Autor: |
Zanconato G; University of Verona, Italy., Cavaliere E; Azienda Ospedaliera Universitaria Integrata of Verona., Santoro CB; University of Verona, Italy., Cascella S; University of Verona, Italy., Pinto A; University of Verona, Italy., Comper A; University of Verona, Italy., Machungo F; Universidade Eduardo Mondlane, Maputo, Mozambique. |
Jazyk: |
angličtina |
Zdroj: |
African journal of reproductive health [Afr J Reprod Health] 2021 Aug; Vol. 25 (4), pp. 43-51. |
DOI: |
10.29063/ajrh2021/v25i4.5 |
Abstrakt: |
Among migrant women, unfavourable health conditions and adverse obstetric events are observed more often than in native-born parturients. This observational retrospective study evaluated selected pregnancy outcomes in a Nigerian population giving birth at the University Hospital of Verona. Compared to national controls, being Nigerian was associated with preterm birth (aOR 1.6, 95% CI 1.1-2.2) and Cesarean section (aOR 2.2, 95% CI 1.5-2.7). No differences were found in rates of instrumental delivery and the immigrant group had half the risk of genital tears (aOR 0.6, 95% CI 1.1-2.2) with a higher likelihood of undamaged genitals (aOR 1.5, 95% CI 1.3-2.1). Perinatal indicators of neonatal distress were increased among Nigerians, namely a low Apgar score (aOR 2.6, 95% CI 1.4-4.9), NICU admission (aOR 1.7, 95% CI 1.1-2.8), and stillbirth (aOR 4.0, 95% CI 1.3-12.8). In conclusion, sub-Saharan African women of Nigerian origin appeared more vulnerable and exposed to several adverse pregnancy outcomes. These disparities call for the improvement of obstetric care in this immigrant group. |
Databáze: |
MEDLINE |
Externí odkaz: |
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