Birth Outcomes, Postpartum Health and Primary Care Contacts of Immigrant Mothers in an Australian Nulliparous Pregnancy Cohort Study
- 21 August 2009
- journal article
- Published by Springer Science and Business Media LLC in Maternal and Child Health Journal
- Vol. 14 (5), 807-816
- https://doi.org/10.1007/s10995-009-0514-x
Abstract
To investigate differences and similarities in birth outcomes, postpartum health and primary care contacts of mothers born overseas of non-English speaking background (NESB) compared with Australian-born mothers. Nulliparous women were recruited in early pregnancy (≤24 weeks gestation) to a prospective pregnancy cohort study from six metropolitan public hospitals in Victoria, Australia. Analyses are based on questionnaires completed in pregnancy and at 3 months postpartum. Of the 1,507 women recruited in the study, 1,431 women (95%) were followed up at 3 months postpartum. Immigrant mothers of NESB (n = 212) and Australian born mothers (n = 1,074) had similar obstetric outcomes and postpartum physical health outcomes. Immigrant women were more likely to say they had been depressed for 2 weeks or longer since the birth (Adj OR = 1.92, 95% CI 1.3–2.8); to report relationship problems (Adj OR = 1.39, 95% CI 0.9–2.1) and to report lower emotional satisfaction with their relationship with the partner (Adj OR = 1.69, 95% CI 1.1–2.6) after adjusting for age, education status, income, method of birth and genital tract trauma. Immigrant mothers were less likely to be asked about feeling low or depressed by general practitioners (OR = 0.79, 95% CI 0.5–0.9) and about relationship problems by maternal and child health nurses (OR = 0.68, 95% CI 0.5–0.9). Immigrant women of NESB reported greater psychological distress, less emotional satisfaction with their partner and more relationship problems in the first 3 months postpartum than Australian born women. Although immigrant mothers had an equivalent level of contact with primary care practitioners in the first 3 months postpartum, they were less likely to be asked about their emotional well-being or about relationship problems by health professionals.Keywords
This publication has 25 references indexed in Scilit:
- Postpartum Health, Service Needs, and Access to Care Experiences of Immigrant and Canadian‐Born WomenJournal of Obstetric, Gynecologic & Neonatal Nursing, 2006
- Cross-cultural experiences of maternal depression: associations and contributing factors for Vietnamese, Turkish and Filipino immigrant women in Victoria, AustraliaEthnicity & Health, 2003
- High EPDS scores in women from ethnic minorities living in LondonArchives of Women's Mental Health, 2003
- Sex in Australia: Sexual and emotional satisfaction in regular relationships and preferred frequency of sex among a representative sample of adultsAustralian and New Zealand Journal of Public Health, 2003
- The development and evaluation of an incontinence screening questionnaire for female primary careNeurourology and Urodynamics, 2000
- Prevalence of faecal incontinence: obstetric and constipation‐related risk factors; a population‐based studyColorectal Disease, 1999
- South asian women in east london: Motherhood and social supportWomen's Studies International Forum, 1998
- Initial validation of a bowel symptom questionnaire* and measurement of chronic gastrointestinal symptoms in AustraliansAustralian and New Zealand Journal of Medicine, 1995
- Validation of a severity index in female urinary incontinence and its implementation in an epidemiological survey.Journal of Epidemiology and Community Health, 1993
- Screening for depression during pregnancy with the edinburgh depression scale (EDDS)Journal of Reproductive and Infant Psychology, 1990