A Systematic Review and Meta-Analysis of the Risk of Stillbirth, Perinatal and Neonatal Mortality in Immigrant Women (original) (raw)

Severe maternal morbidity associated with maternal birthplace in three high-immigration settings

European journal of public health, 2015

Maternal mortality and morbidity vary substantially worldwide. It is unknown if these geographic differences translate into disparities in severe maternal morbidity among immigrants from various world regions. We assessed disparities in severe maternal morbidity between immigrant women from various world regions giving birth in three high-immigration countries. We used population-based delivery data from Victoria; Australia and Ontario, Canada and national data from Denmark, in the most recent 10-year period ending in 2010 available to each participating centre. Each centre provided aggregate data according to standardized definitions of the outcome, maternal regions of birth and covariates for pooled analyses. We used random effects and stratified logistic regression to obtain odds ratios (ORs) with 95% confidence intervals (95% CIs), adjusted for maternal age, parity and comparability scores. We retrieved 2,322,907 deliveries in all three receiving countries, of which 479,986 (21%...

Results of the Recent Immigrant Pregnancy and Perinatal Long-term Evaluation Study (RIPPLES)

Canadian Medical Association Journal, 2007

Research P eople who immigrate to Western countries are believed to experience fewer chronic health problems than individuals born in those countries. 1,2 For example, new immigrants have been found to have lower rates of diabetes mellitus, hypertension, heart disease and cancerthe so-called "healthy immigrant effect." In addition, an inverse relation may exist between time since arrival and the risk of some chronic conditions. 3 Immigrants have also been shown to have more disability-free years and longer life expectancies than people born in Canada. 4,5 In addition, preliminary studies have indicated a less significant risk of infant mortality and low birth weight among offspring of women who settle in the United States than among their American-born counterparts. 5-7 However, data on obstetric outcomes are lacking.

Challenges in migrant women's maternity care in a high‐income country: A population‐based cohort study of maternal and perinatal outcomes

Acta Obstetricia et Gynecologica Scandinavica, 2021

This study aims to explore maternal and perinatal outcomes of migrant women in Iceland. This prospective population-based cohort study included women who gave birth to a singleton in Iceland between 1997 and 2018, for a total of 92 403 births. Migrant women were defined as women with citizenship other than Icelandic, including refugees and asylum seekers, and categorised into three groups, based on their country of citizenship Human Development Index score. The effect of country of citizenship was estimated. The main outcome measures were onset of labour, augmentation, epidural, perineum support, episiotomy, mode of birth, obstetric anal sphincter injury, postpartum hemorrhage, preterm birth, a five-minute Apgar < 7, neonatal intensive care unit admission and perinatal mortality. Odds ratios (ORs) and 95% confidence intervals (CIs) for maternal and perinatal outcomes were calculated using logistic regression models. A total of 8158 migrant women gave birth during the study period...

Migrant population and perinatal health

Archivos argentinos de pediatría, 2013

The number of foreign migrants tends to grow. The situation of people living away from their own country is complex and has an impact on the public health system. The objective of this article was to analyze the perinatal risk of migrant mothers and their newborn infants in comparison to native Argentine mothers and their newborn infants. Cohort study that included 2000 mothers and their newborn infants (1000 migrants and 1000 natives) assisted at a public maternity hospital. Native mothers had a higher rate of low birth weight newborn infants (9.9% versus 5.3%; p <0.01), primiparity (42% versus 37%; p= 0.012), and adolescent pregnancy (6% versus 1.3%; p <0.001). Migrant women had a higher rate of poorly controlled pregnancies (21.7% versus 13.4%; p <0.01), positive serology for Chagas disease (3.2% versus 0.4%; p <0.01), and newborn infants requiring phototherapy (20.5% versus 14.3%; p =0.04). In our study, Argentine mothers had a higher rate of low birth weight newborn...

Interventions to improve maternity outcomes for migrant women in high-income countries: preliminary findings from a systematic review

Population medicine, 2023

Population Medicine considers the following types of articles: • Research Papers-reports of data from original research or secondary dataset analyses. • Review Papers-comprehensive, authoritative, reviews within the journal's scope. These include both systematic reviews and narrative reviews. • Short Reports-brief reports of data from original research. • Policy Case Studies-brief articles on policy development at a regional or national level. • Study Protocols-articles describing a research protocol of a study. • Methodology Papers-papers that present different methodological approaches that can be used to investigate problems in a relevant scientific field and to encourage innovation. • Methodology Papers-papers that present different methodological approaches that can be used to investigate problems in a relevant scientific field and to encourage innovation. • Letters to the Editor-a response to authors of an original publication, or a very small article that may be relevant to readers. • Editorials-articles written by the Editorial Board or by invited experts on a specific topic. Research Papers Articles reporting research may be full length or brief reports. These should report original research findings within the journal's scope. Papers should generally be a maximum of 4000 words in length, excluding tables, references, and abstract and key points of the article, whilst it is recommended that the number of references should not exceed 36.

Retrospective Evaluation of Perinatal and Early Neonatal Outcomes in Infants of Migrant Mothers: A Case-controlled Study

Medeniyet Medical Journal

Objective: To investigate the incidence of perinatal features and neonatal morbidities in migrant mothers in comparison with native Turkish mothers. Method: A retrospective analysis was conducted using the medical records of 89 infants born to Syrian immigrants and 89 infants born to native Turkish mothers who were consecutively admitted to the neonatal intensive care unit of our hospital between 2015 and 2019. Statistical analyses were used to compare demographic data and perinatal and neonatal outcomes between the two groups. Results: Compared to Turkish mothers, Syrian mothers were significantly younger and adolescent pregnancy rate was significantly higher (p<0.01). The rates of multiple pregnancy, consanguineous marriage, and prolonged premature membrane rupture were also significantly higher in Syrian mothers (p<0.05). The incidence rates of congenital anomalies, respiratory distress syndrome, transient tachypnea of newborn pneumonia/bronchiolitis, sepsis, jaundice, and feeding problems were the same for infants born to Syrian and Turkish mothers (p>0.05). In addition, the two groups did not differ with respect to gestational week at birth, birth weight, sex, types of delivery, Apgar score, duration of hospital stay, and incidence of infant mortality (p>0.05). Conclusion: The immigrant status negatively affects perinatal and neonatal outcomes. However, the incidence rates of infant mortality and neonatal morbidity did not differ between infants born to Syrian and those born to Turkish mothers. This may be due to the recent improvements in the of overall health status of migrant women or of those migrants living in Turkey being able to have access to increased prenatal and postnatal period policies of mother-child health services which have been successfully implemented.

Stillbirth among foreign-born women in Sweden

The European Journal of Public Health, 2011

Background: The aims of this study were: (i) to investigate stillbirth risk in offspring to foreign-born women by region of birth; (ii) if disparities in risks can be explained by socio-economic factors, pregnancy complications or maternal morbidity; and (iii) if the risk varies by time since immigration. Methods: This was a population-based register study with data from the Swedish Medical Birth Register and socio-economic variables from national income and population registers. We studied single births from 1992 to 2005, and included 219 832 births to foreign-born women and 1 094 146 births to Swedish-born women. Logistic regression analysis was used to calculate odds ratios (ORs), using 95% confidence intervals (CIs). Results: In all, 4104 antepartal and 255 intrapartal stillbirths occurred. Compared with births to Swedish women, the OR of stillbirth was 2.27 (95% CI 1.84-2.80) for births to women from Africa and 1.41 (95% CI 1.22-1.64) for births to women from Middle East, after adjustment for confounding factors. The risk of stillbirth was higher in immigrants who had been in Sweden for a short time period (<5 years) compared with those who had been in Sweden for a longer period, OR 1.21 (95% CI 1.05-1.40). Conclusions: The risk of stillbirth in immigrant women varies by region of birth and time since immigration, being highest in women from Africa and the Middle East, and the recently settled. Further studies are needed to identify the mechanisms behind these patterns.