Diani F, Zanconato G, Foschi Fabiola, Turinetto Anna, Franchi M
Department of Maternal and Child Health, Biology and Genetics, University of Verona, Italy.
J Obstet Gynaecol. 2003 Nov;23(6):615-7. doi: 10.1080/01443610310001604367.
The study evaluates the mode of delivery and quality of care given to 1014 pregnant women not belonging to the European Union (EU) during the 10-year period, 1992-2001. The non-EU patients were delivered significantly more often by caesarean section than Italian controls, 35.0% vs. 29.3% (P<0.001, OR 1.30; 95% CI 1.13-1.49) and more often had babies of very low birth weight (VLBW), 7.2% vs. 5.4% (P<0.02; OR 1.35; 95% CI 1.04-1.74). Rates of preterm births (25.4% and 22.9 %, respectively, for non-EU and Italian patients) did not differ significantly (P=0.06). Episiotomy was practiced less frequently in non-EU patients and the difference was significant (P<0.001). Perinatal mortality in this latter group was 23.3/1000. Our observations provide a useful picture of how pregnancy, labour and delivery of immigrant women are managed in an Italian hospital setting. Understanding of different cultural approaches, linguistic communication, technical skills and medical interventions only when really necessary are keys for the appropriate management of childbirth.
该研究评估了1992年至2001年这10年间，给予1014名非欧盟国家孕妇的分娩方式及护理质量。非欧盟国家患者剖宫产分娩的比例显著高于意大利对照组，分别为35.0%和29.3%（P<0.001，比值比1.30；95%置信区间1.13 - 1.49），且极低出生体重儿的比例也更高，分别为7.2%和5.4%（P<0.02；比值比1.35；95%置信区间1.04 - 1.74）。早产率（非欧盟国家患者和意大利患者分别为25.4%和22.9%）差异无统计学意义（P = 0.06）。非欧盟国家患者会阴切开术的实施频率较低，差异有统计学意义（P<0.001）。后一组的围产期死亡率为23.3‰。我们的观察结果为意大利医院环境中移民妇女的妊娠、分娩和接生管理提供了一幅有用的图景。理解不同的文化方式、语言沟通、技术技能以及仅在真正必要时进行医疗干预，是妥善管理分娩的关键。
