Observational studyBMC pregnancy and childbirth2015
Immigrants from conflict-zone countries: an observational comparison study of obstetric outcomes in a low-risk maternity ward in Norway.
Observational study in BMC pregnancy and childbirth, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 3 of them syntheses that pooled it.
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Who cites it
24 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Perinatal and Neonatal Outcomes in Immigrants From Conflict-Zone Countries: A Systematic Review and Meta-Analysis of Observational Studies.Frontiers in public health · 2022Pooled it
- Adverse Pregnancy Outcomes and International Immigration Status: A Systematic Review and Meta-analysis.Annals of global health · 2022Pooled it
- Pregnancy-Related Hypertensive Disorders and Immigrant Status: A Systematic Review and Meta-analysis of Epidemiological Studies.Journal of immigrant and minority health · 2017Pooled it
- Potentially traumatic experiences and mental health among asylum-seeking women of reproductive age: The significance of sexual violence and contextual risk factors.Archives of women's mental health · 2026Article
- Perinatal outcomes during wartime: a multicenter retrospective cohort study in Israel, 2022-2024.BMC pregnancy and childbirth · 2025Article
- Disparities in Obstetric and Anaesthetic Care Between Migrant and Native Populations in High-Income Countries: A Narrative Review.Acta medica academica · 2025Review
- Maternal and perinatal outcomes of Somali migrant women in comparison to host populations in the Global North: a systematic review and meta-analysis.Maternal health, neonatology and perinatology · 2025Review
- Language barriers and cultural differences in childbirth: A qualitative study of Somali women's experiences in Norway.European journal of midwifery · 2025Article
- Multicultural doula support and obstetric and neonatal outcomes: a multi-centre comparative study in Norway.BMC pregnancy and childbirth · 2024Article
- Are rates of clinical interventions during pregnancy and childbirth different for refugees and asylum seekers in high-income countries? A scoping review.BMC pregnancy and childbirth · 2024Article
- Immigrant women's experience of labor and birth.Revista da Escola de Enfermagem da U S P · 2024Article
- Article
- Use of pain management in childbirth among migrant women in Iceland: A population-based cohort study.Birth (Berkeley, Calif.) · 2022Article
- Prenatal care adequacy of migrants born in conflict-affected countries and country-born parturients in Finland.Journal of migration and health · 2022Article
- The Insight into Obstetric Care near the Front Line in Kharkiv.Acta medica Lituanic · 2022Article
- Community-based bilingual doulas for migrant women in labour and birth - findings from a Swedish register-based cohort study.BMC pregnancy and childbirth · 2020Article
- Antenatal Care Utilization and Obstetric and Newborn Outcomes Among Pregnant Refugees Attending a Specialized Refugee Clinic.Journal of immigrant and minority health · 2020Article
- The provision of epidural analgesia during labor according to maternal birthplace: a Norwegian register study.BMC pregnancy and childbirth · 2020Article
- Observational
- Are preterm birth and intra-uterine growth restriction more common in Western Australian children of immigrant backgrounds? A population based data linkage study.BMC pregnancy and childbirth · 2019Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundImmigrants have higher risks for some adverse obstetric outcomes. Furthermore, refugees are reported to be the most vulnerable group. This study compared obstetric outcomes between immigrant women originating from conflict-zone countries and ethnic Norwegians who gave birth in a low-risk setting.
methodsThis was a population-based study linking the Medical Birth Registry of Norway to Statistics Norway. The study included the first registered birth during the study period of women from Somalia (n = 278), Iraq (n = 166), Afghanistan (n = 71), and Kosovo (n = 67) and ethnic Norwegians (n = 6826) at Baerum Hospital from 2006-2010. Background characteristics and obstetric outcomes of each immigrant group were compared with ethnic Norwegians with respect to proportions and risks calculated by logistic regression models.
resultsIn total, 7408 women and their births were analyzed. Women from Somalia were most at risk for adverse obstetric outcomes. Compared with ethnic Norwegians, they had increased odds ratios (OR) for emergency cesarean section (OR 1.81, CI 1.17-2.80), postterm birth (OR 1.93, CI 1.29-2.90), meconium-stained liquor (OR 2.39, CI 1.76-3.25), and having a small-for-gestational-age infant (OR 3.97, CI 2.73-5.77). They had a reduced OR for having epidural analgesia (OR 0.40, CI 0.28-0.56) and a large-for-gestational-age infant (OR 0.32, CI 0.16-0.64). Women from Iraq and Afghanistan had increased risk of having a small-for-gestational-age infant with OR of 2.21 (CI 1.36-3.60) and 2.77 (CI 1.42-5.39), respectively. Iraqi women also had reduced odds ratio of having a large-for-gestational-age infant (OR 0.35, CI 0.15-0.83). Women from Kosovo did not differ from ethnic Norwegians in any of the outcomes we tested.
conclusionsEven in our low-risk maternity ward, women originating from Somalia were at the greatest risk for adverse obstetric outcomes in the compared groups. We could not find the same risk among the other immigrant women, also originating from conflict-zone countries. Several factors may influence these findings, and this study suggests that immigrant women from Somalia need more targeted care during pregnancy and childbirth.
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