Department of Obstetrics and Gynecology, Erasmus University Medical Center, 3000 CA Rotterdam, The Netherlands.
Global Health Unit, Department of Health Sciences, University Medical Center Groningen, University of Groningen, Hanzeplein 1, 9713 GZ Groningen, The Netherlands.
Int J Environ Res Public Health. 2021 Dec 8;18(24):12933. doi: 10.3390/ijerph182412933.
This five-year cross-sectional study mapped the prevalence of several known risk factors for adverse perinatal outcomes in asylum-seeking women in The Netherlands. Characteristics of 2831 registered childbirths among residents of asylum seekers centers (ASCs) in The Netherlands from 2016 to 2020 were included. Results showed a high general and teenage birthrate (2.15 and 6.77 times higher compared to the Dutch, respectively). Most mothers were pregnant upon arrival, and the number of births was highest in the second month of stay in ASCs. Another peak in births between 9 and 12 months after arrival suggested that many women became pregnant shortly after arrival in The Netherlands. Furthermore, 69.5 percent of all asylum-seeking women were relocated between ASCs at least once during pregnancy, which compromises continuity of care. The high prevalence of these risk factors in our study population might explain the increased rate of adverse pregnancy outcomes in asylum seekers compared to native women found in earlier studies. Incorporating migration-related indicators in perinatal health registration is key to support future interventions, policies, and research. Ultimately, our findings call for tailored and timely reproductive and perinatal healthcare for refugee women who simultaneously face the challenges of resettlement and pregnancy.
本为期五年的横断面研究描绘了在荷兰寻求庇护的女性中，几种已知的不良围产期结局风险因素的流行情况。该研究纳入了 2016 年至 2020 年期间荷兰庇护寻求者中心（ASCs）中 2831 名居民的分娩特征。结果显示，一般生育率和青少年生育率都很高（分别比荷兰高 2.15 倍和 6.77 倍）。大多数母亲在抵达时就已经怀孕，在 ASCs 停留的第二个月出生人数最多。在抵达后 9 至 12 个月之间再次出现生育高峰，表明许多女性在抵达荷兰后不久就怀孕了。此外，所有寻求庇护的女性中，69.5%的人在怀孕期间至少在 ASCs 之间搬迁过一次，这影响了护理的连续性。在我们的研究人群中，这些风险因素的高发率可能解释了先前研究中发现的寻求庇护者与本地女性相比，不良妊娠结局发生率增加的原因。将与移民相关的指标纳入围产期健康登记是支持未来干预、政策和研究的关键。最终，我们的研究结果呼吁为同时面临重新安置和怀孕挑战的难民女性提供量身定制的及时生殖和围产期保健。
