Abstract
To compare the incidence of obstetric and neonatal outcomes between native and immigrant women. A retrospective cohort of singleton pregnancies was conducted concerning the period 2003–2009. Women were divided in group 1, including natives and group 2, including immigrants. Epidemiological characteristics, obstetric outcomes and neonatal morbidity parameters were studied. Out of 7033 singleton pregnancies delivered during this period, 6980 with complete information were finally included. Immigrants consisted 47.59 % of all gravidas (group 2, n = 3322), presenting significantly lower rates of emergency caesarean section, preeclampsia, preterm delivery, placenta praevia and fetal distress. Furthermore, all parameters of neonatal morbidity, including Mean Apgar score in the 1st and 5th minute as well as rates of NICU admission and emergency intubation were significantly improved in the group of immigrants. According to our results, pregnancies of immigrant women are less likely to be complicated by severe obstetric and neonatal outcomes.
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References
International Migration Trends World Migration. 2005. Costs and benefits of international migration. International organization for Migration. Available at www.iom.int/jahia.
Chou YA, Chou YJ, Lee CH, Huang N. Pregnancy outcomes among native and foreign-born women in Taiwan: maternal health utilization. J Womens Health. 2008;17:1505–12.
Singh GK, Siahpush M. All-cause and cause-specific mortality of immigrants and native born in the United States. Am J Public Health. 2001;91:392–9.
Cacciani L, Baglio G, Rossi L, et al. Hospitalisation among immigrants in Italy. Emerg Themes Epidemiol. 2006;3:4.
Newbold KB. Self-related health within the Canadian immigrant population: risk and the healthy immigrant effect. Soc Sci Med. 2005;60:1359–70.
Shen JJ, Tymkow C, MacMullen N. Disparities in maternal outcomes among four ethnic populations. Ethn Dis. 2005;15:492–7.
Wong LF, Caughey AB, Nakagawa S, et al. Perinatal outcomes among different Asian–American subgroups. Am J Obst Gynecol. 2008;199:382.e1–6.
Rao AK, Daniels K, El-Sayed Y, et al. Perinatal outcomes among Asian American and Pacific Islander women. Am J Obstet Gynecol. 2006;195:834–8.
Yang Q, Wen SW, Caughey S, et al. Placenta praevia: its relationship with race and the country of origin among Asian women. Acta Obstet Gynecol. 2008;87:612–6.
David M, Pachaly J, Vetter K. Perinatal outcome in Berlin (Germany) among immigrants from Turkey. Arch Gynecol Obstet. 2006;274:271–8.
Silva JK, Kaholokula JK, Ratner R, Mau M. Ethnic differences in perinatal outcome of gestational diabetes mellitus. Diabetes Care. 2006;29:2058–63.
Aurelius G, Ryde-Blomqvist E. Pregnancy and delivery among immigrants. Scand J Soc Med. 1978;6:43–8.
Rizzo N, Ciardelli V, Gandolfi Colleoni G, Bonavita B, Parisio C, Farina A, Bovicelli L. Delivery and immigration: the experience of an Italian hospital. Eur J Obstet Gynecol Reprod Biol. 2004;116:170–2.
Singh GK, Siapush M. Ethnic-immigrant differentials in health behaviors, morbidity and cause-specific mortality in the United States: an analysis of two national data bases. Hum Biol. 2002;74:83–109.
Frisbie WP, Cho Y, Hummer RA. Immigration and the health of Asian and Pacific Islander adults in the United States. Am J Epidemiol. 2001;153:372–80.
Chen J, Ng E, Wilkins R. The health of Canada’s immigrants in 1994–1995. Health Rep. 1996;7:33–45.
Pallasmaa N, Ekblad U, Aitokallio-Tallberg A, Uotila J, Raudaskoski T, Ulander VM, Hurme S. Cesarean delivery in Finland: maternal complications and obstetric risk factors. Acta Obstet Gynecol Scand. 2010;89:896–902.
Allen VM, O’Connell CM, Liston RM, Baskett TF. Maternal morbidity associated with cesarean delivery without labor compared with spontaneous onset of labor at term. Obstet Gynecol. 2003;102:477–82.
Chan BC, Lao TT. Effect of parity and advanced maternal age on obstetric outcome. Int J Gynaecol Obstet. 2008;102(3):237–41. Epub 2008 July 7.
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Ethical Statement: All the authors of the present study firmly state this study was approved by Institution’s Review Ethics Committee.
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Margioula-Siarkou, C., Petousis, S., Kalogiannidis, I. et al. Immigrants Present Improved Obstetric and Neonatal Outcomes Compared to Native Women. A Northern Greek Population Analysis. J Immigrant Minority Health 15, 249–254 (2013). https://doi.org/10.1007/s10903-012-9727-y
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DOI: https://doi.org/10.1007/s10903-012-9727-y