TY  - BOOK
AU  - Shah, D.
AU  - Tay, A.
AU  - Desai A,
AU  - Parikh, M.
AU  - Nauta, M.
AU  - Yoong, W.
TI  - The obstetric performance of Chinese immigrants residing in the UK
SN  - 01443615
PY  - 2011///
N1  - NMUH Staff Publications; 31
N2  - <span style="font-family: arial, helvetica, clean, sans-serif; font-size: 13px; line-height: 17.999801635742188px;">Although the Confidential Enquiry into Maternal Deaths raised concerns that immigrant women have significantly poorer</span><span class="highlight" style="font-family: arial, helvetica, clean, sans-serif; font-size: 13px; line-height: 17.999801635742188px;">obstetric</span><span style="font-family: arial, helvetica, clean, sans-serif; font-size: 13px; line-height: 17.999801635742188px;"> outcomes when compared to native women, there is little published data on the </span><span class="highlight" style="font-family: arial, helvetica, clean, sans-serif; font-size: 13px; line-height: 17.999801635742188px;">obstetric</span><span style="font-family: arial, helvetica, clean, sans-serif; font-size: 13px; line-height: 17.999801635742188px;"> outcomes of </span><span class="highlight" style="font-family: arial, helvetica, clean, sans-serif; font-size: 13px; line-height: 17.999801635742188px;">Chinese</span><span style="font-family: arial, helvetica, clean, sans-serif; font-size: 13px; line-height: 17.999801635742188px;"></span><span class="highlight" style="font-family: arial, helvetica, clean, sans-serif; font-size: 13px; line-height: 17.999801635742188px;">immigrants</span><span style="font-family: arial, helvetica, clean, sans-serif; font-size: 13px; line-height: 17.999801635742188px;"> living in the </span><span class="highlight" style="font-family: arial, helvetica, clean, sans-serif; font-size: 13px; line-height: 17.999801635742188px;">UK</span><span style="font-family: arial, helvetica, clean, sans-serif; font-size: 13px; line-height: 17.999801635742188px;">. This retrospective, case-control study compared maternal demographics and </span><span class="highlight" style="font-family: arial, helvetica, clean, sans-serif; font-size: 13px; line-height: 17.999801635742188px;">obstetric</span><span style="font-family: arial, helvetica, clean, sans-serif; font-size: 13px; line-height: 17.999801635742188px;">outcomes of </span><span class="highlight" style="font-family: arial, helvetica, clean, sans-serif; font-size: 13px; line-height: 17.999801635742188px;">Chinese</span><span style="font-family: arial, helvetica, clean, sans-serif; font-size: 13px; line-height: 17.999801635742188px;"> with British Caucasian women matched for parity and age, who served as controls. Data from 125 index and 125 control cases were analysed. A total of 74% of the </span><span class="highlight" style="font-family: arial, helvetica, clean, sans-serif; font-size: 13px; line-height: 17.999801635742188px;">Chinese</span><span style="font-family: arial, helvetica, clean, sans-serif; font-size: 13px; line-height: 17.999801635742188px;"> women had little or no understanding of English. The </span><span class="highlight" style="font-family: arial, helvetica, clean, sans-serif; font-size: 13px; line-height: 17.999801635742188px;">Chinese</span><span style="font-family: arial, helvetica, clean, sans-serif; font-size: 13px; line-height: 17.999801635742188px;"> women were more likely to be non-smokers, have a lower BMI and be unemployed than their British counterparts (p<0.001). They booked later (21.01 vs 15.35 weeks, p<0.0001) and attended on average one less antenatal clinic than controls (p<0.001). </span><span class="highlight" style="font-family: arial, helvetica, clean, sans-serif; font-size: 13px; line-height: 17.999801635742188px;">Chinese</span><span style="font-family: arial, helvetica, clean, sans-serif; font-size: 13px; line-height: 17.999801635742188px;"> women were also less likely to deliver by caesarean section (p<0.05), but more likely to have a perineal tear (p<0.005). Pre-defined risk, gestation at delivery, birth weight, duration of labour, estimated blood loss and mean 5 min Apgar scores were comparable in both groups (p>0.05). In conclusion, there are significant differences in access to healthcare and the method of delivery, but overall, the </span><span class="highlight" style="font-family: arial, helvetica, clean, sans-serif; font-size: 13px; line-height: 17.999801635742188px;">obstetric</span><span style="font-family: arial, helvetica, clean, sans-serif; font-size: 13px; line-height: 17.999801635742188px;"> outcomes of both ethnic groups are highly similar. This may be due to the 'healthy immigrant effect' or the increased use of interpreters and linkworkers in</span><span class="highlight" style="font-family: arial, helvetica, clean, sans-serif; font-size: 13px; line-height: 17.999801635742188px;">obstetric</span><span style="font-family: arial, helvetica, clean, sans-serif; font-size: 13px; line-height: 17.999801635742188px;"> healthcare.</span&gt
UR  - http://www.ncbi.nlm.nih.gov/pubmed/?term=The+obstetric+performance+of+Chinese+immigrants+residing+in+the+UK
UR  - http://informahealthcare.com/doi/pdf/10.3109/01443615.2011.580396
ER  -