{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T12:08:14Z","timestamp":1778155694930,"version":"3.51.4"},"reference-count":29,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2020,1,20]],"date-time":"2020-01-20T00:00:00Z","timestamp":1579478400000},"content-version":"vor","delay-in-days":19,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100003125","name":"Suomen Kulttuurirahasto","doi-asserted-by":"publisher","award":["00170139"],"award-info":[{"award-number":["00170139"]}],"id":[{"id":"10.13039\/501100003125","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Paediatric Perinatal Epid"],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>In Finland, limited information is available on neonatal disparities among women of migrant origin.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>This study investigated differences in caesarean delivery and neonatal outcomes between women of migrant origin and Finnish women in Finland.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The study was based on nationwide data from the Medical Birth Register of Finland. Our study included information on the most recent singleton birth of women delivering between January 2004 and December 2014 (N\u00a0=\u00a0382\u00a0233). Women were classified into nine regional categories based on their country of origin. Generalized linear models were used to describe associations between country of origin and pregnancy outcomes adjusted for maternal age, socio\u2010economic status, pre\u2010pregnancy body mass index, parity, marital status, smoking during pregnancy, and delivery year. Finnish women were the reference group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among the study population, almost 92% of women were of Finnish origin; the remaining 8% were of migrant origin. Among the migrant women, those of Russian\/former USSR origin were the largest group (n\u00a0=\u00a011\u00a0994); the smallest group was women of Latin American\/Caribbean origin (n\u00a0=\u00a0739). Compared with Finnish women, women of sub\u2010Saharan African, South Asian, and East Asian origin were at greater risk of emergency caesarean delivery, preterm birth, low birthweight, and lower five\u2010minute Apgar scores for newborns. Latin American\/Caribbean\u2010origin women were at increased risk of both elective and emergency caesarean delivery and lower five\u2010minute Apgar scores compared with Finnish women. Women of Russian\/former USSR origin overall had a lower risk of caesarean delivery and poor neonatal outcomes compared with Finnish women.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>We identified sub\u2010Saharan African, South Asian, and East Asian women as higher\u2010risk groups, and women from Russia\/former USSR as a lower\u2010risk group, for emergency caesarean delivery and poor neonatal outcome compared with Finnish women. More research is needed to identify the reasons for these differences by country of origin in Finland.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ppe.12611","type":"journal-article","created":{"date-parts":[[2020,1,21]],"date-time":"2020-01-21T07:34:17Z","timestamp":1579592057000},"page":"12-20","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Differences in caesarean delivery and neonatal outcomes among women of migrant origin in Finland: A population\u2010based study"],"prefix":"10.1111","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2922-2876","authenticated-orcid":false,"given":"Kalpana","family":"Bastola","sequence":"first","affiliation":[{"name":"Faculty of Social Sciences Unit of Health Sciences Tampere University Tampere Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P\u00e4ivikki","family":"Koponen","sequence":"additional","affiliation":[{"name":"Department of Public 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