title: Differences between native and immigrant women in Taiwan in factors associated with caesarean section: A prospective observational study.
abstract: This study aimed to examine the association of social support, social factors, and maternal complications with caesarean deliveries in native and immigrant women, and to explore the association between acculturation and caesarean deliveries in immigrant women in Taiwan. This prospective panel study was conducted from August 2012 through April 2014 and included 222 native and 147 immigrant pregnant women in Taiwan. Caesarean rates did not differ significantly between native and immigrant women, including the overall caesarean rate (28.8%, 32.0%), medically indicated caesarean (22.5%, 24.5%), and caesarean without medical indications (6.3%, 7.5%). Results of multiple logistic regression models revealed that maternal complications and household activity support were positively associated with caesarean deliveries. Both native and immigrant women with high levels of informational support were less likely to receive caesareans. Immigrant women who were older than 35 years, had a middle level socioeconomic status, and perceived a high level of acceptance of caesarean in Taiwan were more likely to have caesarean deliveries. Informational support was a protective factor for caesarean delivery, whereas household activity support offered by the family was positively associated with caesarean delivery. Perceived acceptance level in mainstream society could affect immigrant women's use of caesarean delivery.
authors.affiliation: a Institute of Community Health Care , National Yang-Ming University , Taipei , Taiwan.|b Department of Nursing , Taipei City Hospital Heping Fuyou Branch , Taipei , Taiwan.
authors.forename: Shiue-Shan
authors.initials: SS
authors.lastname: Weng
authors.affiliation: c Department of Obstetrics and Gynecology , Taipei City Hospital , Taipei , Taiwan.
authors.forename: Chen-Li
authors.initials: CL
authors.lastname: Lin
authors.affiliation: d Department of Obstetrics and Gynecology , Taipei Medical University , Taipei , Taiwan.|e Department of Traditional Chinese Medicine , Taipei Medical University Hospital , Taipei , Taiwan.
authors.forename: Chen-Jei
authors.initials: CJ
authors.lastname: Tai
authors.affiliation: a Institute of Community Health Care , National Yang-Ming University , Taipei , Taiwan.
authors.forename: Li-Yin
authors.initials: LY
authors.lastname: Chien
mesh_terms: D000069:Acculturation; D000328:Adult; D002585:Cesarean Section / Q000706:statistics & numerical data*; D003431:Cross-Cultural Comparison; D003469:Culture; D036861:Delivery, Obstetric / Q000379:methods; D054242:Emigrants and Immigrants / Q000523:psychology / Q000706:statistics & numerical data*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice / Q000208:ethnology*; D006801:Humans; D016015:Logistic Models; D011247:Pregnancy; D011256:Pregnancy Outcome / Q000453:epidemiology*; D011446:Prospective Studies; D012944:Social Support; D012959:Socioeconomic Factors; D013624:Taiwan / Q000453:epidemiology / Q000208:ethnology; D055815:Young Adult
keywords: Acculturation; caesarean section; immigrant; risk factors