Beginning to Optimize Peripartum Care for Somalia-Born Women by Evaluating Labor, Postpartum and Neonatal Outcomes in the Somali Population Delivering at a Tertiary Care Center in Vermont

J Immigr Minor Health. 2020 Oct;22(5):1017-1022. doi: 10.1007/s10903-020-01008-3.

Abstract

Vermont has a large population of Somali immigrants and previous research has shown outcome disparities in this population. Labor curves, pregnancy and delivery outcomes information is required and critical to optimize current labor management in an institution that provides obstetrical care for this population. Data were collected for both Somalia-born and non Somalia-born parturients in pre-pregnancy, pregnancy, delivery, neonatal and cervical change categories and were compared to non Somalia-born parturients to observe differences in demographic factors and outcomes as well as labor progress. Overall labor length trended differently between the two groups, the rate of preterm birth in the vaginal delivery group in the Somali population was much lower than the unmatched control group and overall more lacerations were noted. Findings are consistent with prior studies related to reduced preterm birth rate in Somalia-born women. Observation regarding refusal of care demonstrates need for targeted research related to concerns of Somali immigrants.

Keywords: Birth; Labor; Outcomes; Somalia.

MeSH terms

  • Female
  • Humans
  • Infant, Newborn
  • Peripartum Period*
  • Postpartum Period
  • Pregnancy
  • Premature Birth*
  • Somalia
  • Tertiary Care Centers
  • Vermont