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Severe maternal morbidity associated with maternal birthplace in three high-immigration settings
Background: Maternal mortality and morbidity vary substantially worldwide. It is unknown if these geographic differences translate into disparities in severe maternal morbidity among immigrants from various world regions. We assessed disparities in severe maternal morbidity between immigrant women f...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4512956/ https://www.ncbi.nlm.nih.gov/pubmed/25587005 http://dx.doi.org/10.1093/eurpub/cku230 |
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author | Urquia, Marcelo L. Glazier, Richard H. Mortensen, Laust Nybo-Andersen, Anne-Marie Small, Rhonda Davey, Mary-Ann Rööst, Mattias Essén, Birgitta |
author_facet | Urquia, Marcelo L. Glazier, Richard H. Mortensen, Laust Nybo-Andersen, Anne-Marie Small, Rhonda Davey, Mary-Ann Rööst, Mattias Essén, Birgitta |
author_sort | Urquia, Marcelo L. |
collection | PubMed |
description | Background: Maternal mortality and morbidity vary substantially worldwide. It is unknown if these geographic differences translate into disparities in severe maternal morbidity among immigrants from various world regions. We assessed disparities in severe maternal morbidity between immigrant women from various world regions giving birth in three high-immigration countries. Methods: We used population-based delivery data from Victoria; Australia and Ontario, Canada and national data from Denmark, in the most recent 10-year period ending in 2010 available to each participating centre. Each centre provided aggregate data according to standardized definitions of the outcome, maternal regions of birth and covariates for pooled analyses. We used random effects and stratified logistic regression to obtain odds ratios (ORs) with 95% confidence intervals (95% CIs), adjusted for maternal age, parity and comparability scores. Results: We retrieved 2,322,907 deliveries in all three receiving countries, of which 479,986 (21%) were to immigrant women. Compared with non-immigrants, only Sub-Saharan African women were consistently at higher risk of severe maternal morbidity in all three receiving countries (pooled adjusted OR: 1.67; 95% CI: 1.43, 1.95). In contrast, both Western and Eastern European immigrants had lower odds (OR: 0.82; 95% CI: 0.70, 0.96 and OR: 0.64; 95% CI: 0.49, 0.83, respectively). The most common diagnosis was severe pre-eclampsia followed by uterine rupture, which was more common among Sub-Saharan Africans in all three settings. Conclusions: Immigrant women from Sub-Saharan Africa have higher rates of severe maternal morbidity. Other immigrant groups had similar or lower rates than the majority locally born populations. |
format | Online Article Text |
id | pubmed-4512956 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-45129562015-07-27 Severe maternal morbidity associated with maternal birthplace in three high-immigration settings Urquia, Marcelo L. Glazier, Richard H. Mortensen, Laust Nybo-Andersen, Anne-Marie Small, Rhonda Davey, Mary-Ann Rööst, Mattias Essén, Birgitta Eur J Public Health Mother and Child Health Background: Maternal mortality and morbidity vary substantially worldwide. It is unknown if these geographic differences translate into disparities in severe maternal morbidity among immigrants from various world regions. We assessed disparities in severe maternal morbidity between immigrant women from various world regions giving birth in three high-immigration countries. Methods: We used population-based delivery data from Victoria; Australia and Ontario, Canada and national data from Denmark, in the most recent 10-year period ending in 2010 available to each participating centre. Each centre provided aggregate data according to standardized definitions of the outcome, maternal regions of birth and covariates for pooled analyses. We used random effects and stratified logistic regression to obtain odds ratios (ORs) with 95% confidence intervals (95% CIs), adjusted for maternal age, parity and comparability scores. Results: We retrieved 2,322,907 deliveries in all three receiving countries, of which 479,986 (21%) were to immigrant women. Compared with non-immigrants, only Sub-Saharan African women were consistently at higher risk of severe maternal morbidity in all three receiving countries (pooled adjusted OR: 1.67; 95% CI: 1.43, 1.95). In contrast, both Western and Eastern European immigrants had lower odds (OR: 0.82; 95% CI: 0.70, 0.96 and OR: 0.64; 95% CI: 0.49, 0.83, respectively). The most common diagnosis was severe pre-eclampsia followed by uterine rupture, which was more common among Sub-Saharan Africans in all three settings. Conclusions: Immigrant women from Sub-Saharan Africa have higher rates of severe maternal morbidity. Other immigrant groups had similar or lower rates than the majority locally born populations. Oxford University Press 2015-08 2015-01-13 /pmc/articles/PMC4512956/ /pubmed/25587005 http://dx.doi.org/10.1093/eurpub/cku230 Text en © The Author 2015. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved. http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Mother and Child Health Urquia, Marcelo L. Glazier, Richard H. Mortensen, Laust Nybo-Andersen, Anne-Marie Small, Rhonda Davey, Mary-Ann Rööst, Mattias Essén, Birgitta Severe maternal morbidity associated with maternal birthplace in three high-immigration settings |
title | Severe maternal morbidity associated with maternal birthplace in three high-immigration settings |
title_full | Severe maternal morbidity associated with maternal birthplace in three high-immigration settings |
title_fullStr | Severe maternal morbidity associated with maternal birthplace in three high-immigration settings |
title_full_unstemmed | Severe maternal morbidity associated with maternal birthplace in three high-immigration settings |
title_short | Severe maternal morbidity associated with maternal birthplace in three high-immigration settings |
title_sort | severe maternal morbidity associated with maternal birthplace in three high-immigration settings |
topic | Mother and Child Health |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4512956/ https://www.ncbi.nlm.nih.gov/pubmed/25587005 http://dx.doi.org/10.1093/eurpub/cku230 |
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