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

• DOI: 10.1111/birt.12619
• Publication Date: 2022-02-21T05:20:40Z
• Authors: Embla Ýr Guðmunds...; Marianne Nieuwenh...; Kristjana Einarsd...; Berglind Hálfdáns...; Helga Gottfreðsdó...
• Keywords: Transients and Migrants; complementary therapies; labor pain; BIRTH; Iceland; migrants; Original Articles; CARE; Delivery, Obstetric; 3. Good health; MODEL; Cohort Studies; 03 medical and health sciences; 0302 clinical medicine; pain management; 5. Gender equality; Pregnancy; LABOR PAIN; Humans; Pain Management; Female; EPIDURAL ANALGESIA; midwifery

Abstract Background Immigration is rapidly increasing in Iceland with 13.6% of the population holding foreign citizenship 2020. Earlier findings identified inequities childbirth care for some women Iceland. To gain insight into quality intrapartum midwifery care, migrant women's use pain management methods during birth was explored. Methods A population‐based cohort study including all a singleton between 2007 and 2018, total 48 173 births. Logistic regression analyses odds ratios (ORs) 95% confidence intervals (CIs) were used to investigate relationship backgrounds defined as birth. The main outcome measures nonpharmacological pharmacological methods. Results Data from 6097 included. Migrant had higher adjusted OR (aORs) no (aOR = 1.23 CI [1.12, 1.34]), when compared Icelandic women. also lower aORs acupuncture (0.73 [0.64, 0.83]), transcutaneous electrical nerve stimulation (TENS) (0.92 [0.01, 0.67]), shower/bath [0.66, 0.82]), aromatherapy (0.59 [0.44, 0.78]), nitrous oxide inhalation (0.89 [0.83, 0.96]). Human Development Index (HDI) scores countries <0.900 associated various Conclusions Our results suggest that being an important factor limits management, especially HDI score <0.900.