Zuppa Antonio Alberto, Orchi Claudia, Calabrese Valentina, Verrillo Gemma, Perrone Sabrina, Pasqualini Patrizia, Cota Francesco, Ranno Orazio, Valentini Piero, Giannantonio Carmen, Cardiello Valentina, Romagnoli Costantino
Division of Neonatology, Department of Pediatrics, Catholic University of Sacred Heart, Largo A. Gemelli 8, Rome, Italy.
J Matern Fetal Neonatal Med. 2010 Jul;23(7):627-32. doi: 10.3109/14767050903258761.
The objective of this study was to evaluate clinical and epidemiological characteristics of the maternal and neonatal immigrant population and to compare it with the Italian population in the Agostino Gemelli Hospital (Rome).
This study was a prospective population-based study. We compared 595 newborns from immigrant mothers with 2413 newborns from Italian mothers. Neonatal characteristics included in this study were sex, gestational age, birth weight, Apgar score, transfer to pathology units, minor pathologies, and type of breastfeeding at discharge. Maternal characteristics included nationality, age, parity, type of delivery, twin birth, and pathology during the pregnancy.
Immigrant newborns comprised 20% of the total births included in the study. No statistically significant differences were found between immigrant and Italian newborns in gestational age, birth weight, or Apgar score. Immigrant newborns were transferred to the Paediatric Infectious Disease Unit more frequently than Italian newborns, had a significantly higher incidence of hyperbilirubinemia and a higher rate of exclusive and prevalent breastfeeding at discharge. Immigrant mothers came predominantly from Eastern Europe, were younger and had caesarean sections less frequently than Italian mothers.
No significant differences in biological and clinical characteristics or in medical practice were found between groups, except for a higher frequency of neonatal hyperbilirubinemia and an inclination among immigrant mothers toward breastfeeding.
本研究的目的是评估移民产妇和新生儿群体的临床及流行病学特征，并将其与罗马阿戈斯蒂诺·杰梅利医院的意大利人群体进行比较。
本研究是一项基于人群的前瞻性研究。我们将595名移民母亲的新生儿与2413名意大利母亲的新生儿进行了比较。本研究纳入的新生儿特征包括性别、胎龄、出生体重、阿氏评分、转至病理科情况、轻微病症以及出院时的母乳喂养类型。产妇特征包括国籍、年龄、产次、分娩类型、双胎分娩以及孕期病症。
移民新生儿占本研究纳入总出生人数的20%。在胎龄、出生体重或阿氏评分方面，移民新生儿与意大利新生儿之间未发现统计学上的显著差异。与意大利新生儿相比，移民新生儿更频繁地被转至儿科传染病科，高胆红素血症的发病率显著更高，出院时纯母乳喂养和普遍母乳喂养的比例也更高。移民母亲主要来自东欧，年龄较小，剖宫产的频率低于意大利母亲。
除了新生儿高胆红素血症的发生率较高以及移民母亲倾向于母乳喂养外，两组在生物学和临床特征或医疗实践方面未发现显著差异。
