Perinatal and Neonatal Outcomes in Immigrants From Conflict-Zone Countries: A Systematic Review and Meta-Analysis of Observational Studies

Behboudi‐Gandevani, Samira; Panahi, Mohammad Hossein; Mardani, Abbas; Prinds, Christina; Vaismoradi, Mojtaba

doi:10.3389/fpubh.2022.766943

Cited by 20 publications

(23 citation statements)

References 71 publications

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“…Some studies reported that the perinatal health of immigrants were equal or better compared to the native origin population. In contrast, some studies showed that the risk of adverse pregnancy outcomes were poorer than women in the host country [ 6 7 8 9 10 11 ]. Given the lack of conclusive evidence, the aim of this systematic review and meta-analysis was to investigate the risk of adverse maternal and neonatal outcomes in immigrant women compared to native-origin women in the host country.…”

Section: Introductionmentioning

confidence: 99%

Adverse Pregnancy Outcomes and International Immigration Status: A Systematic Review and Meta-analysis

Behboudi‐Gandevani

Panahi

Mardani

et al. 2022

Annals of Global Health

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Background: Disparities in health outcomes between immigrant and native-origin populations, particularly pregnant women, pose significant challenges to healthcare systems. The aim of this systematic-review and meta-analysis was to investigate the risk of adverse pregnancy outcomes among immigrant-women compared to native-origin women in the host country.Methods: PubMed (including MEDLINE), Scopus, and Web of Science were searched to retrieve studies published in English language up to September 2020. All observational studies examining the prevalence of at least one of the short-term single pregnancy outcomes for immigrants who crossed international borders compared to native-origin pregnant population were included. The meta-prop method was used for the pooledestimation of adverse pregnancy-outcomes' prevalence. For pool-effect estimates, the association between the immigration-status and outcomes of interest, the randomeffects model was applied using the model described by DerSimonian and Laird. I 2 statistic was used to assess heterogeneity. The publication bias was assessed using the Harbord-test. Meta-regression was performed to explore the effect of geographical region as the heterogeneity source.Findings: This review involved 11 320 674 pregnant women with an immigrationbackground and 56 102 698 pregnant women as the native-origin population. The risk of emergency cesarean section (Pooled-OR = 1.1, 95%CI = 1.0-1.2), shoulder dystocia (Pooled-OR = 1.1, 95%CI = 1.0-1.3), gestational diabetes mellites (Pooled-OR = 1.4, 95%CI = 1.2-1.6), small for gestational age (Pooled-OR=1.3, 95%CI = 1.1-0.4), 5-min Apgar less than 7 (Pooled-OR = 1.2, 95%CI = 1.0-1.3) and oligohydramnios (Pooled-OR = 1.8, 95%CI = 1.0-3.3) in the immigrant women were significantly higher than those with the native origin background. The immigrant women had a lower risk of labor induction (Pooled-OR = *Author affiliations can be found in the back matter of this article 2 Behboudi-Gandevani et al.

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Section: Introductionmentioning

confidence: 99%

Adverse Pregnancy Outcomes and International Immigration Status: A Systematic Review and Meta-analysis

Behboudi‐Gandevani

Panahi

Mardani

et al. 2022

Annals of Global Health

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“…Among adult women, pregnancy, childbirth and the puerperium were the most common major causes of hospitalization both before and after the official outbreak of the war. Immigrant women from the conflict zones were at a higher risk of neonatal mortality and morbidity [ 19 ]. A certain link was observed between the infections of women’s reproductive tracts related to healthcare and a miscarriage history [ 20 ].…”

Section: Discussionmentioning

confidence: 99%

Hospitalizations of Ukrainian Migrants and Refugees in Poland in the Time of the Russia-Ukraine Conflict

Lewtak

Kanecki

Tyszko

et al. 2022

IJERPH

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Background: In the face of a sudden influx of several million migrants and war refugees from Ukraine to other European countries, knowledge about the health of Ukrainian citizens becomes increasingly important. The aim of the study is to identify the main health problems of hospitalized Ukrainian citizens residing in Poland in the period from 2014 to June 2022. Methods: This study is based on hospitalization data of Ukrainian patients in Poland taken from the Nationwide General Hospital Morbidity Study. Results: The study group covered 8591 hospitalization records. We observed two hospitalization peaks, one in patients aged 0–5 and the other one in those aged 20–35. After the official outbreak of the war, 2231 Ukrainian citizens were hospitalized in Poland. At this time, the most often reported principal reasons for the hospitalizations of adult women were diseases related to pregnancy, childbirth and the puerperium, whereas in groups of adult men diseases were related to injury, poisoning and certain other consequences of external causes, and in children and adolescents diseases were infectious and parasitic diseases. Conclusions: Our findings may have implications for healthcare policies and service provision to newly arrived migrants and war refugees in target European countries.

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“…These women have medical problems such as infectious diseases or female genital mutilation leading to complications for themselves and their newborns [ 60 – 62 ]. Immigrant women have a poor access to maternity and public healthcare services in host countries [ 63 – 65 ], which can increase the risk of mortality among their newborns due to maternal disorders, unintended pregnancy, grand multiparity and teenage pregnancies [ 66 , 67 ], preterm birth [ 68 , 69 ], and undiagnosed congenital fetal anomalies [ 70 , 71 ].…”

Section: Discussionmentioning

confidence: 99%

A Systematic Review and Meta-Analysis of the Risk of Stillbirth, Perinatal and Neonatal Mortality in Immigrant Women

Behboudi‐Gandevani¹,

Panahi²,

Mardani³

et al. 2022

Int J Public Health

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Objectives: This study aimed to investigate the risk of stillbirth, perinatal and neonatal mortality in immigrant women compared to native-origin women in host countries.Methods: A systematic literature review and meta-analysis was conducted. Relevant studies were identified using a thorough literature search and their quality was appraised. The analysis of heterogeneous data was carried out using the random effects model and publication bias was assessed using the Harbord-test. Also, the pooled odds ratio of events was calculated through the DerSimonian and Laird, and inverse variance methods.Results: In the search process 45 studies were retrieved consisting of 8,419,435 immigrant women and 40,113,869 native-origin women. The risk of stillbirth (Pooled OR = 1.35, 95% CI = 1.22–1.50), perinatal mortality (Pooled OR = 1.50, 95% CI = 1.35–1.68), and neonatal mortality (Pooled OR = 1.09, 95% CI = 1.00–1.19) in the immigrant women were significantly higher than the native-origin women in host countries. According to the sensitivity analyses, all results were highly consistent with the main data analysis results.Conclusion: The immigrant women compared to the native-origin women had the higher risks of stillbirth, perinatal and neonatal mortality. Healthcare providers and policy makers should improve the provision of maternal and neonatal healthcare for the immigrant population.

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Perinatal and Neonatal Outcomes in Immigrants From Conflict-Zone Countries: A Systematic Review and Meta-Analysis of Observational Studies

Cited by 20 publications

References 71 publications

Adverse Pregnancy Outcomes and International Immigration Status: A Systematic Review and Meta-analysis

Adverse Pregnancy Outcomes and International Immigration Status: A Systematic Review and Meta-analysis

Hospitalizations of Ukrainian Migrants and Refugees in Poland in the Time of the Russia-Ukraine Conflict

A Systematic Review and Meta-Analysis of the Risk of Stillbirth, Perinatal and Neonatal Mortality in Immigrant Women

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