Soziale Unterschiede bei der Inanspruchnahme der Schwangerschafts-Vorsorgeuntersuchungen, beim Rauchen der Mutter während der Schwangerschaft und beim Geburtsgewicht des Neugeborenen. Empirische Analyse auf Basis der Bayerischen Perinatal-Studie

Koller, Daphne; Lack, Nicholas; Mielck, Andreas

doi:10.1055/s-0028-1082310

Cited by 28 publications

(22 citation statements)

References 8 publications

(11 reference statements)

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“…Previous studies have reported differences in use and timing of antenatal care between pregnant women depending on SES and migration background which may lead to an increased risk for adverse pregnancy and birth outcomes for the social disadvantaged [17–19, 30]. Our results showed no statistically significant associations between these variables and antenatal IUGR detection.…”

Section: Discussioncontrasting

confidence: 85%

Care-Related and Maternal Risk Factors Associated with the Antenatal Nondetection of Intrauterine Growth Restriction: A Case-Control Study from Bremen, Germany

Ernst

Brand

Reeske

et al. 2017

BioMed Research International

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Objective. To identify care-related and maternal risk factors for the antenatal nondetection of IUGR. Methods. In this hospital-based case-control study we compared antenatally undetected IUGR neonates (cases) to detected IUGR neonates (controls). Data were collected using newborn documentation sheets and standardized personal interviews with the mothers. We calculated antenatal detection rates and used uni- and multivariable logistic regression models to assess the association of antenatal nondetection of IUGR and maternal and care-related factors. Results. A total of 161 neonates from three hospitals were included in the study. Suboptimal fetal growth was identified antenatally in n = 77 pregnancies while in n = 84 it was not detected antenatally (antenatal detection rate: 47.8%). Severity of IUGR, maternal complications, and a Doppler examination during the course of pregnancy were associated with IUGR detection. We did not find statistically significant differences regarding parental socioeconomic status and maternal migration background. Conclusions. In our study, about half of all pregnancies affected by suboptimal growth remained undetected. Future in-depth studies with larger study populations should further examine factors that could increase antenatal detection rates for IUGR.

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Section: Discussioncontrasting

confidence: 85%

Care-Related and Maternal Risk Factors Associated with the Antenatal Nondetection of Intrauterine Growth Restriction: A Case-Control Study from Bremen, Germany

Ernst

Brand

Reeske

et al. 2017

BioMed Research International

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“…In contrast, previous studies based on regional data of the German perinatal database found a less frequent use of antenatal care, in particular for single women with migrant backgrounds [34], women from Eastern Europe and Mediterranean countries [27,30] and a later use of antenatal care among women from the Middle East [29], from Eastern Europe and from Mediterranean countries [30]. In addition, regional differences in the analysis of BQS data indicate that our findings may vary between federal states as well as urban and rural areas within single federal states in Germany.…”

Section: Discussionmentioning

confidence: 77%

“…Women with Turkish origin and immigrant women with a short duration of stay seem to be mainly affected [1,25,26]. Some studies also indicate differences between women with migrant backgrounds compared with women without migrant backgrounds in terms of certain risk factors for stillbirth [27-30]. Nevertheless, nationwide analyses on risk differences of stillbirth for different ethnic groups in Germany are still missing.…”

Section: Introductionmentioning

confidence: 99%

Stillbirth differences according to regions of origin: an analysis of the German perinatal database, 2004-2007

Reeske

Kutschmann

Razum

et al. 2011

BMC Pregnancy Childbirth

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BackgroundStillbirth is a sensitive indicator for access to, and quality of health care and social services in a society. If a particular population group e.g. migrants experiences higher rates of stillbirth, this might be an indication of social deprivation or barriers to health care. This study examines differences in risk of stillbirth for women of different regions of origin compared to women from Germany in order to identify high risk groups/target groups for prevention strategies.MethodsWe used the BQS dataset routinely compiled to examine perinatal outcomes in Germany nationwide. Participation of hospitals and completeness of data has been about 98% in recent years. Data on all live births and stillbirths were obtained for the period 2004 to 2007 (N = 2,670,048). We calculated crude and stratified mortality rates as well as corresponding relative mortality risks.ResultsA significantly elevated stillbirth rate was found for women from the Middle East and North Africa (incl. Turkey) (RR 1.34, CI 1.22-1.55). The risk was slightly attenuated for low SES. An elevated risk was also found for women from Asia (RR 1.18, CI 1.02-1.65) and from Mediterranean countries (RR 1.14, CI 0.93-1.28). No considerable differences either in use and timing of antenatal care or preterm birth and low birthweight were observed between migrant and non-migrant women. After stratification for light for gestational age, the relative risk of stillbirth for women from the Middle East/North Africa increased to 1.63 (95% CI 1.25-2.13). When adjusted for preterm births with low birthweight, women from Eastern Europe and the Middle East/North Africa experienced a 26% (43%) higher risk compared with women from Germany.ConclusionsWe found differences in risk of stillbirth among women from Middle East/North Africa, especially in association with low SES and low birthweight for gestational age. Our findings suggest a need for developing and evaluating socially and culturally sensitive health promotion and prevention programmes for this group. The findings should also stimulate discussion about the quality and appropriateness of antenatal and perinatal care of pregnant women and newborns with migrant backgrounds.

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“…Nach dem sogenannten Winkler-Index erhält man dann durch Addition der Punktwerte eine Summe zwischen 3 und 21 Punkten. Im letzten Schritt werden die Studienteilnehmer in die 3 Statusgruppen ‚niedrig' (3)(4)(5)(6)(7)(8) Punkte), ‚mittel' (9-14 Punkte) und ‚hoch' (15)(16)(17)(18)(19)(20)(21) Punkte) eingeordnet.…”

Section: Unabhängige Variablenunclassified

Unterschiede bei Gesundheitsrisiken, Morbidität und gesundheitlicher Versorgung zwischen Kindern GKV- bzw. PKV-versicherter Eltern: Ergebnisse aus dem Kinder- und Jugendgesundheitssurvey (KiGGS)

2012

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Health risks are usually greater among GKV-insured children as compared with PKV-insured. Concerning morbidity, these differences can mainly be explained by differences in national origin and SES. Efforts aimed at reducing these health differences should therefore focus on risks associated with migration and low SES. In addition, differences concerning risk factors such as smoking could not be explained by differences in national origin and SES. Thus, there seems to be a general need for more preventive measures in the GKV (i.e., independent of national origin and SES).

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Soziale Unterschiede bei der Inanspruchnahme der Schwangerschafts-Vorsorgeuntersuchungen, beim Rauchen der Mutter während der Schwangerschaft und beim Geburtsgewicht des Neugeborenen. Empirische Analyse auf Basis der Bayerischen Perinatal-Studie

Cited by 28 publications

References 8 publications

Care-Related and Maternal Risk Factors Associated with the Antenatal Nondetection of Intrauterine Growth Restriction: A Case-Control Study from Bremen, Germany

Care-Related and Maternal Risk Factors Associated with the Antenatal Nondetection of Intrauterine Growth Restriction: A Case-Control Study from Bremen, Germany

Stillbirth differences according to regions of origin: an analysis of the German perinatal database, 2004-2007

Unterschiede bei Gesundheitsrisiken, Morbidität und gesundheitlicher Versorgung zwischen Kindern GKV- bzw. PKV-versicherter Eltern: Ergebnisse aus dem Kinder- und Jugendgesundheitssurvey (KiGGS)

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