Trends and disparities in perinatal health outcomes among women from refugee backgrounds in Victoria, Australia: A population-based study.
Midwifery
; 132: 103980, 2024 05.
Article
em En
| MEDLINE
| ID: mdl-38547597
ABSTRACT
BACKGROUND:
Women from refugee backgrounds generally experience poorer pregnancy-related outcomes compared to host populations.AIM:
To examine the trend and disparities in adverse perinatal outcomes among women of refugee background using population-based data from 2003 to 2017.METHODS:
A population-based cross-sectional study of 754,270 singleton births in Victoria compared mothers of refugee backgrounds with Australian-born mothers. Inferential statistics, including Pearson chi-square and binary logistic regression, were conducted. Multiple logistic regression was conducted to explore the relationship between adverse perinatal outcomes and the women's refugee status.FINDINGS:
Women of refugee background had higher odds of adverse neonatal and maternal outcomes, including stillbirth, neonatal death, low APGAR score, small for gestational age, postpartum haemorrhage, abnormal labour, perineal tear, and maternal admission to intensive care compared to Australian-born women. However, they had lower odds of neonatal admission to intensive care, pre-eclampsia, and maternal postnatal depression. The trend analysis showed limited signs of gaps closing over time in adverse perinatal outcomes. DISCUSSION ANDCONCLUSION:
Refugee background was associated with unfavourable perinatal outcomes, highlighting the negative influence of refugee status on perinatal health. This evidences the need to address the unique healthcare requirements of this vulnerable population to enhance the well-being of mothers and newborns. Implementing targeted interventions and policies is crucial to meet the healthcare requirements of women of refugee backgrounds. Collaborative efforts between healthcare organisations, government agencies and non-governmental organisations are essential in establishing comprehensive support systems to assist refugee women throughout their perinatal journey.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Contexto em Saúde:
1_ASSA2030
Problema de saúde:
1_acesso_equitativo_servicos
/
1_desigualdade_iniquidade
Assunto principal:
Refugiados
/
Resultado da Gravidez
Limite:
Adult
/
Female
/
Humans
/
Newborn
/
Pregnancy
País/Região como assunto:
Oceania
Idioma:
En
Revista:
Midwifery
Assunto da revista:
ENFERMAGEM
/
OBSTETRICIA
Ano de publicação:
2024
Tipo de documento:
Article