原创力文档international migration and caesarean birth a systematic review and meta-analysis国际移民和剖腹产的系统回顾和荟萃分析.pdfVIP
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international migration and caesarean birth a systematic review and meta-analysis国际移民和剖腹产的系统回顾和荟萃分析
Merry et al. BMC Pregnancy and Childbirth 2013, 13:27
/1471-2393/13/27
RESEARCH ARTICLE Open Access
International migration and caesarean birth: a
systematic review and meta-analysis
1* 2 3 4
Lisa Merry , Rhonda Small , Béatrice Blondel and Anita J Gagnon
Abstract
Background: Perinatal health disparities including disparities in caesarean births have been observed between
migrant and non-migrant women and some literature suggests that non-medical factors may be implicated. A
systematic review was conducted to determine if migrants in Western industrialized countries consistently have
different rates of caesarean than receiving-country-born women and to identify the reasons that explain these
differences.
Methods: Reports were identified by searching 12 literature databases (from inception to January 2012; no
language limits) and the web, by bibliographic citation hand-searches and through key informants. Studies that
compared caesarean rates between international migrants and non-migrants living in industrialized countries and
that did not have a ‘fatal flaw’ according to the US Preventative Services Task Force criteria were included. Studies
were summarized, analyzed descriptively and where possible, meta-analyzed.
Results: Seventy-six studies met inclusion criteria. Caesarean rates between migrants and non-migrants differed in
69% of studies. Meta-analyses revealed consistently higher overall caesarean rates for Sub-Saharan African, Somali
and South Asian women; higher emergency rates for North African/West Asian and Latin American women; and
lower overall rates for Eastern European and Vietnamese women. Evidence to explain the consistently different
rates was limited. Frequently postulated risk factors for caesarean
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