Female Genital Mutilation/Cutting among Women of Somali and Kurdish Origin in Finland
This study explores the prevalence of FGM/C, the sociodemographic characteristics associated with it, and its health effects among women of Somali and Kurdish origin in Finland. MethodsData were obtained from the Migrant Health and Well Being Study carried out in 2010–2012. This study uses data from interviews with Somali (N = 165) and Kurdish origin (N = 224) women. The participation rate was 37 percent for Somali and 54 percent for Kurdish origin women. ResultsThe prevalence of FGM/C was 69 percent among those of Somali origin and 32 percent among those of Kurdish origin. Having no education and older age were signific...
Source: Birth - May 8, 2016 Category: OBGYN Authors: Mimmi Koukkula, Ilmo Keskimäki, Päivikki Koponen, Mulki Mölsä, Reija Klemetti Tags: Original Article Source Type: research

Predictors of Unplanned Cesareans among Low ‐Risk Migrant Women from Low‐ and Middle‐Income Countries Living in Montreal, Canada
ConclusionMigrant women from sub‐Saharan Africa/Caribbean and recently arrived migrant women with a humanitarian classification are at greater risk for unplanned cesareans compared with other low‐risk migrant women from LMICs after controlling for medical factors. Strategies to prevent cesareans should consider the circumstances of migrant women that may be contributing to the use of unplanned cesareans in this population. (Source: Birth)
Source: Birth - April 19, 2016 Category: OBGYN Authors: Lisa Merry, Sonia Semenic, Theresa W. Gyorkos, William Fraser, Anita J. Gagnon Tags: Original Article Source Type: research

Survey of Obstetric Care and Cesarean Delivery Rates in Shanghai, China
DiscussionCesarean delivery was an efficient way to move patients through the systems observed, given the staffing and physical limitations of the public facilities. Physicians reported that patients and families perceived cesarean delivery as safer. Physicians also reported fear of charges of malpractice, for which they might be found to be financially liable or in physical danger. Societal expectations are high, and in a “one child” society, perception that cesarean section was safer may also have driven cesarean rates. Given the end of the One Child Policy, the preference for cesarean delivery may change. (Source: Birth)
Source: Birth - March 18, 2016 Category: OBGYN Authors: Susan Hellerstein, Sarah Feldman, Tao Duan Tags: Original Article Source Type: research

Evaluating a Midwife ‐Led Model of Antenatal Care for Women with a Previous Cesarean Section: A Retrospective, Comparative Cohort Study
ConclusionsImplementation of midwife‐led antenatal care for women with one previous cesarean offers a safe and effective alternative to traditional obstetrician‐led antenatal care, and is associated with increased rates of intended and actual VBAC. (Source: Birth)
Source: Birth - March 17, 2016 Category: OBGYN Authors: Helen K. White, Andr ée May, Elizabeth R. Cluett Tags: Original Article Source Type: research

Amount, Source, and Quality of Support as Predictors of Women's Birth Evaluations
DiscussionSupport in childbirth is a complex concept with multiple dimensions that matter for women's birth evaluations. Support from nursing staff, doctors, and doulas is important for enabling positive evaluations while support from partners is more complexly related to women's evaluations. Research on support for laboring women should more extensively address the division of labor between different sources of support. (Source: Birth)
Source: Birth - March 17, 2016 Category: OBGYN Authors: Richard M. Simon, Katherine M. Johnson, Jessica Liddell Tags: Original Article Source Type: research

Paid Maternity Leave and Breastfeeding Outcomes
ConclusionsEmployed women who received 12 or more weeks of paid maternity leave were more likely to initiate breastfeeding and be breastfeeding their child at 6 months than those without paid leave. (Source: Birth)
Source: Birth - March 17, 2016 Category: OBGYN Authors: Kelsey R. Mirkovic, Cria G. Perrine, Kelley S. Scanlon Tags: Original Article Source Type: research

Trends and Characteristics of United States Out ‐of‐Hospital Births 2004–2014: New Information on Risk Status and Access to Care
ConclusionsImprovements in risk status of out‐of‐hospital births from 2004 to 2014 suggest that appropriate selection of low‐risk women is improving. High rates of self‐pay for the costs of out‐of‐hospital birth suggest serious gaps in insurance coverage, whereas higher‐than‐average rates of VBAC could reflect lack of access to hospital VBACs. Mandating private insurance and Medicaid coverage could substantially improve access to out‐of‐hospital births. Improving access to hospital VBACs might reduce the number of out‐of‐hospital VBACs. (Source: Birth)
Source: Birth - March 15, 2016 Category: OBGYN Authors: Marian F. MacDorman, Eugene Declercq Tags: Original Article Source Type: research

Evaluating a Midwife‐Led Model of Antenatal Care for Women with a Previous Cesarean Section: A Retrospective, Comparative Cohort Study
ConclusionsImplementation of midwife‐led antenatal care for women with one previous cesarean offers a safe and effective alternative to traditional obstetrician‐led antenatal care, and is associated with increased rates of intended and actual VBAC. (Source: Birth)
Source: Birth - March 1, 2016 Category: OBGYN Authors: Helen K. White, Andrée May, Elizabeth R. Cluett Tags: Original Article Source Type: research

Trends and Characteristics of United States Out‐of‐Hospital Births 2004–2014: New Information on Risk Status and Access to Care
ConclusionsImprovements in risk status of out‐of‐hospital births from 2004 to 2014 suggest that appropriate selection of low‐risk women is improving. High rates of self‐pay for the costs of out‐of‐hospital birth suggest serious gaps in insurance coverage, whereas higher‐than‐average rates of VBAC could reflect lack of access to hospital VBACs. Mandating private insurance and Medicaid coverage could substantially improve access to out‐of‐hospital births. Improving access to hospital VBACs might reduce the number of out‐of‐hospital VBACs. (Source: Birth)
Source: Birth - March 1, 2016 Category: OBGYN Authors: Marian F. MacDorman, Eugene Declercq Tags: Original Article Source Type: research

A Prospective Investigation of Prenatal Mood and Childbirth Perceptions in an Ethnically Diverse, Low‐Income Sample
DiscussionOur finding that prenatal stress explains a significant and likely clinically meaningful proportion of the variance in birth experience suggests that women perceive and recall their birth experiences through a lens that is partially determined by preexisting personal circumstances and emotional reserves. Since childbirth perceptions have implications for maternal and child health, patient satisfaction, and health care expenditures, these findings warrant consideration of prenatal stress screening to target intervention for women at risk for negative birth experiences. (Source: Birth)
Source: Birth - March 1, 2016 Category: OBGYN Authors: Jayme L. Congdon, Nancy E. Adler, Elissa S. Epel, Barbara A. Laraia, Nicole R. Bush Tags: Original Article Source Type: research

Women's Knowledge of Ovulation, the Menstrual Cycle, and Its Associated Reproductive Changes
ConclusionsReproductive knowledge should be assessed during preconception visits and women should be taught comprehensive reproductive education—not just selected topics—to be adequately equipped to make informed reproductive decisions. (Source: Birth)
Source: Birth - February 29, 2016 Category: OBGYN Authors: Adejoke B. Ayoola, Gail L. Zandee, Yenupini J. Adams Tags: Original Article Source Type: research

Predictors of Unplanned Cesareans among Low‐Risk Migrant Women from Low‐ and Middle‐Income Countries Living in Montreal, Canada
ConclusionMigrant women from sub‐Saharan Africa/Caribbean and recently arrived migrant women with a humanitarian classification are at greater risk for unplanned cesareans compared with other low‐risk migrant women from LMICs after controlling for medical factors. Strategies to prevent cesareans should consider the circumstances of migrant women that may be contributing to the use of unplanned cesareans in this population. (Source: Birth)
Source: Birth - February 29, 2016 Category: OBGYN Authors: Lisa Merry, Sonia Semenic, Theresa W. Gyorkos, William Fraser, Anita J. Gagnon Tags: Original Article Source Type: research

A Comparison of Practices During the Confinement Period among Chinese, Malay, and Indian Mothers in Singapore
ConclusionMost Singapore mothers follow confinement practices, but the three Asian ethnic groups differed in specific confinement practices. Future studies should examine whether ethnic differences persist in later childrearing practices. (Source: Birth)
Source: Birth - February 29, 2016 Category: OBGYN Authors: Doris Fok, Izzuddin M. Aris, Jiahui Ho, Sok Bee Lim, Mei Chien Chua, Wei Wei Pang, Seang‐Mei Saw, Kenneth Kwek, Keith M. Godfrey, Michael S. Kramer, Yap Seng Chong, Tags: Original Article Source Type: research

Obstetrician Attitudes, Experience, and Knowledge of Planned Home Birth: An Exploratory Study
ConclusionsObstetricians have limited knowledge and experience and hold very negative attitudes about planned home birth. Research is necessary to determine: 1) whether negative obstetrician attitudes would be modified by exposure to home birth education and experience, and, 2) whether negative obstetrician beliefs deter safe and timely transfer from home or compromise hospital care for transferred parturients. (Source: Birth)
Source: Birth - February 29, 2016 Category: OBGYN Authors: Jennifer Leone, Jackie Mostow, David Hackney, Priyanka Gokhale, Jeffrey Janata, Marjorie Greenfield Tags: Original Article Source Type: research

Birth Plans: What Matters for Birth Experience Satisfaction
ConclusionsHaving a higher number of requests fulfilled was positively associated with birth experience satisfaction, while having a high number of requests was inversely associated with birth experience satisfaction. Further research is needed to understand how to improve birth plan–related birth experience satisfaction. (Source: Birth)
Source: Birth - February 25, 2016 Category: OBGYN Authors: Jenny Y. Mei, Yalda Afshar, Kimberly D. Gregory, Sarah J. Kilpatrick, Tania F. Esakoff Tags: Original Article Source Type: research