Abstract
Newly resettled refugee populations often have significant health care needs including pregnancy complications; yet research is lacking on pregnancy complications among refugees in Illinois. This was a retrospective analysis of the 2016–2017 hospital discharge data of refugee women of childbearing age (15–44 years) in Illinois. There were 3,355 hospital encounters by refugee women in our analysis, and 19.1% (n = 640) were associated with complications mainly related to pregnancy. The majority of hospital encounters associated with complications mainly related to pregnancy occurred after the first 8 months of US arrival (85.2%) and were among women who had Medicaid insurance (90.3%), ≥ 5 hospital encounters (60.2%), and who were most commonly from Iraq (23.3%) or Burma (19.4%). Refugee women may benefit from increased awareness and education about prenatal care, support in access, and prompt referrals.
Similar content being viewed by others
References
Matsumoto M, Wimer G, Sethi A. Health needs of refugees: port of arrival versus permanent camp settings. East Mediterr Health J. 2019;25(5):306–14.
Illinois Department of Human Services. MR #15.09: Refugee Medical Coverage. [Accessed on 4/2/2021]; Available from: https://www.dhs.state.il.us/page.aspx?item=75815.
Office of Refugee Resettlement (ORR). Refugee Medical Assistance. [Accessed on 03/18/2022]; Available from: https://www.acf.hhs.gov/orr/programs/cma/about.
Illinois Refugee Health Program. Refugee Resettlement Program/Refugee Health Services. [Accessed on 06/04/2022]; Available from: https://govappsqa.illinois.gov/gata/csfa/Program.aspx?csfa=692.
Kiss V, et al. Building knowledge about health services utilization by refugees. J Immigr Minor Health. 2013;15(1):57–67.
Elsouhag D, et al. Factors Associated with Healthcare Utilization Among Arab Immigrants and Iraqi Refugees. J Immigr Minor Health. 2015;17(5):1305–12.
Semere W, et al. Factors Associated with Refugee Acute Healthcare Utilization in Southern Connecticut. J Immigr Minor Health. 2018;20(2):327–33.
Center for Disease Control and Prevention. Maternal and Infant Health: Pregnancy Complications. [Accessed on 4/2/2021]; Available from: https://www.cdc.gov/reproductivehealth/maternalinfanthealth/pregnancy-complications.html.
U.S. Department of Health & Human Services. Office on Women’s Health. Prenatal care. [Accessed on 03/17/2022]; Available from: https://www.womenshealth.gov/a-z-topics/prenatal-care.
U.S. Department of Health & Human Services. What is prenatal care and why is it important? [Accessed on 03/17/2022]; Available from: https://www.nichd.nih.gov/health/topics/pregnancy/conditioninfo/prenatal-care.
Agency for Healthcare Research and Quality. Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. [Accessed on 4/2/2021]; Available from: https://www.hcup-us.ahrq.gov/toolssoftware/ccsr/ccs_refined.jsp.
Illinois Department of Public Health. Women’s Health. [Accessed on 4/2/2021]; Available from: https://dph.illinois.gov/topics-services/life-stages-populations/womens-health-services.
Xu K, et al. Common Diagnoses among Refugee Populations: Linked Results with Statewide Hospital Discharge Database. Ann Glob Health. 2018;84(3):541–50.
Gibson-Helm M, et al. Maternal health and pregnancy outcomes among women of refugee background from Asian countries. Int J Gynaecol Obstet. 2015;129(2):146–51.
Kandasamy T, et al. Obstetric risks and outcomes of refugee women at a single centre in Toronto. J Obstet Gynaecol Can. 2014;36(4):296–302.
Khanlou N, et al. Scoping Review on Maternal Health among Immigrant and Refugee Women in Canada: Prenatal, Intrapartum, and Postnatal Care. J Pregnancy. 2017;2017:8783294.
Agency for Healthcare Research and Quality. HCUP Fast Stats - Most Common Diagnoses for Inpatient Stays. [Accessed on 7/7/2021]; Available from: https://www.hcup-us.ahrq.gov/faststats/NationalDiagnosesServlet?year1=2017&characteristic1=22&included1=1&year2=&characteristic2=0&included2=0&expansionInfoState=hide&dataTablesState=hide&definitionsState=hide&exportState=hide.
Kentoffio K, et al. Use of maternal health services: comparing refugee, immigrant and US-born populations. Matern Child Health J. 2016;20(12):2494–501.
Mirza M, et al. Barriers to healthcare access among refugees with disabilities and chronic health conditions resettled in the US Midwest. J Immigr Minor Health. 2014;16(4):733–42.
Mahmoud I, Hou X-Y. Utilisation of hospital emergency departments among immigrants from refugee source-countries in Queensland. Clin Med Diagnostics. 2013;3(4):88–91.
Agbemenu K, et al., Avoiding obstetrical interventions among US-based Somali migrant women: a qualitative study. Ethn Health, 2019: p. 1–16.
Illinois Department of Human Services. Pregnant Women. [Accessed on 4/2/2021]; Available from: https://www.dhs.state.il.us/page.aspx?Item=14016.
M PI, et al. Improving primary health care quality for refugees and asylum seekers: A systematic review of interventional approaches. Health Expect; 2021.
Funding
Centers for Disease Control and Prevention (CDC): Epidemiology and Laboratory Capacity for Prevention and Control of Emerging Infectious Diseases (ELC), Project K: Global Migration, Border Interventions and Migrant Health.
Author information
Authors and Affiliations
Contributions
Eric Adjei Boakye: Conceptualization, Methodology, Data curation, Formal analysis, Writing - original draft, Writing - review & editing, Supervision, Final approval. Anh-Thu Runez: Conceptualization, Data curation, Writing - review & editing, Final approval. Chantel C. Hoskin Snelling: Methodology, Writing - original draft, Writing - review & editing, Final approval. Jessica R. Lamberson: Methodology, Writing - original draft, Writing - review & editing, Final approval. Veronica Halloway: Writing - review & editing, Final approval. Ngozi Ezike: Writing - review & editing, Final approval. Gayathri S. Kumar: Conceptualization, Methodology, Data curation, Writing - original draft, Writing - review & editing, Supervision, Final approval.
Corresponding author
Ethics declarations
Conflict of interest
The authors have no conflicts of interest to disclose.
CDC Disclaimer
The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.
Additional information
Publisher’s Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
Springer Nature or its licensor holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Adjei Boakye, E., Runez, AT., Hoskin Snelling, C.C. et al. Pregnancy Complications Among Resettled Refugees in Illinois. J Immigrant Minority Health 25, 1–7 (2023). https://doi.org/10.1007/s10903-022-01388-8
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10903-022-01388-8