Obstetric anesthesia

Migrant-Native Disparities in Obstetric Neuraxial Analgesia Use: The Role of Host-Country Language Proficiency

Anesth AnalgPublished Secondary analysis of the baMBINO prospective cohort study

Authors' conclusion

Compared to native women, we observed a differential obstetric NA use across migrant women with different host-country language proficiency levels in Portugal, without affecting satisfaction with labor pain management.

Study context

Population
Native and migrant women with singleton vaginal deliveries, 2017–2019, Portugal1,111 migrant women
Comparison
Migrant women by Portuguese language proficiency vs native women
  • Nativen = 1,024reference
Primary endpoint
Obstetric neuraxial analgesia use (self-reported)
Methodological detailsnationwide, robust multilevel Poisson regression, adjusted for maternal region of birth, age and education
  • Nationwide
  • Robust multilevel Poisson regression
  • Adjusted for maternal region of birth, age and education

Primary result

As reported in the abstract

Obstetric neuraxial analgesia (NA) use
Each group vs nativeAdjusted relative risk (95% CI)
Intermediate proficiency
0.91(0.82–0.99)
Limited proficiency
0.73(0.56–0.94)

Further findings

Satisfaction with labor pain management

No significant differences by language proficiency level

Original publication

Migrant-Native Disparities in Obstetric Neuraxial Analgesia Use: The Role of Host-Country Language Proficiency. Anesth Analg. Published 5 September 2023. doi:10.1213/ane.0000000000006370

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