School of Nursing & Department of Obstetrics and Gynecology, McGill University, Montreal, Quebec, Canada.
Eur J Obstet Gynecol Reprod Biol. 2010 Mar;149(1):37-43. doi: 10.1016/j.ejogrb.2009.12.002. Epub 2010 Jan 13.
While the perinatal health of migrants has been identified as a priority by many governments, there is no consensus on indicators for monitoring migration and perinatal health. The Reproductive Outcomes and Migration international research collaboration and the EURO-PERISTAT project convened an expert panel to recommend migration indicators for national and international monitoring of migration and perinatal health.
A Delphi consensus process involved 38 perinatal clinicians, epidemiologists, and experts in health information systems from 22 countries who completed one or more questionnaires. Panel members ranked migration indicators from a list inventoried from the published literature.
Country of birth was considered 'essential' or 'recommended' for routine collection by 100% of respondents, followed by length of time in country (88%), language fluency (70%), immigration status (67%), and ethnicity as defined by maternal parents' place of birth (55%). Feasibility with 'minor' or 'no modifications' to current data collection systems was highest for country of birth (69%), followed by length of time in country (61%). Other indicators were judged to be less feasible. In respect to migration, the perinatal health indicators considered to be 'essential' by 94% of respondents included fetal, neonatal, and infant mortality. A smaller proportion (73%) considered maternal mortality to be 'essential'.
A strong consensus was achieved for including country of birth in core perinatal health indicator sets. Length of time in country was also recommended as a second indicator for routine data collection. Specific studies should be undertaken to complement routine data collection on: immigration status, language fluency, and ethnicity as defined by maternal parents' place of birth.
尽管许多国家政府都已将移民的围产期健康确定为优先事项，但在监测移民和围产期健康的指标方面尚未达成共识。生殖结果和移民国际研究合作组织以及 EURO-PERISTAT 项目召集了一个专家小组，建议用于国家和国际监测移民和围产期健康的移民指标。
德尔菲共识过程涉及来自 22 个国家的 38 名围产临床医生、流行病学家和卫生信息系统专家，他们完成了一份或多份问卷。小组成员根据从已发表文献中列出的清单对移民指标进行了排名。
100%的受访者认为出生地是常规收集的“必要”或“推荐”指标，其次是在该国的时间长短（88%）、语言能力（70%）、移民身份（67%）和母亲父母出生地定义的种族（55%）。对于当前数据收集系统进行“较小”或“无修改”的可行性最高的是出生地（69%），其次是在该国的时间长短（61%）。其他指标被认为不太可行。就移民而言，94%的受访者认为胎儿、新生儿和婴儿死亡率是围产期健康的“必要”指标。较小比例（73%）的人认为产妇死亡率是“必要”的。
对于将出生地纳入核心围产期健康指标集，达成了强烈共识。在国家的时间长短也被建议作为常规数据收集的第二个指标。应进行具体研究，以补充对移民身份、语言能力和母亲父母出生地定义的种族的常规数据收集。
