Neonatal-Perinatal Medicine Division, Children's Hospital of Orange County, Orange, California.
Division of Neonatology, Pomona Valley Hospital Medical Center, Pomona, California.
Am J Perinatol. 2022 Jun;39(8):883-888. doi: 10.1055/s-0040-1719117. Epub 2020 Nov 9.
This work aimed to study perinatal, maternal, and neonatal characteristics of birth tourism (BT) mother-baby dyads and the rate of neonatal intensive care unit (NICU) admissions of BT infants.
Retrospective study at a regional perinatal center comparing BT mother-baby dyads to all dyads. BT infants admitted to the NICU were compared with a randomly selected group of infants admitted to the NICU during the same time period.
A total of 1,755 BT dyads were identified over 4 years. BT mothers were older (32 vs. 28 years, < 0.0001), more likely to carry multiples (5.5 vs. 1.4%, < 0.0001), deliver via cesarean section (40 vs. 34%, < 0.0001), and require postpartum intensive care (0.6 vs. 0.1%, < 0.0001). BT infants had significantly fewer NICU admissions 96 (5.5%) versus 3,213 (11.3%; < 0.0001). There were no statistically significant differences in NICU course and outcome between BT and non-BT control infants.
Birth tourism is associated with unique determinants of health. In our study, there were fewer NICU admissions, potentially explained by the healthy migrant effect.
· Birthright citizenship attracts foreigners to give birth in the United States.. · BT is associated with unique social determinants of health.. · Fewer NICU admissions in our study are possibly explained by the healthy migrant effect..
本研究旨在探讨生育旅游（BT）母婴对子的围产期、产妇和新生儿特征，以及 BT 新生儿入住新生儿重症监护病房（NICU）的比例。
对区域性围产期中心进行回顾性研究，将 BT 母婴对子与所有对子进行比较。将入住 NICU 的 BT 婴儿与同期随机选择的一组入住 NICU 的婴儿进行比较。
4 年间共发现 1755 对 BT 母婴对子。BT 母亲年龄更大（32 岁比 28 岁， < 0.0001），更有可能怀多胎（5.5%比 1.4%， < 0.0001），剖宫产分娩（40%比 34%， < 0.0001），并需要产后重症监护（0.6%比 0.1%， < 0.0001）。BT 婴儿入住 NICU 的比例明显较低（96 例[5.5%]比 3213 例[11.3%]； < 0.0001）。BT 婴儿与非 BT 对照组婴儿的 NICU 病程和结局无统计学差异。
生育旅游与独特的健康决定因素有关。在我们的研究中，NICU 入院人数较少，这可能与健康移民效应有关。
· 出生公民权吸引外国人到美国生育。· BT 与独特的社会健康决定因素有关。· 我们的研究中 NICU 入院人数较少，这可能与健康移民效应有关。
