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Erschienen in: Wiener klinische Wochenschrift 1-2/2013

01.01.2013 | original article

Migrants and obstetrics in Austria—applying a new questionnaire shows differences in obstetric care and outcome

verfasst von: Priv. -Doz. Willi Oberaigner, Mag. Hermann Leitner, Mag. Karin Oberaigner, Univ. -Prof. Dr. Christian Marth, Prim. Dr. Gerald Pinzger, Prim. Dr. Hans Concin, Univ. -Prof. Dr. Horst Steiner, Prim. Univ. -Doz. Dr. Hannes Hofmann, Prim. Univ. -Doz. Dr. Teresa Wagner, Prim. Dr. Manfred Mörtl, Dr. Angela Ramoni

Erschienen in: Wiener klinische Wochenschrift | Ausgabe 1-2/2013

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Summary

Background

Immigration plays a major role in obstetrics in Austria, and about 18 % of the Austrian population are immigrants. Therefore, we aimed to (1) test the feasibility of a proposed questionnaire for assessment of migrant status in epidemiological research and (2) assess some important associations between procedures and outcomes in obstetrics and migration in selected departments in Austria.

Methods

We adapted a standardized questionnaire to the main immigration groups in Austria. Information on country of origin, length of residence in Austria and German-language ability was collected from eight selected obstetrics departments. Of the 1,971 questionnaires, 1,873 questionnaires of singleton births were selected and included in the analysis.

Results

We analyzed a total of 1,873 parturients with singleton births, of which 35 % had migrant status, 12 % were from ex-Yugoslavia, 12 % were from Turkey, and 12 % were from other countries. The proportion of parturients having their first care visit after the 12th week of pregnancy was higher in migrant groups (19 %). Smoking was highest in the migrants from ex-Yugoslavia (21 %). Vaginal delivery was more frequent in migrants from ex-Yugoslavia (78 %) and Turkey (83 %) than in nonmigrants (71 %) and episiotomy was more frequently performed in migrants from other countries. All differences are statistically significant.

Conclusions

Administration of a standardized questionnaire for assessment of migrant status in obstetric departments in Austria was shown to be feasible. We assessed differences in obstetric care and outcome and consequently recommend that action should be initiated in Austria toward harmonizing obstetric procedures among the migrant and the nonmigrant groups and toward minimizing risk factors.
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Metadaten
Titel
Migrants and obstetrics in Austria—applying a new questionnaire shows differences in obstetric care and outcome
verfasst von
Priv. -Doz. Willi Oberaigner
Mag. Hermann Leitner
Mag. Karin Oberaigner
Univ. -Prof. Dr. Christian Marth
Prim. Dr. Gerald Pinzger
Prim. Dr. Hans Concin
Univ. -Prof. Dr. Horst Steiner
Prim. Univ. -Doz. Dr. Hannes Hofmann
Prim. Univ. -Doz. Dr. Teresa Wagner
Prim. Dr. Manfred Mörtl
Dr. Angela Ramoni
Publikationsdatum
01.01.2013
Verlag
Springer Vienna
Erschienen in
Wiener klinische Wochenschrift / Ausgabe 1-2/2013
Print ISSN: 0043-5325
Elektronische ISSN: 1613-7671
DOI
https://doi.org/10.1007/s00508-012-0312-0

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