CC BY-NC-ND 4.0 · Geburtshilfe Frauenheilkd 2018; 78(02): 167-172
DOI: 10.1055/s-0044-100147
GebFra Science
Original Article/Originalarbeit
Georg Thieme Verlag KG Stuttgart · New York

Does an Immigrant Background Affect the Indication, Incidence or Outcome of Emergency Cesarean Section? Results of the Prospective Data Collection of 111 Births

Article in several languages: English | deutsch
Matthias David
1   Charité-Universitätsmedizin Berlin, Klinik für Gynäkologie, Campus Virchow-Klinikum, Berlin, Germany
,
Katrin Alexandra Scherer
1   Charité-Universitätsmedizin Berlin, Klinik für Gynäkologie, Campus Virchow-Klinikum, Berlin, Germany
,
Wolfgang Henrich
2   Charité-Universitätsmedizin Berlin, Kliniken für Geburtsmedizin, Campus Virchow-Klinikum und Campus Charité Mitte, Berlin, Germany
,
Jürgen Breckenkamp
3   Universität Bielefeld, Fakultät für Gesundheitswissenschaften, AG Epidemiologie und International Public Health, Bielefeld, Germany
› Author Affiliations
Further Information

Publication History

received 06 November 2017
revised 03 January 2018

accepted 03 January 2018

Publication Date:
19 February 2018 (online)

Abstract

Objectives Does the incidence and/or indication(s) for emergency cesarean section differ if the pregnant woman has an immigrant background (IB)? Does a lack of language proficiency (communication problems) and a low acculturation level result in a longer decision-to-delivery interval (D-D interval)? Are neonates born to women with IB by emergency cesarean section in a poorer condition post delivery?

Patient cohorts and method Standardized interviews were carried out before or immediately after delivery in three Berlin obstetric hospitals. Questions were asked about the sociodemographic background and care aspects as well as about immigration and level of acculturation. Collected data were linked to information obtained from the expectant motherʼs antenatal records and to care data and perinatal data routinely recorded by the hospitals. Data was analyzed using regression models which adjusted for age, parity, and socio-economic status.

Results The total patient population consisted of 7100 women (rate of response: 89.6%); of these women, 111 required emergency cesarean section (50 women without IB, 61 immigrant women). Risk factors such as late first antenatal check-up, gestational diabetes, pregnancy-induced hypertension, fetal macrosomia, smoking, and weight gain were similar in both patient cohorts. The incidence of and indications for emergency cesarean section and the D-D interval were similar for both groups. Limited German language proficiency and low levels of acculturation among immigrant women did not prolong the D-D interval. There were no statistically relevant differences between immigrant and non-immigrant cohorts with regard to adverse neonatal conditions (5-minute Apgar score ≤ 7, umbilical cord arterial pH < 7.00) or with regard to immediate transfer of the neonate to a pediatric clinic following emergency cesarean section.

Conclusion The factor “immigrant background” did not affect the indication or obstetric outcome following emergency cesarean section.

 
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