Diani F, Forestieri C, Foschi F, Zaffagnini S, Scollo M, Turinetto A
Clinica Ginecologica e Ostetrica A, Universià degli Studi, Verona.
Minerva Ginecol. 2000 Nov;52(11):447-57.
The aim of this paper is to evaluate the role and the prevalence of the non-European Community pregnant women in our Institute during the period 1992-1998. The peculiarity of the female immigration in the world and particularly in Italy is stressed from the point of view of the different cultural, ethnic and religious problems of these women.
During the observed period 8972 women delivered; 434 of them came from non-European Community countries and their individual (age, country) and obstetric (parity, physiological or pathological evaluation of pregnancy, mode of delivery) data were observed. On the basis of the different countries of provenance these women have been subdivided into five groups (East Europe, North Africa and Middle East, Central Africa, Far East and Latin America).
The percentages of preterm births (24.2% vs 23.1%), of < or = 1500 g newborns (6.9% vs 5.3%) and of caesarean sections (34.3% vs 27.7%) are higher in the non-European Community women that delivered in our Institute. In 222 (51.1%) cases the women delivered without induction of labour; while in 14.5% of cases it was induced. The length of labour and the genital conditions (episiotomy, tearing) were considered in all ethnic groups of women.
On the basis of the literature and of the analysis of our data, some suggestions about the management of labour and delivery of non-European Community women in Italy are proposed. In particular, the problems of linguistic communication and of the hospital staff preparation in the assistance to labour and delivery are stressed.
本文旨在评估1992年至1998年期间非欧盟国家孕妇在我院的情况及所占比例。从这些女性不同的文化、种族和宗教问题角度，强调了全球尤其是意大利女性移民的特殊性。
在观察期内，共有8972名女性分娩；其中434名来自非欧盟国家，观察了她们的个人信息（年龄、国家）及产科信息（产次、孕期生理或病理评估、分娩方式）。根据不同的原籍国，这些女性被分为五组（东欧、北非和中东、中非、远东和拉丁美洲）。
在我院分娩的非欧盟国家女性中，早产（24.2%对23.1%）、出生体重≤1500克新生儿（6.9%对5.3%）及剖宫产（34.3%对27.7%）的比例更高。222例（51.1%）产妇未进行引产自然分娩；14.5%的产妇进行了引产。对所有种族的女性都考虑了产程时长及生殖系统状况（会阴切开术、撕裂情况）。
基于文献及对我们数据的分析，对意大利非欧盟国家女性分娩管理提出了一些建议。特别强调了语言沟通问题以及医院工作人员在协助分娩方面的准备情况。
