F Forna1, D J Jamieson, D Sanders, M K Lindsay. 1. Department of Gynecology and Obstetrics, Emory University School of Medicine, Atlanta, GA, USA. fforna@emory.edu
Abstract
OBJECTIVES: To compare pregnancy outcomes between foreign-born women and women born in the United States (US-born). METHODS: A retrospective cohort study (1991-2001) of all deliveries at Grady Memorial Hospital in Atlanta, Georgia. RESULTS: Among 49,904 deliveries, 27% were to foreign-born mothers representing 164 countries grouped into eight geographic regions. Compared with US-born women, foreign-born women had a higher mean birthweight (3315 vs. 3083 g), and a lower risk of preterm delivery (RR 0.46, 95% CI 0.43-0.49), perinatal mortality (RR 0.40, 95% CI 0.36-0.45), hypertension (RR 0.31, 95% CI 0.23-0.41), and HIV infection (RR 0.13, 95% CI 0.10-0.18). However, foreign-born women had an increased risk of diabetes (RR 1.63, 95% CI 1.48-1.79), perineal laceration (RR 1.71; 95% CI 1.66-1.76), and postpartum hemorrhage (RR 1.10; 95% CI 1.05-1.15). CONCLUSIONS: Foreign-born women have better health behaviors, pregnancy outcomes, and a lower risk of infectious diseases than US-born women, but they have a higher risk of certain medical conditions and obstetric complications.
OBJECTIVES: To compare pregnancy outcomes between foreign-born women and women born in the United States (US-born). METHODS: A retrospective cohort study (1991-2001) of all deliveries at Grady Memorial Hospital in Atlanta, Georgia. RESULTS: Among 49,904 deliveries, 27% were to foreign-born mothers representing 164 countries grouped into eight geographic regions. Compared with US-born women, foreign-born women had a higher mean birthweight (3315 vs. 3083 g), and a lower risk of preterm delivery (RR 0.46, 95% CI 0.43-0.49), perinatal mortality (RR 0.40, 95% CI 0.36-0.45), hypertension (RR 0.31, 95% CI 0.23-0.41), and HIV infection (RR 0.13, 95% CI 0.10-0.18). However, foreign-born women had an increased risk of diabetes (RR 1.63, 95% CI 1.48-1.79), perineal laceration (RR 1.71; 95% CI 1.66-1.76), and postpartum hemorrhage (RR 1.10; 95% CI 1.05-1.15). CONCLUSIONS: Foreign-born women have better health behaviors, pregnancy outcomes, and a lower risk of infectious diseases than US-born women, but they have a higher risk of certain medical conditions and obstetric complications.
Authors: Ranell L Myles; Melissa Artstein-McNassar; Hazel D Dean; Beverly Bohannon; Sharon K Melville; Richard Yeager; John Wheeling; Charles E Rose; Julia Zhu; Kenneth L Dominguez Journal: J Immigr Minor Health Date: 2015-08
Authors: Marcelo L Urquia; John W Frank; Richard H Glazier; Rahim Moineddin; Flora I Matheson; Anita J Gagnon Journal: Am J Public Health Date: 2008-12-04 Impact factor: 9.308
Authors: Marcelo Luis Urquia; Richard Henry Glazier; Beatrice Blondel; Jennifer Zeitlin; Mika Gissler; Alison Macfarlane; Edward Ng; Maureen Heaman; Babill Stray-Pedersen; Anita J Gagnon Journal: J Epidemiol Community Health Date: 2009-08-19 Impact factor: 3.710