التفاصيل البيبلوغرافية
| العنوان: |
Preterm Delivery Risk in Migrants in Italy: An Observational Prospective Study. |
| المؤلفون: |
Sosta, Elena1, Tomasoni, Lina R.2, Frusca, Tiziana3, Triglia, Maria3, Pirali, Francesco4, El Hamad, Issa2, Castelli, Francesco |
| المصدر: |
Journal of Travel Medicine. Jul/Aug2008, Vol. 15 Issue 4, p243-247. 5p. 2 Charts. |
| مصطلحات موضوعية: |
*PREMATURE infants, *PREMATURE labor, *CHILDBIRTH, *HEALTH of immigrants, *RISK assessment, *HEALTH outcome assessment |
| مصطلحات جغرافية: |
ITALY |
| مستخلص: |
Background. Various studies have ascertained different birth outcomes between resident and migrant populations in western countries. Considering preterm delivery (<37 complete weeks of gestation) as a perinatal risk condition, we assessed its rate in migrant and native Italian women who delivered in the main public hospital in Brescia (Italy). Methods. All migrant puerperas and a random sample of native puerperas hospitalized during the period February to May 2005 were included in the study after informed consent and filled in a self-administered multilanguage questionnaire enquiring about sociodemographic and obstetric data. Additional information including last menstrual period was obtained from personal obstetric records. Results. As many as 471 puerperas entered the study: 366 Italian and 105 migrant women coming from eastern Europe (41.9%), Asia (20%), South America (10.5%), and Africa (27.6%). Of the migrant population, 67 of 105 (63.8%) were at their first delivery in Italy (median interval from arrival: 3.8 y). Gestational age at delivery was assessed for 456 of 471 women (103 migrants and 353 Italians). A total of 36 (7.9%) preterm deliveries were registered: 22 (6.2%) in Italian and 14 (13.6%) in migrant puerperas ( p value = 0.015). The highest preterm delivery rate was observed in African women (20.7%), while women from eastern Europe had a similar rate to Italians. In univariate analysis, factors associated to preterm delivery were parity and length of permanence in Italy. We could not demonstrate any correlation with smoking or with a delayed access to antenatal care (first obstetric evaluation after 12 complete weeks of gestation). In multivariate analysis, African origin was the only independent risk factor for preterm delivery [odds ratio (OR) = 3.54; p = 0.018]. Conclusions. In our setting, preterm delivery occurred more frequently in migrant women, particularly of African origin, and it is not associated to delayed access to antenatal care. [ABSTRACT FROM AUTHOR] |
| قاعدة البيانات: |
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