Differential rates of cesarean delivery by maternal geographical origin: a cohort study in France

Table 4 Association between maternal origin and cesarean delivery during labor in the 5A Robson category (n = 249)

Variable	Cesarean delivery during labor versus vaginal delivery
Variable	OR [95% CI]	aOR^a [95% CI]	aOR^b [95% CI]
Group
Fr	1	1	1
SSA	1.99 [1.11–3.56]	3.02 [1.47–6.23]	2.95 [1.35–6.44]
Maternal age (years) ^c		0.97 [0.91–1.03]	0.97 [0.91–1.03]
Body mass index (kg/m²)^c		1.08 [1.02–1.14]	1.08 [1.02–1.14]
Parity
0–1		1	1
≥ 2		0.32 [0.16–0.67]	0.32 [0.16–0.67]
Medical risk level at the beginning of pregnancy^d
Low		1	1
High		1.54 [0.80–2.99]	1.55 [0.80–3.00]
Adequacy of prenatal care utilization^d
Inadequate		1.65 [0.67–4.07]	1.65 [0.67–4.05]
Intermediate		1.07 [0.35–3.30]	1.08 [0.35–3.32]
Adequate		1	1
Adequate plus		2.14 [0.84–5.46]	2.14 [0.84–5.48]
Estimation of fetal weight^d
Normal or small for gestational age		1	1
Large for gestational age		12.73 [1.71–94.47]	12.84 [1.73–95.33]
Complications during pregnancy^d
No		1	1
Yes		0.98 [0.33–2.90]	0.98 [0.33–2.90]
Social deprivation^d
No			1
Yes			1.07 [0.51–2.25]

Abbreviations: OR odds-ratio, aOR adjusted OR, 95% CI 95% confidence interval, Fr group women born in mainland France and originally from mainland France, SSA group women born in Sub-Saharan Africa and originally from Sub-Saharan Africa. Statistically significant results appear in boldface
^aLogistic regression models including all variables in the column (except social deprivation) + maternity unit of delivery; imputed data
^bLogistic regression models including all variables in the column + maternity unit of delivery; imputed data
^cContinuous variables
^dSee definitions in Table 1

ISSN: 1471-2393