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与本地妇女相比,移民的产科和新生儿结局得到改善。希腊北部人口分析。

Immigrants present improved obstetric and neonatal outcomes compared to native women. A northern greek population analysis.

机构信息

4th Department of Obstetrics and Gynecology, Aristotle University of Thessaloniki, Macedonomachon 3, 57013, Thessaloniki, Greece.

出版信息

J Immigr Minor Health. 2013 Apr;15(2):249-54. doi: 10.1007/s10903-012-9727-y.

Abstract

To compare the incidence of obstetric and neonatal outcomes between native and immigrant women. A retrospective cohort of singleton pregnancies was conducted concerning the period 2003-2009. Women were divided in group 1, including natives and group 2, including immigrants. Epidemiological characteristics, obstetric outcomes and neonatal morbidity parameters were studied. Out of 7033 singleton pregnancies delivered during this period, 6980 with complete information were finally included. Immigrants consisted 47.59 % of all gravidas (group 2, n = 3322), presenting significantly lower rates of emergency caesarean section, preeclampsia, preterm delivery, placenta praevia and fetal distress. Furthermore, all parameters of neonatal morbidity, including Mean Apgar score in the 1st and 5th minute as well as rates of NICU admission and emergency intubation were significantly improved in the group of immigrants. According to our results, pregnancies of immigrant women are less likely to be complicated by severe obstetric and neonatal outcomes.

摘要

比较本地和移民妇女的产科和新生儿结局发生率。对 2003-2009 年期间的单胎妊娠进行了回顾性队列研究。将女性分为第 1 组(包括本地人)和第 2 组(包括移民)。研究了流行病学特征、产科结局和新生儿发病率参数。在这期间,7033 例单胎分娩中,最终纳入了 6980 例信息完整的孕妇。移民占所有孕妇的 47.59%(第 2 组,n=3322),剖宫产、子痫前期、早产、前置胎盘和胎儿窘迫的发生率明显较低。此外,移民组新生儿发病率的所有参数,包括第 1 分钟和第 5 分钟的平均阿普加评分,以及新生儿重症监护病房(NICU)入住率和紧急插管率,均显著改善。根据我们的研究结果,移民孕妇的妊娠不太可能出现严重的产科和新生儿结局并发症。

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