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Caesarean section among immigrants with different obstetrical risks.

Lieu Thi Thuy Trinh1, Hassan Assareh1, Helen Achat1

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|March 10, 2018
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Caesarean section rates significantly varied among immigrant groups in Australia. Factors like country of birth and Robson classification influenced these variations, highlighting the need for tailored obstetric care.

Keywords:
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Area of Science:

  • Obstetrics and Gynecology
  • Public Health
  • Multicultural Health

Background:

  • Australia has high caesarean section rates and a multicultural population.
  • Understanding variations in caesarean section rates among diverse ethnic groups is crucial.

Purpose of the Study:

  • To investigate the disparities in caesarean section (CS) rates across various immigrant populations in Australia.
  • To analyze how factors such as country of birth and obstetric risk classification (Robson classification) correlate with CS rates.

Main Methods:

  • Secondary analysis of routinely collected data from a Local Health District (2011-2015).
  • Categorization of women by country of birth and classification of obstetrical risk using the Robson classification system.
  • Statistical analysis to determine adjusted caesarean section rates and explain variations.

Main Results:

  • Over 48,000 births were analyzed; 64% of mothers were born overseas.
  • Overall caesarean section rate was 28.7%.
  • Women from South and Central Asia exhibited high CS rates (31.4%), particularly in specific Robson groups. Demographic and clinical factors explained a significant portion of the variation in CS rates.

Conclusions:

  • Caesarean section rates differ notably based on a woman's country of birth and within specific Robson classification groups.
  • The findings underscore the influence of demographic and clinical factors on caesarean section variations across immigrant populations.