Hannah Dahlen|Virginia Schmied|Cindy?Lee Dennis|Charlene Thornton
Rates of obstetric intervention during birth and selected maternal and perinatal outcomes for low risk women born in Australia compared to those born overseas
Western Sydney University|Western Sydney University|Western Sydney University
mixed reports literature obstetric intervention maternal neonatal outcomes migrant women born resource rich countries aim study compare risk profile rates obstetric intervention selected maternal perinatal outcomes low risk women born australia compared born overseasa populationbased descriptive study undertaken nsw singleton births recorded nsw midwives data collection 20002008 n691738 risk profile obstetric intervention rates selected maternal perinatal outcomes examinedwomen born australia slightly younger 30 vs 31 years less likely primiparous 41 vs 43 three times likely smoke 18 vs 6 likely give birth private hospital 26 vs 18 compared women born australia among seven common migrant groups australia women born lebanon youngest least likely primiparous least likely give birth private hospital hypertension lowest amongst vietnamese women 3 gestational diabetes highest amongst women born china 14 highest caesarean section 31 instrumental birth rates 16 episiotomy rates 32 seen indian women along highest rates babies 10th centile 22 3rd centile 8 lebanese women highest rates stillbirth 721000 similar trends found different migrant groups low risk women includedthe results suggest significant differences risk profiles obstetric intervention rates maternal neonatal outcomes australianborn women born overseas differences seen overall low risk populations finding indian women leading migrant group australia lowest normal birth rate high rates low birth weight babies concerning attention needs focused disparities outcomes effective models care might improve outcomes population