ArticleActa obstetricia et gynecologica Scandinavica2021
Challenges in migrant women's maternity care in a high-income country: A population-based cohort study of maternal and perinatal outcomes.
Article in Acta obstetricia et gynecologica Scandinavica, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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11 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.
- Effects of Race, Ethnicity and Socioeconomic Deprivation on Postpartum Haemorrhage in High-Income Countries: A Systematic Review and Meta-Analysis.BJOG : an international journal of obstetrics and gynaecology · 2025Pooled it
- Migration and Caesarean Section Birth in the United Kingdom: A Secondary Analysis of Born in Bradford Data.Birth (Berkeley, Calif.) · 2026Article
- Perinatal Care for Women with Foreign Citizenship in Trentino (North-East Italy): Retrospective Cohort Epidemiological Study.Journal of clinical medicine · 2026Article
- Childbirth Experience, Mistreatment, and Migrant Status: A Retrospective Cross-Sectional Study.Birth (Berkeley, Calif.) · 2025Article
- Associations of Characteristics of Parental Country of Birth with Autism Spectrum Disorder and Early Learning Delay Among Immigrant Populations in the US: Findings from the Study to Explore Early Development.Journal of autism and developmental disorders · 2025Article
- Multicultural doula support and obstetric and neonatal outcomes: a multi-centre comparative study in Norway.BMC pregnancy and childbirth · 2024Article
- Article
- Use of pain management in childbirth among migrant women in Iceland: A population-based cohort study.Birth (Berkeley, Calif.) · 2022Article
- Obstetric Complications in Women from Sub-Saharan Africa-A Cross-Sectional Study.International journal of environmental research and public health · 2022Observational
- Article
- Challenges in migrant women's maternity care in a high-income country: A population-based cohort study of maternal and perinatal outcomes.Acta obstetricia et gynecologica Scandinavica · 2021Article
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Authors and funding
6 authors at 3 institutions in 4 countries.
Funding
Abstract
introductionThis study aims to explore maternal and perinatal outcomes of migrant women in Iceland. MATERIAL AND
methodsThis prospective population-based cohort study included women who gave birth to a singleton in Iceland between 1997 and 2018, comprising a total of 92 403 births. Migrant women were defined as women with citizenship other than Icelandic, including refugees and asylum seekers, and categorized into three groups, based on their country of citizenship Human Development Index score. The effect of country of citizenship was estimated. The main outcome measures were onset of labor, augmentation, epidural, perineum support, episiotomy, mode of birth, obstetric anal sphincter injury, postpartum hemorrhage, preterm birth, a 5-minute Apgar <7, neonatal intensive care unit admission and perinatal mortality. Odds ratios (ORs) and 95% confidence intervals (CIs) for maternal and perinatal outcomes were calculated using logistic regression models.
resultsA total of 8158 migrant women gave birth during the study period: 4401 primiparous and 3757 multiparous. Overall, migrant women had higher adjusted ORs (aORs) for episiotomy (primiparas: aOR 1.43, 95% CI 1.26-1.61; multiparas: 1.39, 95% CI 1.21-1.60) and instrumental births (primiparas: 1.14, 95% CI 1.02-1.27, multiparas: 1.41, 95% CI 1.16-1.72) and lower aORs of induction of labor (primiparas: 0.88, 95% CI 0.79-0.98; multiparas: 0.74, 95% CI 0.66-0.83), compared with Icelandic women. Migrant women from countries with a high Human Development Index score (≥0.900) had similar or better outcomes compared with Icelandic women, whereas migrant women from countries with a lower Human Development Index score than that of Iceland (<0.900) had additionally increased odds of maternal and perinatal complications and interventions, such as emergency cesarean and postpartum hemorrhage.
conclusionsWomen's citizenship and country of citizenship Human Development Index scores are significantly associated with a range of maternal and perinatal complications and interventions, such as episiotomy and instrumental birth. The results indicate the need for further exploration of whether Icelandic perinatal healthcare services meet the care needs of migrant women.
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