Maternal care and birth outcomes among ethnic minority women in Finland

Malin, Maili; Gissler, Mika
January 2009
BMC Public Health;2009, Vol. 9 Issue 1, p1
Academic Journal
Background: Care during pregnancy and labour is of great importance in every culture. Studies show that people of migrant origin have barriers to obtaining accessible and good quality care compared to people in the host society. The aim of this study is to compare the access to and use of maternity services, and their outcomes among ethnic minority women having a singleton birth in Finland. Methods: The study is based on data from the Finnish Medical Birth Register in 1999-2001 linked with the information of Statistics Finland on woman's country of birth, citizenship and mother tongue. Our study data included 6,532 women of foreign origin (3.9% of all singletons) giving singleton birth in Finland during 1999-2001 (compared to 158,469 Finnish origin singletons). Results: Most women have migrated during the last fifteen years, mainly from Russia, Baltic countries, Somalia and East Europe. Migrant origin women participated substantially in prenatal care. Interventions performed or needed during pregnancy and childbirth varied between ethnic groups. Women of African and Somali origin had most health problems resulted in the highest perinatal mortality rates. Women from East Europe, the Middle East, North Africa and Somalia had a significant risk of low birth weight and small for gestational age newborns. Most premature newborns were found among women from the Middle East, North Africa and South Asia. Primiparous women from Africa, Somalia and Latin America and Caribbean had most caesarean sections while newborns of Latin American origin had more interventions after birth. Conclusion: Despite good general coverage of maternal care among migrant origin women, there were clear variations in the type of treatment given to them or needed by them. African origin women had the most health problems during pregnancy and childbirth and the worst perinatal outcomes indicating the urgent need of targeted preventive and special care. These study results do not confirm either healthy migrant effect or epidemiological paradox according to which migrant origin women have considerable good birth outcomes.


Related Articles

  • New Belgian Policy Leads to Marked Decline in Multiple Pregnancy Rate. Van Landuyt, L. // Fertility Weekly;3/12/2007, p3 

    The article reports on the new policy in Belgium that leads to a marked decrease in the number of multiple pregnancies. The said policy restricts the number of embryos for transfer based on the mother's age and treatment cycle. Multiple pregnancies involve fetal and maternal health risks as well...

  • Use of the CenteringPregnancy Program in a School-Based Clinic: A Pilot Study. Blom, Kathaleen C. // Clinical Excellence for Nurse Practitioners;Winter2005, Vol. 9 Issue 4, p213 

    Adolescents are, in many ways, a unique population for pregnancy care. The developmental needs of the adolescent are compounded by the developmental needs associated with pregnancy. The CenteringPregnancy Program is a model of prenatal care that provides the essentials of assessment, education,...

  • Postnatal care: what new mothers say. Ockleford, Elizabeth M.; Berryman, Julia C.; Hsu, Ron // British Journal of Midwifery;Mar2004, Vol. 12 Issue 3, p166 

    Reports on the postnatal experiences of multiparous and primiparous women of White and Indian ethnicity in Great Britain. Effect of the low staff levels in hospital wards on the care received by the mothers; Mismatch existing between expectation and the service that can be provided in the country.

  • Obstetric services in the UK: what we need now. Setna, Zeryab; Tuffnell, Derek // British Journal of Hospital Medicine (17508460);Feb2008, Vol. 69 Issue 2, p78 

    Pregnancy and childbirth should be a safe and memorable experience for both women and their partners. This article discusses the current position of maternity services, their strengths and limitations, and suggests future directions required to improve these services further.

  • Improving maternal health in Somalia.  // African Business News;9/17/2013, p17 

    The article focuses on how Great Britain support is helping Somali women have safer child births. It states about Farhiya Jama Ahmed, who lives in Puntland Somalia with her husband and 3 children. She was 7-months pregnant with her last born and with the help of DFID funded Health Consortium...

  • Equity and access to health care for pregnant women in Campinas (SP), Brazil. De Mattos Almeida, Solange Duarte; De Azevedo Barros, Marilisa Berti // Revista Panamericana de Salud Publica;Jan2005, Vol. 17 Issue 1, p15 

    Objective. To compare the health care received during pregnancy, delivery, and the puerperium by women belonging to two different per capita family income strata: less than 1 minimum wage, and 1 or more minimum wages. Method. This is a cross-sectional observational study that was carried out...

  • New System Specific for Day Three Embryos may Improve Pregnancy Rates. Iwase, A. // Fertility Weekly;3/12/2007, p4 

    The article reports that the development of the new embryo grading system may improve pregnancy rates. A group of researchers in Japan has presented the new system which is specific for day three embryos. This system is useful for the selection of good quality embryos and may improve the...

  • Preconception care just as important as prenatal.  // New York Amsterdam News;3/22/2007, Vol. 98 Issue 13, p26 

    The article offers 10 recommendations from the Medical Society of the State of New York (MSSNY) to achieve improved reproductive health outcomes in New York. Women must consider a lifespan approach to focus their attention on reproductive health to reduce unintended pregnancies and age-related...

  • Perinatal mental disorders in native Danes and immigrant women. Munk-Olsen, Trine; Laursen, Thomas Munk; Mendelson, Tamar; Pedersen, Carsten B. // Archives of Women's Mental Health;Aug2010, Vol. 13 Issue 4, p319 

    We aimed to explore if first- and second-generation immigrants have similar risks of mental disorder in pregnancy and postpartum as native Danes have. A population-based cohort study merging data from two Danish population registers was conducted, and survival analyses were performed. A total of...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics