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The effect of migration background on obstetric performance in Switzerland

Alder, J. and Fink, N. and Lapaire, O. and Urech, C. and Meyer, A. and Bitzer, J. and Hösli, I. and Holzgreve, W.. (2008) The effect of migration background on obstetric performance in Switzerland. The European journal of contraception & reproductive health care : the official journal of the European Society of Contraception, 13 (1). pp. 103-108.

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Abstract

OBJECTIVES: Population-based analysis to compare perinatal outcome between immigrant women and women from the Western industrialized world (WIW). METHODS: Singleton pregnancies of a cohort that was followed from the first trimester to delivery at the University Women's Hospital Basel, Switzerland, were retrospectively analysed. Data were extracted from 203 patient records. Multiple logistic and linear regression analyses were used to determine the impact of origin on perinatal outcome. RESULTS: Immigrants and women from WIW countries were comparable regarding number of pregnancy control visits. Immigrant women were younger, had more children, higher pre-pregnancy body mass index and were more often taking medication of any kind during pregnancy. Migration was only predictive for shorter gestations (p > 0.01). A trend for a lower frequency of gestational hypertension and labour inductions, and a higher frequency of spontaneous delivery and lower birth weights were observed. CONCLUSIONS: Migration background was associated with shorter gestations and lower birth weight. This was not due to differences in antenatal care since both study groups were followed at the same clinic with the same guidelines and had the same number of consultations during pregnancy. Higher stress levels due to migration and lower socioeconomic living standards, nutrition, and genetic factors are possible contributors to these findings.
Faculties and Departments:03 Faculty of Medicine > Bereich Spezialfächer (Klinik) > Ehemalige Einheiten Spezialfächer (Klinik) > Geburtshilfliche und Gynäkologische Psychosomatik (Bitzer)
03 Faculty of Medicine > Departement Klinische Forschung > Bereich Spezialfächer (Klinik) > Ehemalige Einheiten Spezialfächer (Klinik) > Geburtshilfliche und Gynäkologische Psychosomatik (Bitzer)
03 Faculty of Medicine > Bereich Spezialfächer (Klinik) > Gynäkologie und Geburtshilfe > Geburtshilfe (Hösli-Krais)
03 Faculty of Medicine > Departement Klinische Forschung > Bereich Spezialfächer (Klinik) > Gynäkologie und Geburtshilfe > Geburtshilfe (Hösli-Krais)
03 Faculty of Medicine > Bereich Spezialfächer (Klinik) > Gynäkologie und Geburtshilfe > Gynäkologie (Heinzelmann)
03 Faculty of Medicine > Departement Klinische Forschung > Bereich Spezialfächer (Klinik) > Gynäkologie und Geburtshilfe > Gynäkologie (Heinzelmann)
07 Faculty of Psychology > Departement Psychologie > Ehemalige Einheiten Psychologie > Klinische Psychologie und Psychotherapie (Margraf)
UniBasel Contributors:Bitzer, Johannes and Hösli-Krais, Irene M. and Lapaire-Mayer, Olav Carl and Meyer, Andrea Hans
Item Type:Article, refereed
Article Subtype:Research Article
Publisher:Taylor & Francis
ISSN:1362-5187
Note:Publication type according to Uni Basel Research Database: Journal article
Language:English
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Last Modified:30 Aug 2018 14:43
Deposited On:11 Oct 2012 15:15

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