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Maternal Migration Background and Mortality Among Infants Born Extremely Preterm.

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  • 1Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, United Kingdom.

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|December 13, 2023
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Summary

Infants born to mothers with a migration background at extremely preterm gestations had lower mortality rates within the first year. This study investigated NICU admissions and mortality in relation to maternal migration background.

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Area of Science:

  • Neonatalogy and Perinatal Medicine
  • Public Health and Epidemiology
  • Sociomedical Sciences

Background:

  • Extremely preterm infants (24-25 weeks gestation) require neonatal intensive care unit (NICU) admission for survival.
  • Parental consultation influences decisions on active treatment for these infants in the Netherlands.

Purpose of the Study:

  • To examine the association between maternal migration background and NICU admissions.
  • To investigate the relationship between maternal migration background and infant mortality within the first year of life.

Main Methods:

  • A cross-sectional study linked Dutch birth records with tax and mortality data (2010-2017).
  • Infants born between 24 weeks 0 days and 25 weeks 6 days gestation were included.
  • Logistic regressions adjusted for multiple factors, including socioeconomic status and infant characteristics, were used.

Main Results:

  • No significant difference in NICU admission rates was observed between infants of mothers with and without a migration background.
  • Infants born to mothers with a migration background showed a significantly lower risk of mortality within the first week, month, and year of life.
  • Fully adjusted models indicated a reduced mortality risk (RR, 0.85; 95% CI, 0.75-0.96) for infants of mothers with a migration background by the first year.

Conclusions:

  • Infants born to mothers with a migration background at extremely preterm gestations had a lower risk of mortality within the first year.
  • The findings suggest that disparities in mortality are not explained by differential NICU care or treatment preferences.
  • Further research is necessary to elucidate the mechanisms behind these observed survival differences.