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Pregnancy Related Health Care Needs in Refugees—A Current Three Center Experience in Europe

Background: Immigration into Europe has reached an all-time high. Provision of coordinated healthcare, especially to refugee women that are at increased risk for adverse pregnancy outcomes, is a challenge for receiving health care systems. Methods: We assessed pregnancy rates and associated primary...

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Autores principales: Dopfer, Christian, Vakilzadeh, Annabelle, Happle, Christine, Kleinert, Evelyn, Müller, Frank, Ernst, Diana, Schmidt, Reinhold E., Behrens, Georg M. N., Merkesdal, Sonja, Wetzke, Martin, Jablonka, Alexandra
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6165089/
https://www.ncbi.nlm.nih.gov/pubmed/30189649
http://dx.doi.org/10.3390/ijerph15091934
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author Dopfer, Christian
Vakilzadeh, Annabelle
Happle, Christine
Kleinert, Evelyn
Müller, Frank
Ernst, Diana
Schmidt, Reinhold E.
Behrens, Georg M. N.
Merkesdal, Sonja
Wetzke, Martin
Jablonka, Alexandra
author_facet Dopfer, Christian
Vakilzadeh, Annabelle
Happle, Christine
Kleinert, Evelyn
Müller, Frank
Ernst, Diana
Schmidt, Reinhold E.
Behrens, Georg M. N.
Merkesdal, Sonja
Wetzke, Martin
Jablonka, Alexandra
author_sort Dopfer, Christian
collection PubMed
description Background: Immigration into Europe has reached an all-time high. Provision of coordinated healthcare, especially to refugee women that are at increased risk for adverse pregnancy outcomes, is a challenge for receiving health care systems. Methods: We assessed pregnancy rates and associated primary healthcare needs in three refugee cohorts in Northern Germany during the current crisis. Results: Out of n = 2911 refugees, 18.0% were women of reproductive age, and 9.1% of these were pregnant. Pregnancy was associated with a significant, 3.7-fold increase in primary health care utilization. Language barrier and cultural customs impeded healthcare to some refugee pregnant women. The most common complaints were demand for pregnancy checkup without specific symptoms (48.6%), followed by abdominal pain or urinary tract infections (in 11.4% of cases each). In 4.2% of pregnancies, severe complications such as syphilis or suicide attempts occurred. Discussion: We present data on pregnancy rates and pregnancy associated medical need in three current refugee cohorts upon arrival in Germany. Healthcare providers should be particularly aware of the requirements of pregnant migrants and should adapt primary caretaking strategies accordingly.
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spelling pubmed-61650892018-10-12 Pregnancy Related Health Care Needs in Refugees—A Current Three Center Experience in Europe Dopfer, Christian Vakilzadeh, Annabelle Happle, Christine Kleinert, Evelyn Müller, Frank Ernst, Diana Schmidt, Reinhold E. Behrens, Georg M. N. Merkesdal, Sonja Wetzke, Martin Jablonka, Alexandra Int J Environ Res Public Health Article Background: Immigration into Europe has reached an all-time high. Provision of coordinated healthcare, especially to refugee women that are at increased risk for adverse pregnancy outcomes, is a challenge for receiving health care systems. Methods: We assessed pregnancy rates and associated primary healthcare needs in three refugee cohorts in Northern Germany during the current crisis. Results: Out of n = 2911 refugees, 18.0% were women of reproductive age, and 9.1% of these were pregnant. Pregnancy was associated with a significant, 3.7-fold increase in primary health care utilization. Language barrier and cultural customs impeded healthcare to some refugee pregnant women. The most common complaints were demand for pregnancy checkup without specific symptoms (48.6%), followed by abdominal pain or urinary tract infections (in 11.4% of cases each). In 4.2% of pregnancies, severe complications such as syphilis or suicide attempts occurred. Discussion: We present data on pregnancy rates and pregnancy associated medical need in three current refugee cohorts upon arrival in Germany. Healthcare providers should be particularly aware of the requirements of pregnant migrants and should adapt primary caretaking strategies accordingly. MDPI 2018-09-05 2018-09 /pmc/articles/PMC6165089/ /pubmed/30189649 http://dx.doi.org/10.3390/ijerph15091934 Text en © 2018 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Dopfer, Christian
Vakilzadeh, Annabelle
Happle, Christine
Kleinert, Evelyn
Müller, Frank
Ernst, Diana
Schmidt, Reinhold E.
Behrens, Georg M. N.
Merkesdal, Sonja
Wetzke, Martin
Jablonka, Alexandra
Pregnancy Related Health Care Needs in Refugees—A Current Three Center Experience in Europe
title Pregnancy Related Health Care Needs in Refugees—A Current Three Center Experience in Europe
title_full Pregnancy Related Health Care Needs in Refugees—A Current Three Center Experience in Europe
title_fullStr Pregnancy Related Health Care Needs in Refugees—A Current Three Center Experience in Europe
title_full_unstemmed Pregnancy Related Health Care Needs in Refugees—A Current Three Center Experience in Europe
title_short Pregnancy Related Health Care Needs in Refugees—A Current Three Center Experience in Europe
title_sort pregnancy related health care needs in refugees—a current three center experience in europe
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6165089/
https://www.ncbi.nlm.nih.gov/pubmed/30189649
http://dx.doi.org/10.3390/ijerph15091934
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