origin. Among the migrant women, those of Russian/former USSR origin were the largest group (n = 11 994); the smallest group was women of Latin American/Caribbean origin (n = 739). Compared with Finnish women, women of sub-Saharan African, South Asian, and East Asian origin were at greater risk of emergency caesarean delivery, preterm birth, low birthweight, and lower five-minute Apgar scores for newborns. Latin American/Caribbean-origin women were at increased risk of both elective and emergency caesarean delivery and lower five-minute Apgar scores compared with Finnish women. Women of Russian/ former USSR origin overall had a lower risk of caesarean delivery and poor neonatal outcomes compared with Finnish women. Conclusions:We identified sub-Saharan African, South Asian, and East Asian women as higher-risk groups, and women from Russia/former USSR as a lower-risk group, for emergency caesarean delivery and poor neonatal outcome compared with Finnish women. More research is needed to identify the reasons for these differences by country of origin in Finland. K E Y W O R D Scaesarean delivery, Finland, migrants, neonatal outcomes | 13 BASTOLA eT AL.

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Section: Commentsupporting

confidence: 90%

Section: Commentmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

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Differences in caesarean delivery and neonatal outcomes among women of migrant origin in Finland: A population‐based study

Bastola

Koponen

Gissler

et al. 2020

Paediatric Perinatal Epid

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“…Acknowledging the cultural aspects may facilitate improvements in reproductive health care and focus on these women's specific needs. Somali women are a highrisk group that demands special attention and care [27].…”

Section: Discussionmentioning

confidence: 99%

The lived experience among Somali women of giving birth in Sweden: an interpretive phenomenological study

Wallmo

Allgurin

Berterö

2020

BMC Pregnancy Childbirth

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Background: The health care-seeking behaviour among Somali women is different from Swedish women's behaviour, and this may have consequences for birth giving. The aim of the study was to identify and describe Somali women's lived experience of birth giving in Sweden. Methods: Qualitative individual interviews were conducted in Swedish with seven Somali women. The sample was purposeful, and the snowball sampling method was used. The interviews were digitally recorded and transcribed verbatim. Data were analysed using interpretative phenomenological analysis. Results: Four themes emerged during the analysis which revealed the Somali women's lived experiences of giving birth in Sweden. a) Being recognised and confirmed as a woman. Somali women consider it important to be confirmed as a woman by the surrounding and professionals during pregnancy and birth giving. b) Communication is important for the women's independence. There is a need to provide a structure for how this information is given and adaptation regarding content and format .c) Something naturally becomes unknown and complicated. Somali women come from a different culture, which affects their lived experiences of pregnancy and birth giving. There is a need for improved and clearer information for these Somali women regarding pregnancy and birth giving in another culture-the Swedish context d) Professional and competent taking care of. The women appreciate if they are treated with competency and professionalism; they do not want to be discriminated. The women feel confidence in health care when they meet competent and professional health care professionals. Conclusions: The findings in the study indicate that reproductive health care for Somali women should be improved with regard to cultural differences and lived experiences, as this affects their experience of pregnancy and childbirth in Sweden. There is a need for both knowledge and understanding in order to provide good quality care for these Somali women, especially those who have been genitally mutilated.

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“…[6][7][8][9][10][11][12][13][14] However, the results of previous studies have been inconsistent regarding mode of birth, 7,8,10,12,13,15 maternal outcomes 8,10,11 and interventions, 7,15 reflecting heterogeneous study populations, designs and exposure group definitions. Theories regarding better/adverse perinatal outcomes include the healthy migrant effect, 12 socioeconomic disadvantage, 7,8,[10][11][12]16 suboptimal use or access to care, [7][8][9]11,13,16 underlying conditions in the mother 7,10,12,15,16 and the stress of migration. 11,16 Despite increasing global attention to migrants' health, 17 there is limited knowledge on the perinatal health of migrant women in…”

Section: Introductionmentioning

confidence: 99%

Challenges in migrant women’s maternity care in a high‐income country: A population‐based cohort study of maternal and perinatal outcomes

Guðmundsdóttir

Gottfreðsdóttir

Hálfdánsdóttir

et al. 2021

Acta Obstet Gynecol Scand

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Delivery and its complications among women of Somali, Kurdish, and Russian origin, and women in the general population in Finland

Abstract: Delivery complications were more common among migrant Somali women than among women in the general Finnish population. Somali women represent a high-risk group calling for special attention and care.

Cited by 14 publications

References 22 publications

Differences in caesarean delivery and neonatal outcomes among women of migrant origin in Finland: A population‐based study

Differences in caesarean delivery and neonatal outcomes among women of migrant origin in Finland: A population‐based study

The lived experience among Somali women of giving birth in Sweden: an interpretive phenomenological study

Challenges in migrant women’s maternity care in a high‐income country: A population‐based cohort study of maternal and perinatal outcomes

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