Evidence map›Paper›PMID 35187714›Full record

ArticleBirth (Berkeley, Calif.)2022

Use of pain management in childbirth among migrant women in Iceland: A population-based cohort study.

Embla Ýr Guðmundsdóttir, Marianne Nieuwenhuijze, Kristjana Einarsdóttir, Berglind Hálfdánsdóttir, Helga Gottfreðsdóttir

Open access · hybridAbstract read
In one paragraph

Article in Birth (Berkeley, Calif.), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.7field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 10 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 2 countries.

Embla Ýr GuðmundsdóttirDepartment of Midwifery, Faculty of Nursing, University of Iceland, Reykjavík, Iceland.ORCID 0000-0001-9967-1442
Marianne NieuwenhuijzeResearch Centre for Midwifery Science, Academie Verloskunde Maastricht, Zuyd, The Netherlands.
Kristjana EinarsdóttirFaculty of Medicine, Centre of Public Health Sciences, University of Iceland, Reykjavík, Iceland.ORCID 0000-0003-4931-7650
Berglind HálfdánsdóttirDepartment of Midwifery, Faculty of Nursing, University of Iceland, Reykjavík, Iceland.
Helga GottfreðsdóttirDepartment of Midwifery, Faculty of Nursing, University of Iceland, Reykjavík, Iceland.
University of Iceland · ISZuyd University of Applied Sciences · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImmigration is rapidly increasing in Iceland with 13.6% of the population holding foreign citizenship in 2020. Earlier findings identified inequities in childbirth care for some women in Iceland. To gain insight into the quality of intrapartum midwifery care, migrant women's use of pain management methods during birth in Iceland was explored.

methodsA population-based cohort study including all women with a singleton birth in Iceland between 2007 and 2018, in total 48 173 births. Logistic regression analyses with odds ratios (ORs) and 95% confidence intervals (CIs) were used to investigate the relationship between migrant backgrounds defined as holding foreign citizenship and the use of pain management during birth. The main outcome measures were use of nonpharmacological and pharmacological pain management methods.

resultsData from 6097 migrant women were included. Migrant women had higher adjusted OR (aORs) for no use of pain management (aOR = 1.23 95% CI [1.12, 1.34]), when compared to Icelandic women. Migrant women also had lower aORs for the use of acupuncture (0.73 [0.64, 0.83]), transcutaneous electrical nerve stimulation (TENS) (0.92 [0.01, 0.67]), shower/bath (0.73 [0.66, 0.82]), aromatherapy (0.59 [0.44, 0.78]), and nitrous oxide inhalation (0.89 [0.83, 0.96]). Human Development Index (HDI) scores of countries of citizenship <0.900 were associated with lower aORs for the use of various pain management methods.

conclusionsOur results suggest that being a migrant in Iceland is an important factor that limits the use of nonpharmacological pain management, especially for migrant women with citizenship from countries with HDI score <0.900.

Indexed as

Transients and MigrantsCohort StudiesDelivery, ObstetricFemaleHumansIcelandPain ManagementPregnancycomplementary therapieslabor painmidwiferymigrantspain management

Identifiers

PMID35187714
PMCPMC9545143
OpenAlexW4213256218

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

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.