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- Title
Single-Centre Retrospective Cohort Study of Demographic Characteristics and Perinatal Outcomes in Pregnant Refugee Patients in Toronto, Canada.
- Authors
Clarfield, Lauren; Little, Darby; Svendrovski, Anton; Yudin, Mark H.; De Souza, Leanne R.
- Abstract
Pregnant refugee patients are especially vulnerable to adverse perinatal outcomes. Detailed characterization of this heterogenous population will identify risk factors and thus guide contextualized initiatives for improved patient care. A retrospective cohort study of obstetrical refugee patients at a tertiary-care hospital in Toronto, Ontario. Of 196 pregnant refugees, 48% were fluent English speaking, 57% had poor social support, and 42% lived in a shelter. Eighty-seven percent started prenatal care after the first trimester, which was associated with delivery of a large-for-gestational-age infant (p = 0.043). Sixteen percent experienced family violence, which was associated with poor fetal aggregate outcomes (p = 0.03). There were significantly higher rates of pre-eclampsia and Cesarean sections in refugee versus non-refugee patients (p < 0.05). Pregnant refugees are at risk for psychosocial challenges and experience significantly worse obstetrical outcomes compared with non-refugees. Quality improvement initiatives should focus on access to early prenatal care, stable housing, and support for victims of family violence.
- Subjects
CANADA; MATERNAL health services; IMMIGRANTS; SOCIAL support; PSYCHOLOGY of refugees; MULTIVARIATE analysis; MULTIPLE regression analysis; AGE distribution; PREGNANT women; RETROSPECTIVE studies; TERTIARY care; MANN Whitney U Test; DOMESTIC violence; PREGNANCY outcomes; RISK assessment; COMPARATIVE studies; PREECLAMPSIA; SOCIOECONOMIC factors; INTIMATE partner violence; PREGNANCY complications; QUALITY assurance; RESEARCH funding; DESCRIPTIVE statistics; CHI-squared test; DATA analysis software; PRENATAL care; DEMOGRAPHIC characteristics; CESAREAN section; GESTATIONAL diabetes; SOCIODEMOGRAPHIC factors; LONGITUDINAL method; COMORBIDITY; DISEASE risk factors
- Publication
Journal of Immigrant & Minority Health, 2023, Vol 25, Issue 3, p529
- ISSN
1557-1912
- Publication type
Article
- DOI
10.1007/s10903-022-01447-0