The Coombe Hospital, Dublin, Ireland.
The Coombe Hospital, Dublin, Ireland.
Eur J Obstet Gynecol Reprod Biol. 2024 May;296:239-243. doi: 10.1016/j.ejogrb.2024.03.007. Epub 2024 Mar 11.
To evaluate the association, if any, of homelessness or refuge accommodation on delivery and short term perinatal outcomes in an Irish tertiary maternity hospital.
A retrospective cohort study of 133 singleton pregnancies in women reporting to be homeless or living in refuge at their booking antenatal appointment between 2013 and 2022. Analysis compared sociodemographic characteristics and perinatal outcomes in this cohort to a reference population of 76,858 women with stable living arrangements.
Women in the homeless/refuge population were statistically more likely to be single (75.2 % vs 39.5 %, p < 0.001), have an unplanned pregnancy (73.7 % vs 27.2 %, p < 0.001), report a history of psychiatric illness (42.9 % vs 22.4 %, p < 0.001), domestic violence (18.8 % vs 0.9 %, p < 0.001) alcohol consumption in pregnancy (3.0 % vs 0.8 %, p < 0.001) or smoking in pregnancy (41.3 % vs 9.7 %, p < 0.001). They were significantly more likely to have a preterm birth (adjusted OR 1.71 (1.01-2.87) p = 0.04). They also had a significantly lower median birth weight compared to the reference population (birthweight 3270 g vs 3420 g, p < 0.001).
Women in the homeless and refuge population are more likely to experience poorer perinatal outcomes compared to women with stable living arrangements.
评估在爱尔兰一家三级妇产医院中，无家可归或避难所住宿与分娩和短期围产期结局之间的关联（如果存在的话）。
对 2013 年至 2022 年期间在预约产前检查时报告无家可归或居住在避难所的 133 名单胎妊娠女性进行回顾性队列研究。分析比较了该队列的社会人口学特征和围产期结局与 76858 名稳定居住安排女性的参考人群。
无家可归/避难所人群中的女性在统计学上更有可能是单身（75.2% vs 39.5%，p<0.001）、计划外妊娠（73.7% vs 27.2%，p<0.001）、有精神病史（42.9% vs 22.4%，p<0.001）、家庭暴力史（18.8% vs 0.9%，p<0.001）、妊娠期饮酒（3.0% vs 0.8%，p<0.001）或妊娠期吸烟（41.3% vs 9.7%，p<0.001）。与参考人群相比，早产的可能性明显更高（调整后的 OR 1.71（1.01-2.87），p=0.04）。与参考人群相比，她们的中位出生体重明显较低（出生体重 3270g vs 3420g，p<0.001）。
与稳定居住安排的女性相比，无家可归和避难所人群中的女性更有可能经历较差的围产期结局。
