Pregnancy outcome of migrant women delivering in a public institution in northern Italy

Gynecol Obstet Invest. 2011;72(3):157-62. doi: 10.1159/000328318. Epub 2011 Jul 21.

Abstract

Background/aim: European societies are facing a wave of incoming immigrants and the needs of a new multiethnic obstetrical population. It remains controversial whether native and immigrant women have equivalent pregnancy outcomes.

Methods: Perinatal indicators of the obstetric outcome were monitored in all delivering women during a 5-year period in a large academic public general hospital. We compared rates of preterm deliveries, low birth weight, cesarean section during labor, perineal tears, and fetal acidemia in the native and immigrant parturients.

Results: Immigrant women experienced very low birth weight (p < 0.005) and preterm deliveries (p < 0.05), more often than natives did. Among ethnic groups, data singled out Sub-Saharan African women to be at a higher risk for very small premature babies and cesarean section during labor.

Conclusions: There are differences in perinatal outcome between immigrant and Italian woman; within the large migrant population, ethnic groups show wide disparities and challenge the health provider differently. Special attention to women at a higher risk may reduce fetal-maternal morbidities.

Publication types

  • Comparative Study

MeSH terms

  • Adolescent
  • Adult
  • Africa / ethnology
  • Asia / ethnology
  • Cesarean Section / statistics & numerical data
  • Emigrants and Immigrants / statistics & numerical data*
  • Europe / ethnology
  • Female
  • Hospitals, General / statistics & numerical data*
  • Hospitals, Public / statistics & numerical data*
  • Humans
  • Infant, Low Birth Weight
  • Infant, Newborn
  • Italy / ethnology
  • Middle Aged
  • Pregnancy
  • Pregnancy Outcome / ethnology*
  • Premature Birth / ethnology
  • Retrospective Studies
  • Young Adult