荷兰强迫移民的怀孕结果:一项基于国家登记册的研究
J B Tankink1, L C M Bertens1, J P de Graaf1
1Department of Obstetrics and Gynaecology, Erasmus Medical University Centre, Rotterdam, the Netherlands.
Journal of migration and health
|September 23, 2024
概括
强迫移民 (FM) 面临更高的孕期死亡率风险,对于妊娠年龄的婴儿来说很小,以及怀孕期间的紧急剖腹产. 解决这些差异对于公平的孕产妇卫生保健至关重要.
科学领域:
- 生殖健康 生殖健康
- 公共卫生 公共卫生
- 移民研究 移民研究
背景情况:
- 全球强迫移民需要改善孕妇的医疗保健.
- 关于强迫移民 (FM) 的孕产妇和产周结果的数据有限.
- 这项研究研究了荷兰的FM怀孕结果.
研究的目的:
- 描述强迫移民怀孕的特征和结果.
- 将强迫移民的结果与非移民和居民移民进行比较.
- 识别孕产妇和产周健康方面的差异.
主要方法:
- 连接荷兰围产阶级登记册与国家移民数据 (2014-2019).
- 分析了FM,非移民 (NM) 和居民移民 (RM) 的怀孕结果.
- 计算了主要结果的相对风险 (RR) 和调整的几率比率 (aOR).
主要成果:
- 与非移民相比,强迫移民的孕期死亡率 (RR 1.50),孕期婴儿的小婴儿 (SGA) (RR 1.65) 和紧急剖腹产 (CS) (RR 1.19) 的风险增加.
- 与居民移民相比,FM的SGA风险持续升高 (RR 1.17).
- 强迫移民的早产风险较低,但晚期产前护理和计划性产前护理的比例较高.
结论:
- 强迫移民的经历增加了几种不良妊娠结果的风险.
- 解决与移民有关的健康差异和结构性障碍是必不可少的.
- 需要共同努力,以确保为所有人提供公平的护理.
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