Department of Community Medicine and Global Health, Institute of Health and Society, University of Oslo, Oslo, Norway.
Department of General Practice, Institute of Health and Society, University of Oslo, Oslo, Norway.
Scand J Prim Health Care. 2023 Sep;41(3):317-325. doi: 10.1080/02813432.2023.2237074. Epub 2023 Jul 24.
To compare consultations with pregnant undocumented migrants at emergency primary health care to consultations with pregnant residents of Norway.
A cross-sectional study of consultations at several time points.
The study was conducted at the Oslo Accident and Emergency Outpatient Clinic (OAEOC), the main emergency primary care service in Oslo, Norway.
Consultations with pregnant patients without a Norwegian identity number seeking care at the Department of Emergency General Practice at the OAEOC were identified through a manual search of registration lists from 2009 to 2019. The consultations were categorized by women's residency status as 'probably documented migrant', 'uncertain migrant status', or 'probably undocumented migrant'. We also extracted aggregated data for women with a Norwegian identity number (i.e. residents) presenting in consultations with pregnancy-related (ICPC-2 chapter W) conditions.
Manchester Triage System urgency level at presentation, and hospitalization.
Among 829 consultations with female patients categorized as probably undocumented migrants, we found 27.1% (225/829) with pregnant women. About half of the pregnant women (54.6% (123/225)) presented with a pregnancy-related condition. Pregnant women that were probably undocumented migrants had an increased risk of being triaged with a high level of urgency at presentation (relative risk (RR) 1.86, 95% CI 1.14-3.04) and being hospitalized (RR 1.68, 95% CI 1.21-2.34), compared to pregnant residents.
Pregnant undocumented migrants were more severely sick when presenting to emergency primary care services than pregnant residents. Increased access to primary care and emergency primary care services for pregnant undocumented migrants is urgently needed.
比较急诊初级保健中与无证移民孕妇的就诊和与挪威居民孕妇的就诊。
在多个时间点进行的横断面研究。
该研究在挪威奥斯陆急救门诊诊所（OAEOC）进行，该诊所是奥斯陆主要的急诊初级保健服务。
通过对 2009 年至 2019 年注册名单的手动搜索，在 OAEOC 的急诊全科部门识别出寻求护理的无挪威身份证号码的孕妇就诊。这些就诊根据女性的居住身份分为“可能有证件的移民”、“身份不明的移民”或“可能无证的移民”。我们还提取了有挪威身份证号码的女性（即居民）在与妊娠相关（ICPC-2 章 W）条件就诊的汇总数据。
就诊时的曼彻斯特分诊系统紧急程度和住院情况。
在 829 例被归类为可能无证移民的女性就诊中，我们发现 27.1%（225/829）为孕妇。大约一半的孕妇（54.6%（123/225））出现了妊娠相关病症。与妊娠居民相比，可能无证的孕妇就诊时被分诊为高度紧急的风险更高（相对风险（RR）1.86，95%置信区间（CI）1.14-3.04），住院的风险也更高（RR 1.68，95% CI 1.21-2.34）。
与妊娠居民相比，无证移民孕妇在就诊时病情更为严重。迫切需要增加无证移民孕妇获得初级保健和急诊初级保健服务的机会。
