Maternal health and pregnancy outcomes comparing migrant women born in humanitarian and nonhumanitarian source countries: a retrospective, observational study

Gibson-Helm, Melanie E., Teede, Helena J., Cheng, I-Hao, Block, Andrew A., Knight, Michelle, East, Christine E., Wallace, Euan M. and Boyle, Jacqueline A. (2015) Maternal health and pregnancy outcomes comparing migrant women born in humanitarian and nonhumanitarian source countries: a retrospective, observational study. Birth, 42 2: 116-124. doi:10.1111/birt.12159

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Author Gibson-Helm, Melanie E.
Teede, Helena J.
Cheng, I-Hao
Block, Andrew A.
Knight, Michelle
East, Christine E.
Wallace, Euan M.
Boyle, Jacqueline A.
Title Maternal health and pregnancy outcomes comparing migrant women born in humanitarian and nonhumanitarian source countries: a retrospective, observational study
Journal name Birth   Check publisher's open access policy
ISSN 0730-7659
1523-536X
Publication date 2015-04-11
Year available 2015
Sub-type Article (original research)
DOI 10.1111/birt.12159
Open Access Status
Volume 42
Issue 2
Start page 116
End page 124
Total pages 9
Place of publication Hoboken, NJ, United States
Publisher Wiley-Blackwell Publishing
Collection year 2016
Language eng
Formatted abstract
Background The relationship between migration and pregnancy outcomes is complex, with little insight into whether women of refugee background have greater risks of adverse pregnancy outcomes than other migrant women. This study aimed to describe maternal health, pregnancy care, and pregnancy outcomes among migrant women from humanitarian and nonhumanitarian source countries.

Methods Retrospective, observational study of singleton births, at a single maternity service in Australia 2002–2011, to migrant women born in humanitarian source countries (HSCs, n = 2,713) and non-HSCs (n = 10,606). Multivariable regression analysis assessed associations between maternal HSC-birth and pregnancy outcomes.

Results Compared with women from non-HSCs, the following were more common in women from HSCs: age < 20 years (0.6 vs 2.9% p < 0.001), multiparity (51 vs 76% p < 0.001), body mass index (BMI) ≥ 25 (38 vs 50% p < 0.001), anemia (3.2 vs 5.9% p < 0.001), tuberculosis (0.1 vs 0.4% p = 0.001), and syphilis (0.4 vs 2.5% p < 0.001). Maternal HSC-birth was independently associated with poor or no pregnancy care attendance (OR 2.5 [95% CI 1.8–3.6]), late first pregnancy care visit (OR 1.3 [95% CI 1.1–1.5]), and postterm birth (> 41 weeks gestation) (OR 2.5 [95% CI 1.9–3.4]). Stillbirth (0.8 vs 1.2% p = 0.04, OR 1.5 [95% CI 1.0–2.4]) and unplanned birth before arrival at the hospital (0.6 vs 1.2% p < 0.001, OR 1.3 [95% CI 0.8–2.1]) were more common in HSC-born women but not independently associated with maternal HSC-birth after adjusting for age, parity, BMI and relative socioeconomic disadvantage.

Conclusions These findings suggest areas where women from HSCs may have additional needs in pregnancy compared with women from non-HSCs. Refugee-focused strategies to support engagement in pregnancy care and address maternal health needs would be expected to improve health outcomes in resettlement countries.
Keyword Maternal health
Migrant
Pregnancy care
Pregnancy outcomes
Refugee
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ
Additional Notes Article first published online: 11 APR 2015

Document type: Journal Article
Sub-type: Article (original research)
Collections: Non HERDC
School of Nursing, Midwifery and Social Work Publications
 
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Created: Wed, 15 Apr 2015, 09:24:29 EST by Vicki Percival on behalf of School of Nursing, Midwifery and Social Work