All VIDM 2023 Conference sessions are recorded. Links to the recordings are available on our @VirtualMidwives YouTube channel and linked below in each session listing.

Use the Search CATEGORIES and KEYWORDS (ie. Spanish, Students, or Keynotes) to find sessions of interest.

VIDM 2023 Conference sessions were presented and recorded using Big Blue Button mobile friendly webconferencing technology, thanks to our colleagues at Frontier Nursing University

21  Variation in caesarean birth amongst Asian American birthing people within the Perinatal Data Registry
May 5 @ 18:00 – 18:50
21  Variation in caesarean birth amongst Asian American birthing people within the Perinatal Data Registry @ Room A

Speaker: Amy Goh, Dia Kapoor, and Anna Nguyen

Facilitator: Olajumoke Ojeleye

Asians and Asian Americans (Asians) have the second highest rate of caesarean birth in the U.S. Asians have the lowest rate of out-of-hospital birth and are low utilizers of midwifery care. This presentation examines cesarean birth amongst Asians who have birthed at U.S. institutions participating in the AABC’s Perinatal Data Registry (PDR). 

Methods: Data from the PDR from 2007-2020 was utilized. Logistical regression was completed to determine the odds of cesarean birth for nulliparous and multiparous Asians in medically low-risk and elective hospitals categories.

Results: 2,983 Asian birthing people were sampled. Multiparous birthing people had 1.5 greater odds of caesarean birth compared to nulliparous birthing people (OR = 1.54; 95% CI, 1.19 – 2.03; p .01). The elective hospitalization group had higher adjusted odds of caesarean births compared to the low-risk and total population (OR = 1.54; 95% CI, 1.23 -1.93; p; .01). Nulliparous people in the elective hospitalization category had a rate of caesarean birth 1.5 times higher than the total (OR = 1.26; 95% CI, 1.09 -1.46; p .01) and 1.36 times higher than the low-risk sample (OR = 1.36; 95% CI, 1.13 -1.63; p .01). 

Conclusion: This study highlights inequities in multiparous and nulliparous cesarean birth among medically low-risk Asians. Further research is needed in disaggregation of perinatal outcomes and on reasons for low utilization of midwifery care and out-of-hospital births amongst U.S. Asians.