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Ethnic variation in maternity care: a comparison of Polish and Scottish women delivering in Scotland 2004–2009
Abstract Objectives Birth outcomes in migrants vary, but the relative explanatory influence of obstetric practice in origin and destination countries has been under-investigated. To explore this, birth outcomes of Scots and Polish migrants to Scotland were compared with Polish obstetric data. Poles...
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| Published in: | Public health (London) 2014-03, Vol.128 (3), p.262-267 |
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| creator | Gorman, D.R Katikireddi, S.V Morris, C Chalmers, J.W.T Sim, J Szamotulska, K Mierzejewska, E Hughes, R.G |
| description | Abstract Objectives Birth outcomes in migrants vary, but the relative explanatory influence of obstetric practice in origin and destination countries has been under-investigated. To explore this, birth outcomes of Scots and Polish migrants to Scotland were compared with Polish obstetric data. Poles are the largest group of migrants to Scotland, and Poland has significantly more medicalized maternity care than Scotland. Study design A population-based epidemiological study of linked maternal country of birth, maternity and birth outcomes. Methods Scottish maternity and neonatal records linked to birth registrations were analysed for differences in modes of delivery and pregnancy outcomes between Polish migrants and Scots, and compared with Polish Health Fund and survey data. Results 119,698 Scottish and 3105 Polish births to primiparous women in Scotland 2004–9 were analysed. Poles were less likely than Scots to have a Caesarean section and more likely to have a spontaneous vaginal or instrumental delivery. The Caesarean section rate in Poland is significantly higher and instrumental delivery rate lower than for either group of women in Scotland. Conclusions Methodologically, comparing a large group of migrants from one country with the host population has advantages over grouping migrants from several countries into a single category, and allows more informed analysis of the effect of health services. Polish mothers' being slightly healthier explains some of their lower Caesarean section rate compared to Scots in Scotland. However, dominant models of obstetrics in the two countries seem likely to influence the differences between Poles delivering in Poland and Scotland. Further investigation of both is required. |
| doi_str_mv | 10.1016/j.puhe.2013.11.008 |
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| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1609509142</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>1_s2_0_S0033350613003910</els_id><sourcerecordid>1550983791</sourcerecordid><originalsourceid>FETCH-LOGICAL-c510t-b234ea56d597d25cc1c8d9193b9b71a10208397b59ccbe77791f87d10d0b0bbf3</originalsourceid><addsrcrecordid>eNqNkk2O1DAQhSMEYpqBC7BAXrJJqLLjJEYICY2GH2kkkAbWluNUaDdJ3NhJo95xB27ISXDUAwsWMKuyVV-9svxelj1GKBCwerYr9suWCg4oCsQCoLmTbbCsq1xWWN3NNgBC5EJCdZY9iHEHALwW8n52xssKRVmqTba_nLeTs-xggjOz8xNzExvNTGFy85FZE-g5M8z6cZ-ImPq-Zx_84OKWmalj19bP83r55keaWEeDO1Bw0-dVZ20OK8UByp_ff6SiHmb3ejNEenRTz7NPry8_XrzNr96_eXfx6iq3EmHOWy5KMrLqpKo7Lq1F23QKlWhVW6NB4NAIVbdSWdtSXdcK-6buEDpooW17cZ49Penug_-6UJz16KKlIb2H_BI1VqAkKCz5_1GZwEakFbdAy7qRArG5BYpQAuccEspPqA0-xkC93gc3mnDUCHq1Wu_0arVerdaIOlmdhp7c6C_tSN2fkd_eJuDFCaD0zQdHQUfraLLUuUB21p13_9Z_-de4HVyKihm-0JHizi9hSgZq1JFr0Ndr2NasoUgnhSB-AZb9zWA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1510402220</pqid></control><display><type>article</type><title>Ethnic variation in maternity care: a comparison of Polish and Scottish women delivering in Scotland 2004–2009</title><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><source>ScienceDirect Freedom Collection</source><creator>Gorman, D.R ; Katikireddi, S.V ; Morris, C ; Chalmers, J.W.T ; Sim, J ; Szamotulska, K ; Mierzejewska, E ; Hughes, R.G</creator><creatorcontrib>Gorman, D.R ; Katikireddi, S.V ; Morris, C ; Chalmers, J.W.T ; Sim, J ; Szamotulska, K ; Mierzejewska, E ; Hughes, R.G</creatorcontrib><description>Abstract Objectives Birth outcomes in migrants vary, but the relative explanatory influence of obstetric practice in origin and destination countries has been under-investigated. To explore this, birth outcomes of Scots and Polish migrants to Scotland were compared with Polish obstetric data. Poles are the largest group of migrants to Scotland, and Poland has significantly more medicalized maternity care than Scotland. Study design A population-based epidemiological study of linked maternal country of birth, maternity and birth outcomes. Methods Scottish maternity and neonatal records linked to birth registrations were analysed for differences in modes of delivery and pregnancy outcomes between Polish migrants and Scots, and compared with Polish Health Fund and survey data. Results 119,698 Scottish and 3105 Polish births to primiparous women in Scotland 2004–9 were analysed. Poles were less likely than Scots to have a Caesarean section and more likely to have a spontaneous vaginal or instrumental delivery. The Caesarean section rate in Poland is significantly higher and instrumental delivery rate lower than for either group of women in Scotland. Conclusions Methodologically, comparing a large group of migrants from one country with the host population has advantages over grouping migrants from several countries into a single category, and allows more informed analysis of the effect of health services. Polish mothers' being slightly healthier explains some of their lower Caesarean section rate compared to Scots in Scotland. However, dominant models of obstetrics in the two countries seem likely to influence the differences between Poles delivering in Poland and Scotland. Further investigation of both is required.</description><identifier>ISSN: 0033-3506</identifier><identifier>EISSN: 1476-5616</identifier><identifier>DOI: 10.1016/j.puhe.2013.11.008</identifier><identifier>PMID: 24613449</identifier><language>eng</language><publisher>Netherlands: Elsevier Ltd</publisher><subject>Adult ; Cesarean Section - statistics & numerical data ; Childbirth ; Delivery, Obstetric - statistics & numerical data ; Ethnicity ; Female ; Health Services Research ; Healthcare Disparities - ethnology ; Humans ; Infant, Newborn ; Infectious Disease ; Internal Medicine ; Maternity care ; Migrants ; Migration ; Obstetrics ; Obstetrics - organization & administration ; Poland ; Poland - ethnology ; Pregnancy ; Pregnancy Outcome - ethnology ; Scotland ; Transients and Migrants - statistics & numerical data ; Women</subject><ispartof>Public health (London), 2014-03, Vol.128 (3), p.262-267</ispartof><rights>The Royal Society for Public Health</rights><rights>2013 The Royal Society for Public Health</rights><rights>Copyright © 2013 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c510t-b234ea56d597d25cc1c8d9193b9b71a10208397b59ccbe77791f87d10d0b0bbf3</citedby><cites>FETCH-LOGICAL-c510t-b234ea56d597d25cc1c8d9193b9b71a10208397b59ccbe77791f87d10d0b0bbf3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,783,787,27936,27937,31012</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24613449$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gorman, D.R</creatorcontrib><creatorcontrib>Katikireddi, S.V</creatorcontrib><creatorcontrib>Morris, C</creatorcontrib><creatorcontrib>Chalmers, J.W.T</creatorcontrib><creatorcontrib>Sim, J</creatorcontrib><creatorcontrib>Szamotulska, K</creatorcontrib><creatorcontrib>Mierzejewska, E</creatorcontrib><creatorcontrib>Hughes, R.G</creatorcontrib><title>Ethnic variation in maternity care: a comparison of Polish and Scottish women delivering in Scotland 2004–2009</title><title>Public health (London)</title><addtitle>Public Health</addtitle><description>Abstract Objectives Birth outcomes in migrants vary, but the relative explanatory influence of obstetric practice in origin and destination countries has been under-investigated. To explore this, birth outcomes of Scots and Polish migrants to Scotland were compared with Polish obstetric data. Poles are the largest group of migrants to Scotland, and Poland has significantly more medicalized maternity care than Scotland. Study design A population-based epidemiological study of linked maternal country of birth, maternity and birth outcomes. Methods Scottish maternity and neonatal records linked to birth registrations were analysed for differences in modes of delivery and pregnancy outcomes between Polish migrants and Scots, and compared with Polish Health Fund and survey data. Results 119,698 Scottish and 3105 Polish births to primiparous women in Scotland 2004–9 were analysed. Poles were less likely than Scots to have a Caesarean section and more likely to have a spontaneous vaginal or instrumental delivery. The Caesarean section rate in Poland is significantly higher and instrumental delivery rate lower than for either group of women in Scotland. Conclusions Methodologically, comparing a large group of migrants from one country with the host population has advantages over grouping migrants from several countries into a single category, and allows more informed analysis of the effect of health services. Polish mothers' being slightly healthier explains some of their lower Caesarean section rate compared to Scots in Scotland. However, dominant models of obstetrics in the two countries seem likely to influence the differences between Poles delivering in Poland and Scotland. Further investigation of both is required.</description><subject>Adult</subject><subject>Cesarean Section - statistics & numerical data</subject><subject>Childbirth</subject><subject>Delivery, Obstetric - statistics & numerical data</subject><subject>Ethnicity</subject><subject>Female</subject><subject>Health Services Research</subject><subject>Healthcare Disparities - ethnology</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Infectious Disease</subject><subject>Internal Medicine</subject><subject>Maternity care</subject><subject>Migrants</subject><subject>Migration</subject><subject>Obstetrics</subject><subject>Obstetrics - organization & administration</subject><subject>Poland</subject><subject>Poland - ethnology</subject><subject>Pregnancy</subject><subject>Pregnancy Outcome - ethnology</subject><subject>Scotland</subject><subject>Transients and Migrants - statistics & numerical data</subject><subject>Women</subject><issn>0033-3506</issn><issn>1476-5616</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><recordid>eNqNkk2O1DAQhSMEYpqBC7BAXrJJqLLjJEYICY2GH2kkkAbWluNUaDdJ3NhJo95xB27ISXDUAwsWMKuyVV-9svxelj1GKBCwerYr9suWCg4oCsQCoLmTbbCsq1xWWN3NNgBC5EJCdZY9iHEHALwW8n52xssKRVmqTba_nLeTs-xggjOz8xNzExvNTGFy85FZE-g5M8z6cZ-ImPq-Zx_84OKWmalj19bP83r55keaWEeDO1Bw0-dVZ20OK8UByp_ff6SiHmb3ejNEenRTz7NPry8_XrzNr96_eXfx6iq3EmHOWy5KMrLqpKo7Lq1F23QKlWhVW6NB4NAIVbdSWdtSXdcK-6buEDpooW17cZ49Penug_-6UJz16KKlIb2H_BI1VqAkKCz5_1GZwEakFbdAy7qRArG5BYpQAuccEspPqA0-xkC93gc3mnDUCHq1Wu_0arVerdaIOlmdhp7c6C_tSN2fkd_eJuDFCaD0zQdHQUfraLLUuUB21p13_9Z_-de4HVyKihm-0JHizi9hSgZq1JFr0Ndr2NasoUgnhSB-AZb9zWA</recordid><startdate>20140301</startdate><enddate>20140301</enddate><creator>Gorman, D.R</creator><creator>Katikireddi, S.V</creator><creator>Morris, C</creator><creator>Chalmers, J.W.T</creator><creator>Sim, J</creator><creator>Szamotulska, K</creator><creator>Mierzejewska, E</creator><creator>Hughes, R.G</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7T2</scope><scope>7U2</scope><scope>C1K</scope><scope>7QJ</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope></search><sort><creationdate>20140301</creationdate><title>Ethnic variation in maternity care: a comparison of Polish and Scottish women delivering in Scotland 2004–2009</title><author>Gorman, D.R ; Katikireddi, S.V ; Morris, C ; Chalmers, J.W.T ; Sim, J ; Szamotulska, K ; Mierzejewska, E ; Hughes, R.G</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c510t-b234ea56d597d25cc1c8d9193b9b71a10208397b59ccbe77791f87d10d0b0bbf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adult</topic><topic>Cesarean Section - statistics & numerical data</topic><topic>Childbirth</topic><topic>Delivery, Obstetric - statistics & numerical data</topic><topic>Ethnicity</topic><topic>Female</topic><topic>Health Services Research</topic><topic>Healthcare Disparities - ethnology</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Infectious Disease</topic><topic>Internal Medicine</topic><topic>Maternity care</topic><topic>Migrants</topic><topic>Migration</topic><topic>Obstetrics</topic><topic>Obstetrics - organization & administration</topic><topic>Poland</topic><topic>Poland - ethnology</topic><topic>Pregnancy</topic><topic>Pregnancy Outcome - ethnology</topic><topic>Scotland</topic><topic>Transients and Migrants - statistics & numerical data</topic><topic>Women</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gorman, D.R</creatorcontrib><creatorcontrib>Katikireddi, S.V</creatorcontrib><creatorcontrib>Morris, C</creatorcontrib><creatorcontrib>Chalmers, J.W.T</creatorcontrib><creatorcontrib>Sim, J</creatorcontrib><creatorcontrib>Szamotulska, K</creatorcontrib><creatorcontrib>Mierzejewska, E</creatorcontrib><creatorcontrib>Hughes, R.G</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Safety Science and Risk</collection><collection>Environmental Sciences and Pollution Management</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><jtitle>Public health (London)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gorman, D.R</au><au>Katikireddi, S.V</au><au>Morris, C</au><au>Chalmers, J.W.T</au><au>Sim, J</au><au>Szamotulska, K</au><au>Mierzejewska, E</au><au>Hughes, R.G</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Ethnic variation in maternity care: a comparison of Polish and Scottish women delivering in Scotland 2004–2009</atitle><jtitle>Public health (London)</jtitle><addtitle>Public Health</addtitle><date>2014-03-01</date><risdate>2014</risdate><volume>128</volume><issue>3</issue><spage>262</spage><epage>267</epage><pages>262-267</pages><issn>0033-3506</issn><eissn>1476-5616</eissn><abstract>Abstract Objectives Birth outcomes in migrants vary, but the relative explanatory influence of obstetric practice in origin and destination countries has been under-investigated. To explore this, birth outcomes of Scots and Polish migrants to Scotland were compared with Polish obstetric data. Poles are the largest group of migrants to Scotland, and Poland has significantly more medicalized maternity care than Scotland. Study design A population-based epidemiological study of linked maternal country of birth, maternity and birth outcomes. Methods Scottish maternity and neonatal records linked to birth registrations were analysed for differences in modes of delivery and pregnancy outcomes between Polish migrants and Scots, and compared with Polish Health Fund and survey data. Results 119,698 Scottish and 3105 Polish births to primiparous women in Scotland 2004–9 were analysed. Poles were less likely than Scots to have a Caesarean section and more likely to have a spontaneous vaginal or instrumental delivery. The Caesarean section rate in Poland is significantly higher and instrumental delivery rate lower than for either group of women in Scotland. Conclusions Methodologically, comparing a large group of migrants from one country with the host population has advantages over grouping migrants from several countries into a single category, and allows more informed analysis of the effect of health services. Polish mothers' being slightly healthier explains some of their lower Caesarean section rate compared to Scots in Scotland. However, dominant models of obstetrics in the two countries seem likely to influence the differences between Poles delivering in Poland and Scotland. Further investigation of both is required.</abstract><cop>Netherlands</cop><pub>Elsevier Ltd</pub><pmid>24613449</pmid><doi>10.1016/j.puhe.2013.11.008</doi><tpages>6</tpages></addata></record> |
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| ispartof | Public health (London), 2014-03, Vol.128 (3), p.262-267 |
| issn | 0033-3506 1476-5616 |
| language | eng |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); ScienceDirect Freedom Collection |
| subjects | Adult Cesarean Section - statistics & numerical data Childbirth Delivery, Obstetric - statistics & numerical data Ethnicity Female Health Services Research Healthcare Disparities - ethnology Humans Infant, Newborn Infectious Disease Internal Medicine Maternity care Migrants Migration Obstetrics Obstetrics - organization & administration Poland Poland - ethnology Pregnancy Pregnancy Outcome - ethnology Scotland Transients and Migrants - statistics & numerical data Women |
| title | Ethnic variation in maternity care: a comparison of Polish and Scottish women delivering in Scotland 2004–2009 |
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