Centre for Community Medicine, All India Institute of Medical Sciences, New Delhi, India.
Trop Med Int Health. 2013 Oct;18(10):1202-10. doi: 10.1111/tmi.12166. Epub 2013 Aug 6.
To identify the determinants of adequate antenatal care (ANC) utilisation and institutional deliveries among socio-economically disadvantaged migrants living in Delhi, India.
In a cross-sectional survey, 809 rural-urban migrant mothers with a child aged below 2 years were interviewed with a pretested questionnaire. Data on receiving antenatal, delivery and post-natal services, migration history and other social, demographic and income were collected.
Recent migrants used the services significantly less than settled migrants. ANC was adequate only among 37% (35% of recent migrant women and 39% of settled migrants). Multinomial regression revealed that being a recent migrant, multiparous, illiterate and married to an unskilled worker were significant risk factors for receiving inadequate ANC. Around 53% of deliveries took place at home. ANC seeking has a strong influence on place of delivery: 70% of births to women who received inadequate ANC were at home. Women who are educated, had their first delivery after the age of 20 years and received adequate ANC were more likely to deliver their child in hospital. Post-natal care is grossly neglected among these groups.
Migrant women, particularly recent migrants, are at the risk of not receiving adequate maternal healthcare. Because migration is a continuing phenomenon, measures to mitigate disadvantage due to migration need to be taken in the healthcare system.
确定印度德里经济社会弱势群体移民中，充分利用产前护理（ANC）和机构分娩的决定因素。
在一项横断面调查中，对 809 名年龄在 2 岁以下的城乡移民母亲进行了访谈，并使用了预先测试的问卷。收集了接受产前、分娩和产后服务、移民历史以及其他社会、人口和收入方面的数据。
近期移民使用这些服务的比例明显低于定居移民。只有 37%的人接受了充分的 ANC（最近移民妇女中为 35%，定居移民中为 39%）。多项回归分析显示，近期移民、多胎、文盲和与非技术工人结婚是接受不充分 ANC 的显著风险因素。约 53%的分娩发生在家庭中。ANC 的寻求对分娩地点有很大的影响：接受不充分 ANC 的妇女中有 70%在家中分娩。受过教育、20 岁以后首次分娩并接受充分 ANC 的妇女更有可能在医院分娩。这些群体严重忽视了产后护理。
移民妇女，特别是近期移民，面临无法获得充分产妇保健的风险。由于移民是一个持续的现象，因此需要在医疗保健系统中采取措施，减轻因移民而产生的不利影响。
