ArticlePloS one2015
Caesarean Section Frequency among Immigrants, Second- and Third-Generation Women, and Non-Immigrants: Prospective Study in Berlin/Germany.
Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Maternal and neonatal outcomes of second-generation mothers in Europe: a systematic review.Globalization and health · 2025Pooled it
- Inequalities in health care utilization among migrants and non-migrants in Germany: a systematic review.International journal for equity in health · 2018Pooled it
- Obstetric outcomes in second-generation and migrant mothers: a cohort study in the Emilia-Romagna Region, Italy.Archives of gynecology and obstetrics · 2026Article
- Perinatal outcome of immigrant women with and without refugee status compared to non-immigrant women: results of the pregnancy and obstetric care for refugees (PROREF) cross-sectional study.Archives of gynecology and obstetrics · 2024Article
- Perinatal health among migrant women: A longitudinal register study in Finland 2000-17.SSM - population health · 2022Article
- Reasons for a Lower Rate of Epidural Anesthesia During Birth for Immigrant Women in the Eyes of Medical Staff: A Mixed-Methods Analysis.Journal of immigrant and minority health · 2022Article
- Health Care Services Utilization of Persons with Direct, Indirect and without Migration Background in Germany: A Longitudinal Study Based on the German Socio-Economic Panel (SOEP).International journal of environmental research and public health · 2021Article
- Caesarean delivery in a migration context: the role of prior delivery in the host country.Sexual and reproductive health matters · 2020Article
- Article
- Observational
- Socioeconomic and migration status as predictors of emergency caesarean section: a birth cohort study.BMC pregnancy and childbirth · 2020Article
- Advanced cervical dilatation as a predictor for low emergency cesarean delivery: a comparison between migrant and non-migrant Primiparae - secondary analysis in Berlin, Germany.BMC pregnancy and childbirth · 2019Article
- Migration Background Should Be Considered.Deutsches Arzteblatt international · 2018Article
- Social and health epidemiology of immigrants in Germany: past, present and future.Public health reviews · 2016Review
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe frequency of caesarean section delivery varies between countries and social groups. Among other factors, it is determined by the quality of obstetrics care. Rates of elective (planned) and emergency (in-labor) caesareans may also vary between immigrants (first generation), their offspring (second- and third-generation women), and non-immigrants because of access and language barriers. Other important points to be considered are whether caesarean section indications and the neonatal outcomes differ in babies delivered by caesarean between immigrants, their offspring, and non-immigrants.
methodsA standardized interview on admission to delivery wards at three Berlin obstetric hospitals was performed in a 12-month period in 2011/2012. Questions on socio-demographic and care aspects and on migration (immigrated herself vs. second- and third-generation women vs. non-immigrant) and acculturation status were included. Data was linked with information from the expectant mothers' antenatal records and with perinatal data routinely documented in the hospital. Regression modeling was used to adjust for age, parity and socio-economic status.
resultsThe caesarean section rates for immigrants, second- and third-generation women, and non-immigrant women were similar. Neither indications for caesarean section delivery nor neonatal outcomes showed statistically significant differences. The only difference found was a somewhat higher rate of crash caesarean sections per 100 births among first generation immigrants compared to non-immigrants.
conclusionUnlike earlier German studies and current studies from other European countries, this study did not find an increased rate of caesarean sections among immigrants, as well as second- and third-generation women, with the possible exception of a small high-risk group. This indicates an equally high quality of perinatal care for women with and without a migration history.
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