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Epidural analgesia ...
Epidural analgesia for labour pain in nulliparous women in Norway in relation to maternal country of birth and migration related factors
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- Aasheim, Vigdis (författare)
- Western Norway Univ Appl Sci, Fac Hlth & Social Sci, Bergen, Norway.
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- Nilsen, Roy M. (författare)
- Western Norway Univ Appl Sci, Fac Hlth & Social Sci, Bergen, Norway.
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- Vik, Eline Skirnisdottir (författare)
- Western Norway Univ Appl Sci, Fac Hlth & Social Sci, Bergen, Norway.;Univ Bergen, Dept Global Publ Hlth & Primary Care, Bergen, Norway.
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- Small, Rhonda (författare)
- Karolinska Inst, Dept Womens & Childrens Hlth, Stockholm, Sweden.;Judith Lumley Ctr, Melbourne, Vic, Australia.
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- Schytt, Erica (författare)
- Uppsala universitet,Centrum för klinisk forskning Dalarna,Western Norway Univ Appl Sci, Fac Hlth & Social Sci, Bergen, Norway.
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Western Norway Univ Appl Sci, Fac Hlth & Social Sci, Bergen, Norway Western Norway Univ Appl Sci, Fac Hlth & Social Sci, Bergen, Norway.;Univ Bergen, Dept Global Publ Hlth & Primary Care, Bergen, Norway. (creator_code:org_t)
- ELSEVIER IRELAND LTD, 2020
- 2020
- Engelska.
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Ingår i: Sexual & Reproductive HealthCare. - : ELSEVIER IRELAND LTD. - 1877-5756 .- 1877-5764. ; 26
- Relaterad länk:
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https://doi.org/10.1...
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https://uu.diva-port... (primary) (Raw object)
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https://doi.org/10.1...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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http://kipublication...
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Abstract
Ämnesord
Stäng
- Objective: To investigate associations between maternal country of birth and other migration related factors (length of residence, reason for migration, paternal origin) and epidural analgesia for labour pain in nulliparous women in Norway.Design: Population-based register study including nulliparous migrant women (n = 75,922) and non-migrant women (n = 444,496) with spontaneous or induced labour. Data were retrieved from the Medical Birth Registry and Statistics Norway, 1990-2013. Odds ratios (OR) with 95% confidence intervals (CI) were estimated by logistic regression, and adjusted for maternal age, marital status, maternal education, gross income, birth year, hospital size and health region.Main outcome: Epidural analgesia for labour pain.Results: Epidural analgesia was administered to 38% of migrant women and 31% of non-migrant women. Compared with non-migrants, the odds of having epidural analgesia were lowest in women from Vietnam (adjOR 0.54; CI 0.50-0.59) and Somalia (adjOR 0.63; CI 0.58-0.68) and highest in women from Iran (adjOR 1.32; CI 1.19-1.46) and India (adjOR 1.19; CI 1.06-1.33). Refugees (adjOR 0.83; CI 0.79-0.87) and newly arrived migrants (adjOR 0.92; CI 0.89-0.94) had lower odds of epidural analgesia. Migrant women with a non-migrant partner (adjOR 1.14; CI 1.11-1.17) and those with length of residence >= 10 years (adjOR 1.06; CI 1.02-1.10) had higher odds.Conclusion: The use of epidural analgesia varied by maternal country of birth, reason for migration, paternal origin and length of residence. Midwives and obstetricians should pay extra attention to the provision of adequate information about pain relief options for refugees and newly arrived migrants, who had the lowest use.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
Nyckelord
- Epidural analgesia
- Migration
- Immigrant
- Country of birth
- Register study
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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