Antenatal and perinatal outcomes of refugees in high income countries
Antenatal and perinatal outcomes of refugees in high income countries
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DOI：
10.1515/jpm-2020-0389
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发表时间：
2021-01-01
影响因子：
2.4
通讯作者：
Greenough, Anne
中科院分区：
文献类型：
--
作者：
Sturrock, Sarah;Williams, Emma;Greenough, Anne
目标：世界卫生组织（世卫组织）强调指出，移徙者的妊娠相关指标有明显的恶化趋势，如孕产妇和新生儿发病率和死亡率、精神健康状况不佳和护理欠佳。本研究的目的是通过比较移民到高收入国家的难民与非移民妇女的产前和围产期结果，确定这些不良后果是否发生在移民到高收入国家的难民中。方法：进行文献检索。使用Ovid检索Embase和Medline数据库。搜索词包括“难民”、“孕妇”或“新生儿”和“结果”。结果：共检索论文194篇，其中23篇被纳入最终分析。所有纳入的论文要么是回顾性队列研究，要么是横断面研究。所研究的难民来自各种各样的来源国，包括厄立特里亚、索马里、阿富汗、伊拉克和叙利亚。难民妇女更有可能处于社会不利地位，但在怀孕期间吸烟或服用非法药物的可能性较小。难民妇女更有可能得到较差、较晚或没有人参加产前保健。流产和死产在难民妇女中比非难民妇女更常见。难民的围产期死亡率较高。结论：尽管高收入国家的医疗保健服务较好，但难民母亲的预后仍较差。这可能是由于她们接受产前护理的时间较晚或缺乏。
Objectives: The World Health Organisation (WHO) has highlighted a marked trend for worse pregnancy-related indicators in migrants, such as maternal and neonatal morbidity and mortality, poor mental health and sub-optimal care. The aim of this study was to determine whether such adverse outcomes occurred in refugees who moved to high income countries by comparing their antenatal and perinatal outcomes to those of non-immigrant women.Methods: A literature search was undertaken. Embase and Medline databases were searched using Ovid. Search terms included "refugee", "pregnan*" or "neonat*", and "outcome".Results: The search yielded 194 papers, 23 were included in the final analysis. All the papers included were either retrospective cohort or cross-sectional studies. The refugees studied originated from a wide variety of source countries, including Eritrea, Somalia, Afghanistan, Iraq, and Syria. Refugee women were more likely to be socially disadvantaged, but less likely to smoke or take illegal drugs during pregnancy. Refugee women were more likely to have poor, late, or no attendance at antenatal care. Miscarriages and stillbirth were more common amongst refugee women than non-refugees. Perinatal mortality was higher among refugees.Conclusions: Despite better health care services in high income countries, refugee mothers still had worse outcomes. This may be explained by their late or lack of attendance to antenatal care.