Department of Women's and Children's Health, Division of Reproductive and Perinatal Health, Karolinska Institutet, Stockholm, Sweden.
Acta Obstet Gynecol Scand. 2010;89(2):243-9. doi: 10.3109/00016340903508668.
To investigate differences in the use of epidural analgesia (EDA) during labor between native Swedish and immigrant women and whether such possible differences could be explained by other maternal factors or birthweight.
Population-based register study.
Nationwide study in Sweden.
A total of 455,274 primiparous women, who gave birth to a singleton infant at 37-41 completed gestational weeks during 1992-2005. Of the 72,086 (16%) immigrants, data on 31,148 women from the eight most common countries of origin were analyzed to test our hypotheses.
Register study with perinatal data from the Medical Birth Register and socio-demographic variables from national income and population registers.
Use of EDA during vaginal delivery.
Compared with native Swedish women, EDA was more often used by women from Chile, odds ratio (OR) 1.39 (95% confidence interval (CI) 1.23-1.57); Iran, OR 1.38 (1.26-1.53); Poland, OR 1.22 (1.08-1.37) and Finland, OR 1.10 (1.03-1.17) after adjustments for perinatal and socio-demographic confounders, while EDA was less often used among women from Somalia, OR 0.57 (0.46-0.70); Iraq, OR 0.71 (0.64-0.78); Turkey, OR 0.77(0.69-0.86) and Yugoslavia, OR 0.85 (0.79-0.91). Having a native Swedish partner increased the use of EDA in immigrant women.
EDA use during labor varies more by maternal country of origin than by socio-economic factors. This suggests that expectations of care from the country of origin continue to influence the use of EDA after immigration to Sweden.
调查在分娩过程中，瑞典本地女性和移民女性使用硬膜外镇痛（EDA）的差异，以及这些差异是否可以用其他产妇因素或出生体重来解释。
基于人群的注册研究。
瑞典全国范围的研究。
共有 455274 名初产妇，她们在 1992 年至 2005 年期间，在 37-41 周妊娠时，产下了单胎婴儿。在这 72086 名（16%）移民中，分析了来自八个最常见原籍国的 31148 名女性的数据，以检验我们的假设。
这是一项注册研究，使用了来自围产儿登记处的围产数据和来自国家收入和人口登记处的社会人口统计学变量。
阴道分娩时使用 EDA。
与瑞典本地女性相比，智利女性（优势比（OR）1.39，95%置信区间（CI）1.23-1.57）、伊朗（OR 1.38，1.26-1.53）、波兰（OR 1.22，1.08-1.37）和芬兰（OR 1.10，1.03-1.17）在调整了围产和社会人口统计学混杂因素后，更常使用 EDA，而来自索马里的女性较少使用 EDA（OR 0.57，0.46-0.70）、伊拉克（OR 0.71，0.64-0.78）、土耳其（OR 0.77，0.69-0.86）和南斯拉夫（OR 0.85，0.79-0.91）。有一个瑞典本地的伴侣会增加移民女性使用 EDA 的几率。
在分娩过程中，EDA 的使用因产妇原籍国的不同而变化，这比社会经济因素的影响更大。这表明，来自原籍国的护理期望在移民到瑞典后，仍然会影响 EDA 的使用。
