| 000 | 05983cam a2200241 4500 | ||
|---|---|---|---|
| 001 | NMDX6674 | ||
| 008 | 120401t2011 xxu||||| |||| 00| 0 eng d | ||
| 022 | _a01443615 | ||
| 100 | _aShah, D. | ||
| 240 | _aJournal of obstetrics and gynaecology | ||
| 245 | _aThe obstetric performance of Chinese immigrants residing in the UK. | ||
| 260 | _c2011 | ||
| 500 | _aNMUH Staff Publications | ||
| 500 | _a31 | ||
| 520 | _a<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;">&nbsp;outcomes when compared to native women, there is little published data on the&nbsp;</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;">&nbsp;outcomes of&nbsp;</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;">&nbsp;living in the&nbsp;</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&nbsp;</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&nbsp;</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;">&nbsp;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&nbsp;</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;">&nbsp;women had little or no understanding of English. The&nbsp;</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;">&nbsp;women were more likely to be non-smokers, have a lower BMI and be unemployed than their British counterparts (p&lt;0.001). They booked later (21.01 vs 15.35 weeks, p&lt;0.0001) and attended on average one less antenatal clinic than controls (p&lt;0.001).&nbsp;</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;">&nbsp;women were also less likely to deliver by caesarean section (p&lt;0.05), but more likely to have a perineal tear (p&lt;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&gt;0.05). In conclusion, there are significant differences in access to healthcare and the method of delivery, but overall, the&nbsp;</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;">&nbsp;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;">&nbsp;healthcare.</span> | ||
| 700 | _aTay, A. | ||
| 700 | _aDesai A, | ||
| 700 | _aParikh, M. | ||
| 700 | _aNauta, M. | ||
| 700 | _aYoong, W. | ||
| 856 | _uhttp://www.ncbi.nlm.nih.gov/pubmed/?term=The+obstetric+performance+of+Chinese+immigrants+residing+in+the+UK | ||
| 856 | _uhttp://informahealthcare.com/doi/pdf/10.3109/01443615.2011.580396 | ||
| 999 |
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