Breckenkamp J, et al. - Given a higher cesarean rates in women admitted to labor ward during early stages rather than at later stages of labor, researchers investigated if the low crude cesarean rates among Turkish and Lebanese immigrant women compared to non-immigrant women reported in a study in Germany, were due to their admission during later stages of labor. Enrolling 1413 nulliparous women with vertex pregnancies, singleton birth, and 37+ week of gestation, excluding elective cesarean deliveries, in three Berlin obstetric hospitals, they identified only a smaller proportion of Turkish migrant women in the active phase of labor (cervical dilation: 4+ cm), compared to women of Lebanese origin and non-immigrant women at the time of admission to labor ward. More advanced cervical dilatation was noted to be inversely associated with the outcome cesarean delivery. Further, the outcomes were noted to be associated with higher maternal age, application of oxytocic agents and obesity were associated with the outcome. Findings thereby suggest that despite being the strongest among the predictors for emergency cesarean delivery identified in this study, advanced cervical dilatation at the time of admission to labor ward does not explain lower emergency cesarean delivery rates in Turkish and Lebanese migrant women.