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33, 95% CI 2.04-27.78, p=0.004, OR 1.85, 95% CI 1.08-3.19, p=0.03 and OR 1.03, 95% CI 1.01-1.05, p=0.004, respectively). Our data suggest that language barrier is an independent risk factor of OASI. Physicians and midwives should attempt to identify patients with a language barrier during prenatal visits. Education about simple terms used during delivery could decrease the incidence of this complication. Our data suggest that language barrier is an independent risk factor of OASI. Physicians and midwives should attempt to identify patien