Condición migratoria y salud maternoperinatal en mujeres inmigrantes en Chile

Contreras, Jovita Ortiz; Quiroz, Jael; Carroza, María Begoña; Díaz, M

doi:10.18848/2474-5219/cgp/v07i01/17-27

Cited by 1 publication

(3 citation statements)

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“…Significant differences were observed in various demographic and health variables between immigrant and non-immigrant women. These findings are consistent with previous studies that have examined the composition of the immigrant population in Chile (11)(12)(13). A study conducted by Veliz et al supports the presence of a significant proportion of immigrants from the same countries mentioned.…”

Section: Discussionsupporting

confidence: 92%

“…Although immigration has been associated with a higher risk of having COVID-19, in this study no differences were found regarding the prevalence of COVID-19 during pregnancy, or in the severity of the disease, admission to Intensive Care Unit, pneumonia, use of mechanical ventilation, prognosis, pulmonary thromboembolism, and hospitalization, between the immigrant and non-immigrant groups. However, these divergent results could be explained by the specific migratory conditions of the country since in Chile migration is a recent phenomenon and better perinatal maternal health indicators have been reported compared to the local population (12,13). Furthermore, the importance of considering other contextual and sociocultural factors that could influence the observed outcomes is highlighted (7,(24)(25)(26)(27)(28).…”

Section: Discussionmentioning

confidence: 99%

“…One of the major challenges at this stage is the excessive obstetric interventionism and medicalization of childbirth, as a consequence, Chile has one of the highest rates of c-sections in the region, reaching 43.1% of total births in the public system in 2020 (8). Moreover, an increasing rate of obesity in women of childbearing age (9,10), delayed pregnancy, and barriers to access to healthcare for the immigrant population (11)(12)(13), are urgent priorities to be addressed.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Immigration and C-sections incidence: Maternal care and perinatal outcomes in the context of the pandemic in Chile

Carroza Escobar,

Silva,

Ortíz-Contreras

et al. 2023

Front. Glob. Womens Health

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IntroductionImmigration has increased significantly in Chile. Despite that all pregnant women, regardless of nationality and immigration status, have the right to access to all healthcare services during pregnancy, childbirth, and postpartum, inequities in health care outcomes and health provision have been reported. During COVID-19 pandemic, these inequities are completely unknown.ObjectiveThe aim of this study was to compare the incidence of c-sections according to mother's migration status, as well as other maternal care and perinatal outcomes in women giving birth at San José Hospital in Santiago, Chile, during the COVID-19 pandemic.MethodsA retrospective cohort study was designed including 10,166 registered single births at the San José Hospital between March 2020 and August 2021. To compare between groups, statistical tests such as Chi-square and Fisher's exact were used. Log Binomial regression models were performed adjusted for potential confounding variables. To estimate the strength of association the relative risk was used.ResultsImmigrant mothers account for 48.1% of the registered births. Compared to non-immigrant women, immigrants exhibit a higher proportion of c-section, specifically, emergency c-section (28.64% vs. 21.10%; p-value < 0.001) but a lower proportion of and having a preterm birth (8.24% vs. 13.45%; p < 0.05), receiving personalized childbirth care (13.02% vs. 14.60%; p-value < 0.05), companion during labor and childbirth (77.1% vs. 86.95%; p-value < 0.001), And postpartum attachment to newborn (73% vs. 79.50%; p-value < 0.001). The proportion of COVID exposure was not significant between groups, not the severity also. Haitians had a highest risk of undergoing emergency c-section (aRR = 1.61) and Venezuelans had a highest risk of elective c-section (aRR = 2.18) compared to non-immigrants.ConclusionThis study reports high rates of c-sections in the entire population, but in immigrant populations it is even higher. Additionally, it found gaps in maternal care and perinatal outcomes between immigrants and non-immigrants. More studies are needed to elucidate the possible causes of these differences and establish new regulations to protect the reproductive rights of the immigrant population.

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Section: Discussionsupporting

confidence: 92%