Antenatal Care Utilization and Obstetric and Newborn Outcomes Among Pregnant Refugees Attending a Specialized Refugee Clinic

Malebranche, Mary; Norrie, Eric; Hao, Sylvia; Brown, Garielle; Talavlikar, Rachel; Hull, Andrea; Vetten, Giselle De; Nerenberg, Kara; Metcalfe, Amy; Fabreau, Gabriel

doi:10.1007/s10903-019-00961-y

Cited by 19 publications

(32 citation statements)

References 29 publications

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“…Korinek and Smith in 2011 showed from the Utah state administrative database that the legal status of migrant women was one of the important factors influencing prenatal care utilization, with undocumented women being the most at risk of not receiving adequate care [ 26 ]. A few studies have reported inadequate PCU with late initiation of care and fewer prenatal visits [ 28 ], as well as disparities to accessing prenatal care for women who were, compared with those who were not, refugees [ 29 ] or asylum seekers [ 30 ]. In our analysis, asylum seekers and women with refugee status were categorized as legal migrants, for unlike undocumented migrants, they have a permit to live in France.…”

Section: Discussionmentioning

confidence: 99%

Association between Migrant Women’s Legal Status and Prenatal Care Utilization in the PreCARE Cohort

Eslier

Deneux‐Tharaux

Sauvegrain

et al. 2020

IJERPH

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Barriers to access to prenatal care may partially explain the higher risk of adverse pregnancy outcomes among migrants compared with native-born women in Europe. Our aim was to assess the association between women’s legal status and inadequate prenatal care utilization (PCU) in France, where access to healthcare is supposed to be universal. The study population was extracted from the PreCARE prospective cohort (N = 10,419). The associations between women’s legal status and a composite outcome variable of inadequate PCU were assessed with multivariate logistic regressions. The proportion of women born in sub-Saharan Africa (SSA) was higher among the undocumented than that of other migrants. All groups of migrant women had a higher risk of inadequate PCU (31.6% for legal migrants with European nationalities, 40.3% for other legal migrants, and 52.0% for undocumented migrants) than French-born women (26.4%). The adjusted odds ratio (aOR) for inadequate PCU for undocumented migrants compared with that for French-born women was 2.58 (95% confidence interval 2.16–3.07) overall, and this association was similar for migrant women born in SSA (aOR 2.95, 2.28–3.82) and those born elsewhere (aOR 2.37, 1.89–2.97). Regardless of the maternal place of birth, undocumented migrant status is associated with a higher risk of inadequate PCU.

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Section: Discussionmentioning

confidence: 99%

Association between Migrant Women’s Legal Status and Prenatal Care Utilization in the PreCARE Cohort

Eslier

Deneux‐Tharaux

Sauvegrain

et al. 2020

IJERPH

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“…10 ANC encompasses a general physical examination, blood pressure and glucose level measurement, urine and blood sample analyses, administering of appropriate immunizations, and measurement of fetal growth and heart rate. 5,10 Since the 1990s, WHO has developed a focused ANC model, recommending that pregnant women should receive medical care four times during pregnancy. 10 However, this was found to be associated with more perinatal deaths than models comprising at least eight ANC contacts.…”

Section: Antenatal Carementioning

confidence: 99%

“…ANC, which refers to the care provided to a pregnant woman from conception to delivery, is recognized as a fundamental part of maternal health services because it reduces maternal and neonatal deaths, as well as adverse maternal and neonatal outcomes 10 . ANC encompasses a general physical examination, blood pressure and glucose level measurement, urine and blood sample analyses, administering of appropriate immunizations, and measurement of fetal growth and heart rate 5,10 . Since the 1990s, WHO has developed a focused ANC model, recommending that pregnant women should receive medical care four times during pregnancy 10 .…”

Section: Antenatal Carementioning

confidence: 99%

“…heart rate. 5,10 Since the 1990s, WHO has developed a focused ANC model, recommending that pregnant women should receive medical care four times during pregnancy. 10 However, this was found to be associated with more perinatal deaths than models comprising at least eight ANC contacts.…”

mentioning

confidence: 99%

“…5,10 Since the 1990s, WHO has developed a focused ANC model, recommending that pregnant women should receive medical care four times during pregnancy. 10 However, this was found to be associated with more perinatal deaths than models comprising at least eight ANC contacts. 10 Indeed, recent WHO recommendations require a pregnant woman to attend eight antenatal visits: the first one within the first 12 weeks of gestation, then at 20, 26, 30, 34, 36, 38, and 40 weeks.…”

mentioning

confidence: 99%

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FIGO Statement: Antenatal care and refugees

Nassar

Theron

Wright

2020

Intl J Gynecology & Obste

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Maternal and perinatal health among pregnant patients in the context of a migratory crisis

Miranda

Sanabria

Annicchiarico

et al. 2023

Intl J Gynecology & Obste

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ObjectiveTo compare maternal and perinatal outcomes of migrant Venezuelan women with local pregnant patients in a Colombian institution in the context of a migratory crisis.Study DesignThis cross‐sectional study included 11 304 deliveries from the Clínica de Maternidad Rafael Calvo in Cartagena de Indias, Colombia, a tertiary referral center on the north coast of Colombia. Data on maternal demographics and perinatal outcomes were obtained by chart review.ResultsIn total, 595 patients were identified as Venezuelan migrants, and their perinatal outcomes were compared against those of 10 709 local pregnant patients. Despite similar baseline maternal conditions in both groups, poorer prenatal follow‐up care (3 [1–5] vs. 5 [4–7] visits; P < 0.001) and severe complications were more common in Venezuelan migrant pregnant patients and their children. In addition, maternal hypertension was significantly more common in migrants (11.4% [68/595] vs. 8.3% [887/10709]; P = 0.009). Furthermore, in the group of pregnant migrant patients, the rates of severe maternal morbidity (13.4% [80/575] vs. 9.45%, [1013/10709]; P = 0.002), neonatal respiratory distress syndrome (22/595 [3.7%] vs. 237/10709 [2.23%]; P = 0.03), and perinatal mortality (11/586 [1.88%] vs. 67/10651 [0.63%]; P = 0.003) were significantly higher than in the local pregnant population.ConclusionForced migration during pregnancy may be associated with poorer prenatal care, which may predispose women and their newborns to more frequent adverse maternal and perinatal outcomes.

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Antenatal Care Utilization and Obstetric and Newborn Outcomes Among Pregnant Refugees Attending a Specialized Refugee Clinic

Cited by 19 publications

References 29 publications

Association between Migrant Women’s Legal Status and Prenatal Care Utilization in the PreCARE Cohort

Association between Migrant Women’s Legal Status and Prenatal Care Utilization in the PreCARE Cohort

FIGO Statement: Antenatal care and refugees

Maternal and perinatal health among pregnant patients in the context of a migratory crisis

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