ArticleWomen & health2016
Maternal language and adverse birth outcomes in a statewide analysis.
Article in Women & health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers, 6 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
46 citing papers in PubMed, 6 syntheses or guidelines pooled it, 86 citations in OpenAlex.
- Postpartum Blood Pressure Screening in the United States Primary Care Settings: A Systematic Review.American journal of hypertension · 2025Pooled it
- Health literacy interventions for pregnant women with limited language proficiency in the country they live in: a systematic review.BMC public health · 2024Pooled it
- Preterm birth among Pacific Islanders in the United States and the US-affiliated Pacific Islands: A systematic review and meta-analysis.Birth (Berkeley, Calif.) · 2023Pooled it
- Electronic Tools to Bridge the Language Gap in Health Care for People Who Have Migrated: Systematic Review.Journal of medical Internet research · 2021Pooled it
- Caesarean section in uninsured women in the USA: systematic review and meta-analysis.BMJ open · 2019Pooled it
- Pooled it
- Educational tools that address pregnancy-related complications in the postpartum period: A scoping review.Pregnancy (Hoboken, N.J.) · 2026Review
- A Co-Produced Health Literacy Programme for Pregnant Women Whose First Language Is Not English: A Qualitative Study of Women's Experiences.Health expectations : an international journal of public participation in health care and health policy · 2026Article
- Obstetric trauma and its association with race and immigration: a population-based cohort study in Ontario, Canada.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2026Article
- Reproductive Health Communication in Spanish: A Standardized Patient-Based Module for Second-Year Medical Students.MedEdPORTAL : the journal of teaching and learning resources · 2026Article
- Bronchopulmonary Dysplasia in Asian American, Native Hawaiian, and Pacific Islander Infants with Very Low Birth Weight in California.The Journal of pediatrics · 2025Article
- Discrimination, racism, and bias in childbirth pain management in the United States: a scoping review and directions for research and clinical care.International journal of obstetric anesthesia · 2025Article
- Language-Based Inequities in Transfusion Practices with Obstetric Hemorrhage.Maternal and child health journal · 2025Article
- Enhancing perinatal health patient information through ChatGPT - An accuracy study.PEC innovation · 2025Article
- Patient Safety Event Risk and Language Barriers: A Scoping Review.Joint Commission journal on quality and patient safety · 2025Article
- Maternal and Infant Health Outcomes in US-Born and Non-US-Born Black Pregnant People in the US.JAMA network open · 2024Article
- Disparities in Survival Without Major Morbidity Among Very Low Birth Weight Infants in California.Pediatrics · 2024Article
- Developing the Society of Obstetric Medicine Australia and New Zealand (SOMANZ) Hypertension in Pregnancy Guideline 2023: Guideline development approaches, challenges and contextual considerations.Clinical and public health guidelines · 2024Article
- Preterm Birth Risk and Maternal Nativity, Ethnicity, and Race.JAMA network open · 2024Article
- Asian-White disparities in obstetric anal sphincter injury: a systematic review and meta-analysis.AJOG global reports · 2024Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 2 institutions in 1 country.
Funding
Abstract
Limited English proficiency is associated with disparities across diverse health outcomes. However, evidence regarding adverse birth outcomes across languages is limited, particularly among U.S. Asian and Pacific Islander populations. The study goal was to consider the relationship of maternal language to birth outcomes using statewide hospitalization data. Detailed discharge data from Hawaii childbirth hospitalizations from 2012 (n = 11,419) were compared by maternal language (English language or not) for adverse outcomes using descriptive and multivariable log-binomial regression models, controlling for race/ethnicity, age group, and payer. Ten percent of mothers spoke a language other than English; 93% of these spoke an Asian or Pacific Islander language. In multivariable models, compared to English speakers, non-English speakers had significantly higher risk (adjusted relative risk [ARR]: 2.02; 95% confidence interval [CI]: 1.34-3.04) of obstetric trauma in vaginal deliveries without instrumentation. Some significant variation was seen by language for other birth outcomes, including an increased rate of primary Caesarean sections and vaginal births after Caesarean, among non-English speakers. Non-English speakers had approximately two times higher risk of having an obstetric trauma during a vaginal birth when other factors, including race/ethnicity, were controlled. Non-English speakers also had higher rates of potentially high-risk deliveries.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.