دورية أكاديمية
Obstetrical Complications in Venezuelan Refugee and Migrant Women: Analysis of Ecuadorian National Hospital Discharge Data, 2018-2021.
| العنوان: | Obstetrical Complications in Venezuelan Refugee and Migrant Women: Analysis of Ecuadorian National Hospital Discharge Data, 2018-2021. |
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| المؤلفون: | Weigel MM; Department of Environmental & Occupational Health, Innovation Center 130E, Indiana University School of Public Health, Bloomington, IN, USA. weigelm@iu.edu.; Global Environmental Health Research Laboratory, School of Public Health, Bloomington, IN, USA. weigelm@iu.edu.; Center for Latin American & Caribbean Studies, Indiana University, Bloomington, IN, USA. weigelm@iu.edu.; IU Center for Global Health Equity, Indianapolis, IN, USA. weigelm@iu.edu., Armijos RX; Department of Environmental & Occupational Health, Innovation Center 130E, Indiana University School of Public Health, Bloomington, IN, USA.; Global Environmental Health Research Laboratory, School of Public Health, Bloomington, IN, USA.; Center for Latin American & Caribbean Studies, Indiana University, Bloomington, IN, USA.; IU Center for Global Health Equity, Indianapolis, IN, USA. |
| المصدر: | Journal of immigrant and minority health [J Immigr Minor Health] 2024 Oct; Vol. 26 (5), pp. 830-840. Date of Electronic Publication: 2024 May 03. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Springer Country of Publication: United States NLM ID: 101256527 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1557-1920 (Electronic) Linking ISSN: 15571912 NLM ISO Abbreviation: J Immigr Minor Health Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: New York, NY : Springer, c 2006- |
| مواضيع طبية MeSH: | Refugees*/statistics & numerical data , Transients and Migrants*/statistics & numerical data , Pregnancy Complications*/ethnology , Pregnancy Complications*/epidemiology, Humans ; Female ; Pregnancy ; Ecuador/epidemiology ; Adult ; Venezuela/epidemiology ; Venezuela/ethnology ; Young Adult ; Patient Discharge/statistics & numerical data ; Adolescent ; Infant, Newborn |
| مستخلص: | An estimated 7.7 million Venezuelans have fled a severe humanitarian crisis in their country, most (70%) to other middle-income host countries in the same Andean region. Migration-related exposures during periconception and other critical gestational periods can adversely impact maternal-perinatal outcomes. Emerging evidence suggests that Venezuelan refugee and migrant women (VRMW) who migrate to Andean host countries are at-risk for delivering preterm and low birthweight infants and for Cesarean-sections. However, relatively few studies have examined obstetrical complications that could contribute to these or other short- and longer-term health outcomes of VRMW and/or their offspring. Our exploratory study analyzed four recent years of national hospital discharge data (2018-2021) from Ecuador to compare the primary discharge diagnoses of VRMW (n = 29,005) and Ecuadorian nationals (n = 1,136,796) for ICD-10 O code obstetrical complications related to or aggravated by pregnancy, childbirth, or the puerperium. Our findings indicated that VRMW were hospitalized for 0.5 days longer than Ecuadorian reference group women and they had higher adjusted odds (aOR) for a primary discharge diagnosis for obstetrical complications including preeclampsia (aOR:1.62, 95% CI:1.55,1.69), preterm labor (aOR:1.20, 95% CI:1.11,1.31), premature rupture of membranes (aOR: 1.72, 95% CI:1.63,1.83), oligohydraminos (aOR:1.24, 95% CI:1.12,1.36), obstructed labor (aOR: 1.39, 95% CI:1.31,1.47), perineal lacerations/other obstetric trauma (aOR:1.76, 95% CI:1.63, 1.91), STIs (aOR:2.59, 95% CI:1.29,2.92), anemia (aOR:1.33, 95% CI:1.24,1.42), and ectopic pregnancy (aOR:1.16 95% CI:1.04,1.28). They had similar aOR for diagnosed gestational diabetes and spontaneous abortion (SAB) compared to the reference group but a reduced aOR for genitourinary infections (aOR:0.79, 95% CI:0.74,0.84) and early pregnancy hemorrhage not ending in SAB (aOR:0.43, 95% CI:0.36,0.51). Our findings underscore the vulnerability of VRMW for a number of potentially serious obstetrical complications with the potential to adversely impact the short- and longer-term health of mothers and their offspring. Future studies should collect more detailed information on the migration status, experiences, and exposures of MRMW that influence their risk for obstetrical complications. These are needed to expand our findings to better understand why they have excess risk for these and to inform social and public health policies, programs and targeted interventions aimed at reducing the risk of this vulnerable refugee and migrant group. (© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.) |
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| فهرسة مساهمة: | Keywords: Andean region; Obstetrical complications; Preeclampsia; Refugees and migrants; STIs |
| تواريخ الأحداث: | Date Created: 20240503 Date Completed: 20240919 Latest Revision: 20240919 |
| رمز التحديث: | 20240923 |
| DOI: | 10.1007/s10903-024-01600-x |
| PMID: | 38700574 |
| قاعدة البيانات: | MEDLINE |
Find this article in full text from Springer Verlag. 
Full Text Finder | تدمد: | 1557-1920 |
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| DOI: | 10.1007/s10903-024-01600-x |