Department of Obstetrics and Gynecology, University of Vermont Medical Center, Burlington, VT, USA.
Department of Maternal Fetal Medicine, University of Vermont Medical Center, Burlington, VT, USA.
J Immigr Minor Health. 2020 Oct;22(5):1017-1022. doi: 10.1007/s10903-020-01008-3.
Vermont has a large population of Somali immigrants and previous research has shown outcome disparities in this population. Labor curves, pregnancy and delivery outcomes information is required and critical to optimize current labor management in an institution that provides obstetrical care for this population. Data were collected for both Somalia-born and non Somalia-born parturients in pre-pregnancy, pregnancy, delivery, neonatal and cervical change categories and were compared to non Somalia-born parturients to observe differences in demographic factors and outcomes as well as labor progress. Overall labor length trended differently between the two groups, the rate of preterm birth in the vaginal delivery group in the Somali population was much lower than the unmatched control group and overall more lacerations were noted. Findings are consistent with prior studies related to reduced preterm birth rate in Somalia-born women. Observation regarding refusal of care demonstrates need for targeted research related to concerns of Somali immigrants.
佛蒙特州有大量索马里移民，先前的研究表明，该人群的结局存在差异。劳动力曲线、妊娠和分娩结果信息是必需的，对于优化为该人群提供产科护理的机构的当前劳动力管理至关重要。在妊娠前、妊娠、分娩、新生儿和宫颈变化类别中，为索马里出生和非索马里出生的产妇收集了数据，并将其与非索马里出生的产妇进行了比较，以观察人口统计学因素和结局以及分娩进展方面的差异。总体而言，两组的分娩时间趋势不同，索马里人群阴道分娩组的早产率明显低于未匹配对照组，总体而言，裂伤更多。这些发现与先前关于索马里出生妇女早产率降低的研究一致。对于拒绝护理的观察表明，需要针对索马里移民的关注进行有针对性的研究。
